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    HP:0005086: Knee osteoarthritis

    Developed by Shray Alag, The Harker School
    Sections: Correlations, Clinical Trials, and HPO

    Correlations computed by analyzing all clinical trials.

    Navigate: Clinical Trials and HPO


    Correlated Drug Terms (12)


    Name (Synonyms) Correlation
    drug3243 Placebo control (non-behavioral infographic) Wiki 0.45
    drug1477 Electrotherapy group Wiki 0.45
    drug4033 Software Messaging Wiki 0.45
    Name (Synonyms) Correlation
    drug2948 On-site exercise and education Wiki 0.45
    drug1694 Flywheel exercise Wiki 0.45
    drug708 Brief informational infographic Wiki 0.45
    drug2190 Intra-articular corticosteroid injection Wiki 0.45
    drug1764 Gait Retraining Wiki 0.45
    drug2947 On-line exercise and education Wiki 0.45
    drug1917 Home exercise Wiki 0.32
    drug1293 Dexamethasone Wiki 0.13
    drug1116 Control Wiki 0.12

    Correlated MeSH Terms (9)


    Name (Synonyms) Correlation
    D020370 Osteoarthritis, Knee NIH 1.00
    D010003 Osteoarthritis, NIH 0.55
    D015207 Osteoarthritis, Hip NIH 0.45
    Name (Synonyms) Correlation
    D025241 Spondylarthritis NIH 0.22
    D015535 Arthritis, Psoriatic NIH 0.20
    D051346 Mobility Limitation NIH 0.20
    D059350 Chronic Pain NIH 0.12
    D001168 Arthritis NIH 0.10
    D013315 Stress, Psychological NIH 0.08

    Correlated HPO Terms (5)


    Name (Synonyms) Correlation
    HP:0002758 Osteoarthritis HPO 0.55
    HP:0008843 Hip osteoarthritis HPO 0.45
    HP:0002355 Difficulty walking HPO 0.20
    Name (Synonyms) Correlation
    HP:0012532 Chronic pain HPO 0.12
    HP:0001369 Arthritis HPO 0.10

    Clinical Trials

    Navigate: Correlations   HPO

    There are 5 clinical trials


    1 Early Biomarkers for ARthritic PAIN to Guide Improved Treatments for Arthritis (ARPAIN) Study

    Osteoarthritis (OA) is a condition affecting the whole joint and is a major cause of pain and disability worldwide. Although OA is very common, the initial steps which lead to the development of pain and tissue damage are not fully understood. In this study participants will be investigated for markers in the blood, joint and urine in people who have a diagnosis of osteoarthritis or inflammatory arthritis and are receiving a steroid injection for their condition. Markers will be evaluated in participants with osteoarthritis compared with other types of arthritis, including rheumatoid arthritis and spondyloarthritis.

    NCT03533569
    Conditions
    1. Osteoarthritis, Knee
    2. Rheumatoid Arthritis
    3. Spondyloarthritis
    4. Psoriatic Arthritis
    Interventions
    1. Procedure: Intra-articular corticosteroid injection
    MeSH:Arthritis Arthritis, Psoriatic Osteoarthritis, Knee Spondylarthritis
    HPO:Arthritis Knee osteoarthritis Polyarticular arthritis

    Primary Outcomes

    Description: Pain outcome measure. The Numerical Rating Scale for pain has a range of 0 - 10, with the lowest score being 0 and the highest rating at 10.The pain rating will be reported by the participants for their symptomatic knee

    Measure: Change from Baseline Numerical Rating Scale (NRS) for pain in target knee after 3 months

    Time: Baseline (Visit 1) and 3 months after treatment (Visit 2)

    Secondary Outcomes

    Description: Protein measurements in serum, urine and synovial fluid for type II collagen degradation products in the samples. The levels of type II collagen degradation products may range from 0 to greater than 500 ng/mmol, depending on the stage and severity of the condition

    Measure: Change in Biomarkers 3 months following treatment

    Time: Baseline (Visit 1) and 3 months after treatment (Visit 2)
    2 Effectiveness of a Walking Intervention on Impact Loading and Pain

    This study investigates the feasibility of a gait-retraining program for older adults with knee osteoarthritis. The study will enroll 40 participants, with 20 receiving a gait retraining intervention and 20 receiving a graded walking program without gait retraining.

    NCT04148807
    Conditions
    1. Osteoarthritis, Knee
    2. Knee Pain Chronic
    Interventions
    1. Behavioral: Gait Retraining
    2. Behavioral: Control
    MeSH:Osteoarthritis, Knee
    HPO:Knee osteoarthritis

    Primary Outcomes

    Description: # of participants screened per month

    Measure: Recruitment rate

    Time: through study completion, an average of 2 years

    Description: # of participants enrolled per month

    Measure: Enrollment rate

    Time: through study completion, an average of 2 years

    Description: % participants that complete all study visits

    Measure: Retention

    Time: through study completion, an average of 2 years

    Secondary Outcomes

    Description: Proportion of participants who withdraw or terminated by investigators and reasons why

    Measure: Withdrawals/Terminated

    Time: through study completion, an average of 2 years

    Description: Proportion of participants with AE/UP

    Measure: Adverse events (AE)/Unanticipated problems (UP)

    Time: through study completion, an average of 2 years

    Description: Slope of the most linear portion of the vertical ground reaction force curve, during early stance.

    Measure: Vertical average loading rate

    Time: Change from baseline to conclusion of intervention, an average of 1-month

    Description: Maximum slope of the most vertical portion of the vertical ground reaction force curve between successive data points, during early stance.

    Measure: Vertical instantaneous loading rate

    Time: Change from baseline to conclusion of intervention, an average of 1-month

    Description: WOMAC questionnaire, pain sub scale 0-20

    Measure: Knee Pain with Activities

    Time: Change from baseline to conclusion of intervention, an average of 1-month

    Description: Visual analog scale, 0-100

    Measure: Knee Pain Severity

    Time: Change from baseline to conclusion of intervention, an average of 1-month

    Description: Assessed using hand held algometer

    Measure: Pressure pain threshold

    Time: Change from baseline to conclusion of intervention, an average of 1-month
    3 Acceptance and Commitment Therapy Delivered by Automated Software Messaging

    This study aims to 1) observe the course of pain, 2) mental status, and 3) possible effect of a behavioral intervention delivered via an automated mobile phone messaging robot in patients were indicated and/or scheduled to undergo joint replacement but have been cancelled or delayed due to the COVID-19 crisis.

    NCT04329897
    Conditions
    1. Hip Osteoarthritis
    2. Knee Osteoarthritis
    3. Mental Stress
    4. Coronavirus
    Interventions
    1. Behavioral: Software Messaging
    MeSH:Osteoarthritis Osteoarthritis, Knee Osteoarthritis, Hip Stress, Psychological
    HPO:Hip osteoarthritis Knee osteoarthritis Osteoarthritis

    Primary Outcomes

    Description: PROMIS Pain Intensity 3A short form is a 3 question survey measuring an individual's pain over the past 7 days. It utilizes a scale of 1 (no pain) to 5 (very severe pain) for all questions. The scores for the 3 questions are summed and then matched to a corresponding t-score for the instrument. The corresponding t-score is the final, reportable score and can range from 30.7 to 71.8 for the PROMIS Pain Intensity 3A instrument. Higher t-score values represent worse pain outcomes. More information on this instrument, including a scoring manual, can be found at http://www.healthmeasures.net

    Measure: Change in reported pain intensity score (PROMIS Pain Intensity 3A) Patient-reported outcomes measurement information system Pain Intensity (PROMIS) 3A short form scores collected from all participating subjects.

    Time: Measurements assessed via a computer interface of the standardized form listed above on the day of enrollment and on day fourteen, via telephone.

    Description: PROMIS Pain Intensity 1A short form is a 1 question survey measuring an individual's average pain over the past 7 days. It utilizes a scale of 0 (no pain) to 10 (worst imaginable pain). Higher values represent worse pain outcomes. More information on this instrument, including a scoring manual, can be found at http://www.healthmeasures.net

    Measure: Change in reported pain intensity score (PROMIS Pain Intensity 1A) Patient-reported outcomes measurement information system Pain Intensity (PROMIS) 1A short form scores collected from all participating subjects.

    Time: Measurements assessed via a computer interface of the standardized form listed above on the day of enrollment and on day fourteen, via telephone.

    Description: The PROMIS Pain Interference 8A short form is an 8 question survey that measures how much pain has interfered in the respondent's life over the past 7 days. It utilizes a scale of 1 (not at all) to 5 (very much) for all questions. The scores for all 8 questions are summed and then matched to a corresponding t-score for the instrument. The corresponding t-score is the final, reportable score and can range from 40.7 to 77.0 for the PROMIS Pain Interference 8A instrument. Higher t-score values represent worse pain interference outcomes. More information on this instrument, including a scoring manual, can be found at http://www.healthmeasures.net

    Measure: Change in reported pain interference score Patient-reported outcomes measurement information system (PROMIS) Pain Interference 8A short form scores collected from all participating subjects.

    Time: Measurements assessed via a computer interface of the standardized form listed above on the day of enrollment and on day fourteen, via telephone.

    Description: The PROMIS Emotional Distress-Anxiety 8A short form is an 8 statement survey that measures how much emotional distress, specifically due to anxiety, a respondent has experienced over the past 7 days. It utilizes a scale of 1 (never) to 5 (always) for all the statements. The scores for all 8 statements are summed and then matched to a corresponding t-score for the instrument. The corresponding t-score is the final, reportable score and can range from 37.1 to 83.1 for the PROMIS Emotional Distress-Anxiety 8A instrument. Higher t-score values represent worse anxiety caused emotional distress outcomes. More information on this instrument, including a scoring manual, can be found at http://www.healthmeasures.net

    Measure: Change in reported emotional distress (anxiety) score. Patient-reported outcomes measurement information system (PROMIS) Emotional Distress-Anxiety 8A short form scores collected from all participating subjects.

    Time: Measurements assessed via a computer interface of the standardized form listed above on the day of enrollment and on day fourteen, via telephone.
    4 On-line Neuromuscular Exercise and Education for Knee Osteoarthritis

    Due to enforced social distancing as a direct consequence of the COVID-19 pandemic, many on-site health care services are unavailable. This study seeks to investigate the relative effectiveness of an alternative on-line delivery model of exercise and education compared to on-site delivery in patients with knee osteoarthritis.

    NCT04437134
    Conditions
    1. Knee Osteoarthritis
    Interventions
    1. Other: On-line exercise and education
    2. Other: On-site exercise and education
    MeSH:Osteoarthritis Osteoarthritis, Knee
    HPO:Knee osteoarthritis Osteoarthritis

    Primary Outcomes

    Description: Summary score from the Knee injury and Osteoarthritis Outcome Score, short version (KOOS 12). The summary score is calculated as the average score from the KOOS 12 subscales pain, function and quality of life (QOL), ranging from 0 (worst) to 100 (best).

    Measure: Knee impact summary

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Secondary Outcomes

    Description: Fast-paced walking ability is recorded by the physiotherapists and evaluated using the 40-m fast-paced walk test.

    Measure: Fast-paced walking ability

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months)

    Description: Chair-stand ability is recorded by the physiotherapists and evaluated using the 30-s chair-stand test.

    Measure: Chair-stand ability

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months)

    Description: Patients self-report of function during daily life using the subscale function from the KOOS 12 questionnaire with scores ranging from 0 (worst) to 100 (best).

    Measure: Self-reported function

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of pain using the subscale pain from the KOOS 12 questionnaire with scores ranging from 0 (worst) to 100 (best).

    Measure: Self-reported pain

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of quality of life using the subscale quality of life from the KOOS 12 questionnaire with scores ranging from 0 (worst) to 100 (best).

    Measure: Self-reported quality of life

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Mean pain intensity during the last week in the most affected knee is evaluated on a 100 mm visual analogue scale (VAS) with terminal descriptors of 'no pain' (0 mm) and 'maximum pain' (100 mm).

    Measure: Pain intensity

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of time spent (frequency and duration) on structured physical activity and exercise.

    Measure: Physical activity and exercise

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Other Outcomes

    Description: Patients self-report of satisfaction with the GLA:D program.

    Measure: Patient satisfaction

    Time: Primary follow-up point: Completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-reporting if, how and where they have continued exercising.

    Measure: Continuation of exercise

    Time: Follow-up point: 12 months

    Description: Patients self-report their current activity levels using the University of California, Los Angeles (UCLA) activity scale, ranging from 1 (inactive, dependent on others) to 10 (regular participation in high-impact sports).

    Measure: Self-reported activity levels

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of use of acquired skills and knowledge from the GLA:D program.

    Measure: Usage of what was learned during GLA:D

    Time: Primary follow-up point: Completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of how they handle flare-ups in their knee OA symptoms.

    Measure: Symptom management

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Intake of painkillers is evaluated by the physiotherapist asking the patients about intake of any joint related medication. If taking painkillers, the patients are asked which type and whether or not they were taken because of their knee pain.

    Measure: Intake of pain killers

    Time: Primary follow-up: Change from baseline to completion of GLA:D program (an average of three months).

    Description: Patients self-report of sick leave due to knee symptoms.

    Measure: Sick leave

    Time: Follow-up points: Baseline and 12 months

    Description: Patients self-report of their health situation using EuroQol, 5 dimensions, 5 levels (EQ-5D-5L) score (-0.624 to 1; worst to best).

    Measure: Health-related quality of life, index score

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of their health situation using the EuroQol visual analogue scale (EQ VAS), ranging from 0-100 (worst to best).

    Measure: Health-related quality of life, visual analogue scale

    Time: Primary follow-up point: Change from baseline to completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of current knee condition compared to before participation in GLA:D, scored on a 7-point likert scale (much worse to much better).

    Measure: Global perceived effect

    Time: Primary follow-up point: Completion of GLA:D program (an average of three months). Secondary follow-up point: 12 months

    Description: Patients self-report of pain during each exercise session, rated using a numeric pain rating scale (NPRS) 0-10, with zero representing no pain and 10 representing extreme pain.

    Measure: Pain during exercise (only for on-line group)

    Time: Immediately prior to, and immediately after each exercise session
    5 Investigation of the Effectiveness of a Structured Squat-based Program in Knee Osteoarthritis Rehabilitation

    The main purpose of the study is to examine the effect of squat-based exercise approach in individuals with knee osteoarthritis. The aim of this study is to compare effect to three groups (flywheel exercise group, electrotherapy modality group and home exercise group) and also decrease the pain, increase muscle strength, activation values and increase the functional level of individuals. Osteoarthritis is the most common rheumatological disease in the world that primarily results in progressive cartilage destruction. Changes occurring as a result of osteoarthritis are the main cause of disability and are most common in the knee joint. Osteoarthritis; problems such as pain, tenderness, joint stiffness, joint swelling, movement restriction, joint deformities, loss of muscle strength, decreased functional capacity and impaired quality of life are observed. The daily life activities of individuals with knee osteoarthritis are restricted by the problems of walking up and down stairs, getting out of the chair, standing, squatting, walking. Improving the symptoms of the disease is an important goal of the rehabilitation process of patients with knee osteoarthritis. In individuals with knee osteoarthritis, joint structure and deformation in cartilage also show loss of strength with muscles. Strengthening exercises have been used in patients with knee osteoarthritis for a long time. Squat exercise is a type of exercise that is widely used as a strengthening exercise.

    NCT04588558
    Conditions
    1. Osteoarthritis Knees Both
    2. Pain, Chronic
    3. Walking, Difficulty
    Interventions
    1. Device: Flywheel exercise
    2. Other: Home exercise
    3. Device: Electrotherapy group
    MeSH:Osteoarthritis Osteoarthritis, Knee Chronic Pain Mobility Limitation
    HPO:Chronic pain Difficulty walking Knee osteoarthritis Osteoarthritis

    Primary Outcomes

    Description: The primary outcome measures included the level of function determined by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) . WOMAC is a specific, valid, reliable criterion for knee osteoarthritis and includes 24 questions under three subheadings: pain, stiffness and physical function. Each question was scored according to the Likert scale as 0 = none, 1 = mild, 2 = moderate, 3 = severe, 4 = very severe.

    Measure: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

    Time: 10 minutes

    Secondary Outcomes

    Description: EMG-BF (Intelect Advanced Color Combo + EMG, Chattanooga Group, TN, USA) was used to evaluate muscle activation level. The screen scale was used as a visual feedback, as an increased or decreasing signal tone with varying muscle activity as sensory feedback. The undermentioned muscles will be evaluated in study, Rectus femoris Vastus lateralis Vastus medialis Biceps femoris Gastrocnemius

    Measure: EMG-BF

    Time: 10 minutes

    Description: A dynamometer was used to evaluate muscle strength. Muscle strength was evaluated in the following muscles, each measurement was made three times and the average was taken. M. Iliopsoas M. Gluteus Maximus M. Gluteus Medius M. Quadriceps Femoris Hamstring muscle group M. Gastrosoleus M. Tibialis Anterior

    Measure: Muscle strength

    Time: 10 minutes

    Description: The instrument that measures sensitivity to pain and gives a numerical value is called an algometer. In total, application was made at 4 different points. Medial point of heel - Right Medial point of heel - Left Medial point of knee-Right Medial point of knee-Left Measurements were made three times and averaged.

    Measure: Algometer

    Time: 5 minutes

    Description: Purpose and application of the test: The Visual Analog Scale (VAS) is used to convert some values that cannot be measured numerically into numericals. Two end definitions of the parameter to be evaluated are written on both ends of a 100 mm line and the patient is asked to indicate where his condition is appropriate by drawing a line or by placing a point or pointing on this line. Rest, activity and night were evaluated in three different time periods

    Measure: Visual Analog Scale (VAS) Evaluation

    Time: 5 minutes

    Description: To determine fall risk and measure the progress of balance, sit to stand and walking.The patient stands up upon therapist's command: walks 3 meters, turns around, walks back to the chair and sits down.

    Measure: Time up and go test

    Time: 20 seconds

    Description: The 30 Second Sit to Stand Test is also known as 30 second chair stand test ( 30CST), is for testing leg strength and endurance in older adults.The participant is encouraged to complete as many full stands as possible within 30 seconds. The participant is instructed to fully sit between each stand.

    Measure: 30 Seconds Sit To Stand Test

    Time: 30 Seconds

    Description: The individual is asked to climb and descend 7 times. The total time is recorded.

    Measure: Step test

    Time: 1 minute

    Description: Lower extremity joints and range of motion were evaluated. Hip Flexion Hip Extension Hip Internal Rotation Hip External Rotation Knee Flexion Knee Extension Ankle Plantar Flexion Ankle Dorsi Flexion

    Measure: goniometer

    Time: 10 minutes

    HPO Nodes


    HPO

    Alphabetical listing of all HPO terms. Navigate: Correlations   Clinical Trials

    Reports

    Data processed on December 13, 2020.

    An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

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