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Trial registered on ANZCTR
Registration number
ACTRN12609000752268
Ethics application status
Not yet submitted
Date submitted
12/08/2009
Date registered
28/08/2009
Date last updated
28/08/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
Exploring the options : An investigation into the effectiveness of exercise and weightloss in modifying the symptoms of hip or knee arthritis and the need for surgery.
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Scientific title
The effect of exercise and weight loss on pain, function and priority for surgery for persons with hip or knee arthritis
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthritis
243490
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Condition category
Condition code
Musculoskeletal
239791
239791
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A tailored exercise program to suit your individual fitness level and needs. Your exercise class will be on two days per week with no more than 10 other patients with hip or knee arthritis in the group to physiotherapist. The session will last for 60 minutes held twice a week for 6 weeks and a physiotherapist/physiotherapy assistant will help you with your program.
Partipants will also receive advice and management regarding their weight from a dietician in a group setting. This will occur twice over the 6 week exercise period for a maximum period of 45 minutes.
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Intervention code [1]
237110
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Rehabilitation
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Intervention code [2]
241120
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Other interventions
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Comparator / control treatment
Uncontrolled
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Multi Aptitude Priority Tool (MAPT) is an eleven item questionairre encompassing the domains of pain, function and psychosocial wellbeing. Questions are weighted and a mathematical equation gives a score out of a maximum 100 points (likelihood of disease consequences)
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Assessment method [1]
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Timepoint [1]
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At baseline - the physiotherapy triage
Completion of 6 week exercise and weightloss program
3 & 12 months after exercise and weightloss program
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Secondary outcome [1]
257153
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Patient specific functional scale questionairre
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Assessment method [1]
257153
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Timepoint [1]
257153
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At baseline - the physiotherapy triage
Completion of 6 week exercise and weightloss program
3 & 12 months after exercise and weightloss program
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Secondary outcome [2]
257154
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Quality of Life Questionairre
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Assessment method [2]
257154
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Timepoint [2]
257154
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At baseline - the physiotherapy triage
Completion of 6 week exercise and weightloss program
3 & 12 months after exercise and weightloss program
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Secondary outcome [3]
257155
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Lower limb strength : 30 second chair stand test
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Assessment method [3]
257155
0
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Timepoint [3]
257155
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At baseline - the physiotherapy triage
Completion of 6 week exercise and weightloss program
3 & 12 months after exercise and weightloss program
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Secondary outcome [4]
257156
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Timed up and go which tests functional mobility
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Assessment method [4]
257156
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Timepoint [4]
257156
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At baseline - the physiotherapy triage
Completion of 6 week exercise and weightloss program
3 & 12 months after exercise and weightloss program
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Secondary outcome [5]
257165
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Body mass assessed by scales
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Assessment method [5]
257165
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Timepoint [5]
257165
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Baseline, 3 months and 12 months after exercise and weightloss program
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Eligibility
Key inclusion criteria
Likely to benefit from surgical therapy determined by their Multi-attribute Prioritisation Tool (MAPT) score < 75, have no contraindications to exercising, able to attend an exercise class and commit to a weight management program
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Participants where no benefits from physical therapies can be expected (MAPT score > 90), cognitive dysfunction, placement on waiting list from joint replacement surgery or scheduled joint replacement. Participants where no need for weight loss should occur (e.g. underweight body mass index (BMI) < 18.5)
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients are refered to the orthopaedic clinic for opinion regarding joint replacement surgery. Patients are offered an appointment with the physiotherapy triage for advise and treatment of their OA. Here they are offered to attend the trial
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
75
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
2001
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3199
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Recruitment postcode(s) [2]
2002
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3939
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Funding & Sponsors
Funding source category [1]
237484
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Self funded/Unfunded
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Name [1]
237484
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Address [1]
237484
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Country [1]
237484
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Australia
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Primary sponsor type
Hospital
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Name
Peninsula Health
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Address
Hastings Road
Frankston
3199
VICTORIA
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
236973
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Address [1]
236973
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Country [1]
236973
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
239605
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Peninsula Health Human Research Ethics Committee
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Ethics committee address [1]
239605
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Hastings Road Frankston 3199 VICTORIA
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Ethics committee country [1]
239605
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Australia
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Date submitted for ethics approval [1]
239605
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05/06/2009
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Approval date [1]
239605
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Ethics approval number [1]
239605
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2009-30
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Summary
Brief summary
Osteoarthritis (OA) of the hip or knee is a common cause of pain and disability for many people. The symptoms may be progressive and may ultimately require joint replacement surgery. However, we know that some non-surgical treatment options in particular, exercise and weight loss, can alleviate the symptoms and possibly delay the progression of the disease but we don’t know to what extent this can occur. There are no studies that report whether the effect is ever sufficient to influence a patient’s need for surgery. In this study we will identify patients with non-urgent hip or knee arthritis and invite them to participate in an intensive 6 week exercise and weight loss program at Frankston hospital. We will score their priority for surgery (using the MAPT tool which is validated for use in OA), record their self rated need for surgery and measure their body weight, pain, muscle strength, physical function and quality of life before and after the 6 week program. Data regarding priority for surgery, self rated need for surgery, and body weight will be collected at 3 and 12 months. We will also investigate any association between a number of patient related factors and the outcomes obtained. The aim of this study is to investigate the effect of an intensive program of exercise and weight loss for persons with hip or knee arthritis awaiting consideration of joint replacement surgery, on the pain and disability associated with hip or knee arthritis and priority for surgery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
30033
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Address
30033
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Country
30033
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Phone
30033
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Fax
30033
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Email
30033
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Contact person for public queries
Name
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Alison Cotton
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Address
13280
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Frankston Hospital
Hastings Road
Frankston 3199
VICTORIA
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Country
13280
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Australia
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Phone
13280
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+61 3 9784 7660
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Fax
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+61 3 9784 7661
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Email
13280
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[email protected]
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Contact person for scientific queries
Name
4208
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Alison Cotton
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Address
4208
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Frankston Hospital
Hastings Road
Frankston 3199
VICTORIA
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Country
4208
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Australia
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Phone
4208
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+61 3 9784 7660
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Fax
4208
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+61 3 9784 7661
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Email
4208
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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