An interventional study of Clinician-administered joint mobilization and Self-administered joint mobilization in Knee Osteoarthritis, sponsored by Texas Woman's University. Not yet recruiting at 2 sites in United States. Open to participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2025-06-13.
Sponsored by Texas Woman's University · Not applicable, Interventional, and Treatment
The goal of this clinical trial is to learn if a combination of patient self-administered joint mobilization and exercise works to treat knee osteoarthritis in adults. The main questions it aims to answer are:
Researchers will compare the program of self-administered joint mobilization to a joint mobilization administered by a physical therapist.
Participants will:
This study will take place in the Outpatient Rehabilitation Clinic at Texas Health Resources (THR) in Plano, or in the Texas Health Sports Medicine Clinic in Allen.
Participants in this study will be asked to complete the same intake forms and questionnaires as any other physical therapy patient being seen for knee pain at all of the THR physical therapy clinics. These will include questions about health history, learning style, living situation, and goals for physical therapy treatment. One investigator will perform a physical therapy evaluation, including joint motion, muscle strength, and flexibility measurements, as well as functional testing.
For this study, we will measure one knee motion and one hip strength item and ask participants to complete a knee- specific questionnaire 3 times: on the initial evaluation visit, during the last visit of physical therapy, and during a 6-month follow-up visit.
After the initial evaluation visit, we will assign each participant into one of the two treatment groups, self-joint mobilization or joint mobilization performed by a physical therapist. Participants will be asked to attend 7 - 11 physical therapy treatment visits over 7-8 weeks for strength training exercises, flexibility exercises, joint mobilization, and a home exercise program. Each physical therapy visit, including the initial evaluation visit will last 45 minutes. Participants will be asked to track compliance with a home program and attend a follow-up appointment about 6 months after the initial evaluation. This follow-up visit will last about 30 minutes.
All appointments, except for the 6-month follow-up, will be structured and carried out as they would for any other patient receiving physical therapy for knee pain.
3,292 studies on the registry are indexed under Osteoarthritis, Knee; 623 are open to participants now.
This study's planned enrollment of 24 is below the median of 68 across 2,714 interventional studies indexed under Osteoarthritis, Knee.
Browse Osteoarthritis, Knee studies →Texas Woman's University is the lead sponsor of 83 studies on the registry; 5 are open to participants now.
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Exclusion Criteria:
In-clinic exercise-based physical therapy, home exercise program, and clinician-administered joint mobilization.
Other: Clinician-administered joint mobilization · Other: Exercise-based physical therapy
In-clinic exercise-based physical therapy, home exercise program, and self-administered joint mobilization.
Other: Self-administered joint mobilization · Other: Exercise-based physical therapy
Tibiofemoral arthrokinematic extension joint mobilization and multidirectional patellofemoral mobilization applied by a physical therapist.
Tibiofemoral arthrokinematic extension joint mobilization and multidirectional patellofemoral mobilization applied by the research participant.
In-clinic exercise-based physical therapy supervised by a physical therapist, with home exercises to be performed on days without a clinical visit.
Western Ontario and McMaster Universities Arthritis Index (WOMAC)
The WOMAC is a self-administered questionnaire assessing pain, stiffness, and physical function in patients with knee osteoarthritis.
Time frame: Baseline (enrollment), 6-8 weeks (end of physical therapy sessions), 6 months
Hip abductor strength
Hip abductor strength measured by hand-held dynamometer
Time frame: Baseline (enrollment), 6-8 weeks (end of physical therapy sessions), 6 months
Passive knee extension range of motion
Passive knee extension range of motion will be measured in supine with traditional goniometry and in prone with a heel-height measurement.
Time frame: Baseline (enrollment), 6-8 weeks (end of in-clinic physical therapy), 6 months
Plan to share: No — Sharing IPD raises ethical concerns about participant privacy and the potential for misuse of sensitivity data. Data protection laws and regulations can restrict the sharing of personal data, even for research purposes.
No publications or documents are linked to this record.
This study is not yet recruiting, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.
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