Efficacy of Telerehabilitation in Patients With Degenerative Meniscal Injury

The Effect of Telerehabilitation and Conventional Rehabilitation on Clinical Outcomes and Exercise Compliance in Patients With Degenerative Meniscal Injury

The aim of the study is to compare the home exercise program performed with video-based telerehabilitation in patients with degenerative meniscal injury, and the home exercise program performed with one-on-one training in the hospital with conventional methods.

Study Overview

• Status: Completed
• Conditions: Meniscus; Degeneration
• Intervention / Treatment: Other: Telerehabilitation; Other: Paper Based Rehabilitation

Detailed Description

Conventional rehabilitation (CR) practices will be applied to the first study group. Telerehabilitation (TR) application will be applied to the second study group. It is aimed to evaluate the patients in terms of pain, functionality, quality of life and exercise compliance.

• Study Type: Interventional
• Enrollment (Actual): 49
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Menteşe
    • Muğla, Menteşe, Turkey, 48000
      • Muğla Sıtkı Koçman Training and Research Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Male and female patients aged 18 - 65 years
• Having been diagnosed with degenerative meniscus injury by an orthopedist by MRI examination
• Having signed the consent form

Exclusion Criteria:

• Situations that will prevent assessments or communication with the individual
• Having an operation due to degenerative meniscus injury problem
• Orthopedic and neurological problems that would prevent evaluation and/or treatment

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Telerehabilitation (TR); The TR group will be followed up through the application within the 8-week home exercise program.	Other: Telerehabilitation; Application based video home exercise for the degenerative meniscus injury
Active Comparator: Paper Based Rehabilitation (PBR); The PBR group will be followed up through the paper instruction within the 8-week home exercise program.	Other: Paper Based Rehabilitation; Paper instruction based home exercise for the degenerative meniscus injury

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Analog Scale (VAS)	On a 10 cm straight line or numerical scale (0: no pain, 10: unbearable pain).	Change from Baseline VAS at 8 weeks
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)	WOMAC consists of 3 main headings: pain intensity, stiffness, and physical function. The total score ranges from 0 (no disability) to 96 (complete disability).	Change from Baseline WOMAC at 8 weeks
SF-12	SF 12 is a self-evaluation scale. It consists of seven items. Its score ranged from 0 to 100, with higher scores indicating better physical and mental health functioning.	Change from Baseline SF-12 at 8 weeks
Muscle Strength Test with Lafayette Hand Held Dynamometer	It is an objective muscle strength measurement tool. Measurements are made 3 times. A rest of 120 seconds is given between measurements. The highest measured value is noted.	Change from Baseline Dynamometer Value at 8 weeks
Proprioception Measurement with Baseline Bubble Inclinometer	The "absolute angle difference", which is the difference between the targeted angle and the angle realized by the patient in each repetition, is recorded. The arithmetic mean of the absolute angle difference of 3 repetitions is the result data.	Change from Baseline Inclinometer Value at 8 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
EARS	In order to observe the individual's adaptation to exercise, the motivation levels of the patients regarding the exercise program are evaluated with the exercise diary prepared by the researchers of the study. It is scored between 0 to 24. Higher scores indicate greater adherence.	Change from Baseline EARS at 8 weeks
TSUQ	It consists of 21 items. With this survey, the satisfaction levels and usability of individuals using the telemedicine service are evaluated. The total score is scored between 17 and 85. Higher scores indicate higher satisfaction and usability.	Change from Baseline TSUQ at 8 weeks

Collaborators and Investigators

• Sponsor: Muğla Sıtkı Koçman University
• Investigators: Principal Investigator: İsmet Tümtürk, BSc, Ege University; Principal Investigator: Cem Yalın Kılınç, PhD, Muğla Sıtkı Koçman University

Study record dates

Study Major Dates

• Study Start (Actual): March 15, 2022
• Primary Completion (Actual): June 30, 2022
• Study Completion (Actual): July 15, 2022

Study Registration Dates

• First Submitted: January 13, 2022
• First Submitted That Met QC Criteria: January 31, 2022
• First Posted (Actual): February 10, 2022

Study Record Updates

• Last Update Posted (Actual): September 1, 2022
• Last Update Submitted That Met QC Criteria: August 27, 2022
• Last Verified: August 1, 2022

More Information

Terms related to this study

• Keywords: Telerehabilitation; Degenerative meniscus injury
• Other Study ID Numbers: Mugla

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No