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Trial registered on ANZCTR
Registration number
ACTRN12618000234213
Ethics application status
Approved
Date submitted
16/01/2018
Date registered
14/02/2018
Date last updated
14/02/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
The Feldenkrais Method in the Management of Pain, Function and Balance in People with Osteoarthritis of the Knee
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Scientific title
The Feldenkrais Method in the Management of Pain, Function and Balance in People with Osteoarthritis of the Knee
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Secondary ID [1]
293789
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None
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Universal Trial Number (UTN)
U1111-1207-7897
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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:
Knee Osteoarthritis
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Condition category
Condition code
Musculoskeletal
305301
305301
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0
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Osteoarthritis
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Physical Medicine / Rehabilitation
305409
305409
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Feldenkrais Method:
The intervention will be gentle self-regulated ‘awareness through movement’ Feldenkrais Method sessions, guided by a Feldenkrais practitioner (also a podiatrist or physiotherapist) at the Western Sydney University campus.
The intervention includes 4 movement workshops of 3 hr duration, performed once per week. Intervention length is 1.5 hours, with the remainder of the time used for measurements and socialisation after the intervention.
The Feldenkrais intervention is delivered face to face by the practitioner, to groups of 2 to 6 participants. Target intensity is low, participants are advised they should be comfortable and able to talk easily at the correct level of intensity. There are regular rest periods between techniques.
All Feldenkrais sessions will be conducted in positions of support i.e seated position, or use of a back of a chair, or wall for support, to minimise falls risk.
Adherence is monitored by the number of times participants attend sessions. Observation of classes by practitioner also ensures participants are engaging in the activity.
This is a cross-over trial. After the intial 4 week intervention the intervention group has no more active intervention, but is followed up at 4 and 8 weeks post intervention.
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Intervention code [1]
300043
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Rehabilitation
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Intervention code [2]
300044
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Treatment: Other
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Comparator / control treatment
Control group is normal physical activity.
Participants are asked to continue with any physical activity such as gardening, walking, tai chi etc they already undertaken. The IPEQ WA, is used to monitor physical activity at baseline, 4 week wait-list(controls), 4 week intervention, 4 week post intervention, 8 week post intervention.
This is a cross-over trial. After the intial 4 week period the control group recieved the active Feldenkrais intervention for 4 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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Timed up and go (timed 3 metre walk, from a sitting position and return)
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Assessment method [1]
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Timepoint [1]
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Week 1 (baseline), 4, 8 and 12 (primary endpoint)
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Primary outcome [2]
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Sit to stand (number repetitions in 60s)
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Assessment method [2]
304462
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Timepoint [2]
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Week 1 (baseline), 4, 8 and 12 (primary endpoint)
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Secondary outcome [1]
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Squat test (knee angle at onset of pain and time to do 5 reps),
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Assessment method [1]
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Timepoint [1]
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Week 1, 4, 8 and 12.
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Secondary outcome [2]
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Functional reach:
The test represents the difference between baseline arm length arm (90 degrees to the chest) and maximal forward reach with the same arm from a fixed standing position .
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Assessment method [2]
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Timepoint [2]
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Week 1, 4, 8 and 12
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Secondary outcome [3]
342029
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Walking speed (walk 5 metres on gaitrite 2mm thick mat)
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Assessment method [3]
342029
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Timepoint [3]
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Week 1, 4, 8 and 12
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Secondary outcome [4]
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Sway (stand on emed pressure plate 30s).
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Assessment method [4]
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Timepoint [4]
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Week 1, 4, 8 and 12.
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Secondary outcome [5]
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Knee Injury and Osteoarthritis Outcome Score (KOOS)
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Assessment method [5]
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Timepoint [5]
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Week 1, 4, 8 and 12.
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Secondary outcome [6]
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SF-36
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Assessment method [6]
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Timepoint [6]
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Week 1, 4, 8 and 12.
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Secondary outcome [7]
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Incidental and Planned Exercise Questionnaire (IPEQ)
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Assessment method [7]
342034
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Timepoint [7]
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Week 1, 4, 8 and 12
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Secondary outcome [8]
342333
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Adverse Events
These are participant reported, e.g increased knee pain after testing, or falls during Feldenkrais class
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Assessment method [8]
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Timepoint [8]
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During intervention
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Eligibility
Key inclusion criteria
• Positive knee OA radiographic image of either both or one femoral tibial knee according to the clinical and radiographic criteria, Kellgren and Lawrence Scale, or clinical diagnoses according to the EULAR guidelines based on presence of three symptoms (pain on use, short-lived morning stiffness and functional limitation) and three signs of knee osteoarthritis (crepitus, restricted movement, and articular instability)
• Age 55 years or over.
• Independently walking with no ambulatory aids;
• Current/ recent knee pain.
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Minimum age
55
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
• Non-English literacy/speaking and/or impaired cognitive ability, thereby unable to understand instructions or provide informed consent
• Co-morbidities that restrict walking safety and capacity
• Impaired hearing with inability to hear instructions
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
2/08/2017
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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
15
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Accrual to date
7
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Western Sydney University
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Address [1]
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Western Sydney University
Locked Bag 1797
Penrith NSW 2751
Australia
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Country [1]
298406
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Australia
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Primary sponsor type
University
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Name
Western Sydney University
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Address
Western Sydney University
Locked Bag 1797
Penrith NSW 2751
Australia
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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]
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Address [1]
297542
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Country [1]
297542
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Western Sydney University Human Research Ethics Comittee
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Ethics committee address [1]
299404
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Western Sydney University
Locked Bag 1797
Penrith NSW 2751
Australia
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Ethics committee country [1]
299404
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Australia
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Date submitted for ethics approval [1]
299404
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29/05/2017
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Approval date [1]
299404
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11/07/2017
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Ethics approval number [1]
299404
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H12288
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Summary
Brief summary
Knee osteoarthritis affects around 25% of adults over 55. While exercise is the recommended primary intervention, pain, deconditioning and fear of falling impacts on exercise adherence, and adds to the disability cycle. A feasibility study, using quantitative and qualitative methods, will be undertaken determining viability of a larger clinical trial. A Feldenkrais Method intervention, using guided ‘awareness through movement’ lessons, will be used aiming to minimise pain-related habitual patterns, and improve sensorimotor planning and mobility. Fifteen participants (55yrs+) will be recruited from the community and randomised to a control or intervention group, with a cross-over arm. Three to 4 movement workshops of ~ 3hrs duration will be undertaken, with a control physical activity diary. Pre/post and follow-up measures will be undertaken at week 1, 4, 8 and 12. Clinical and patient reported measures will be used, and exit focus group / interviews to evidence a larger robust clinical trial.
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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
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Dr Stefania Penkala
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Address
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Building 24
Campbelltown Campus
Western Sydney University
Locked Bag 1797
Penrith NSW 2751
Australia
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Country
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Australia
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Phone
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+612 4620 3742
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Fax
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Email
80282
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[email protected]
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Contact person for public queries
Name
80283
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Dr Stefania Penkala
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Address
80283
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Building 24
Campbelltown Campus
Western Sydney University
Locked Bag 1797
Penrith NSW 2751
Australia
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Country
80283
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Australia
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Phone
80283
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+612 4620 3742
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Fax
80283
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Email
80283
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[email protected]
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Contact person for scientific queries
Name
80284
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Dr Stefania Penkala
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Address
80284
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Building 24
Campbelltown Campus
Western Sydney University
Locked Bag 1797
Penrith NSW 2751
Australia
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Country
80284
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Australia
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Phone
80284
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+612 4620 3742
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Fax
80284
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Email
80284
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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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