Improving Physical Function and Quality of Life in Adults With Knee Osteoarthritis Utilizing an Online Live and Interactive Fitness Training Program (Vivo Knee OA)
Potential participants will be screened at clinic. Patients who meet eligibility criteria will be considered for study. After written informed consent is obtained, participants will complete baseline testing and participants who meet eligibility criteria will be randomized 1:1 to 2 treatment arms: Vivo Arm: Vivo twice a week for 6 months and Usual Care Arm: meet with ATC and given Medbridge home exercise program for 6 months. All participants will be followed for 12 months, and will be assessed at 3-,6-, and 12-months. All participants will complete functional assessments, OA patient reported outcomes measures, quality of life, exercise self-efficacy, and fall risk questionnaires, and health care utilization report at each testing visit. A subset of Vivo participants will be asked satisfaction questions at the 3 and 6 month time points.
• 55-85 years of age
• Diagnosis of Osteoarthritis within the prior 6 months
• Symptomatic OA defined as self-report:
‣ Pain in the knee(s) on most days of the month
⁃ Difficulty with at least one of the following because of knee pain:
• walking ¼ of a mile
∙ climbing stairs
∙ getting in and out of a car, bath, or bed
∙ rising from a chair
∙ or performing shopping, cleaning, or self-care activities
• Radiographic KL grade II-III (using Kellgren and Lawrence criteria) of one or both knees
• Physically able to participate in strength training - able to do one chair stand unassisted in order to test change in 30-second chair stand
• Ambulatory and community-dwelling
• Sedentary or insufficiently active as measured by the PAVS
• Access to Wi-Fi in defined exercise space
• BMI of 20-34.9 kg/m2
• Document medication specific to OA and knee pain
• Willing and able to provide consent