About this trial
Since pain and depression are observed together in rheumatic diseases, the concept of limitation caused by the disease and health-related quality of life becomes more determinant than radiological joint damage. Sleep problems observed in OA also increase the level of depression findings and difficulty in movement. The chronic nature of the disease includes issues such as pain, fatigue, sleep problems, loss of function, anxiety, depression, and social isolation, together as in other chronic diseases. This complex structure accompanies a picture in which inflammatory processes are triggered.
When the literature is examined, the necessity of evaluation and methods including all these biopsychosocial characteristics of chronic diseases with multifaceted symptoms is emphasized. On the other hand, although it is stated that the common goal of non-pharmacological treatments is to contribute to biopsychosocial improvement in the patient, it is emphasized that evaluations with biopsychosocial content are insufficient. This situation causes the need for scales that provide a holistic assessment of chronic diseases. When the literature, including individuals diagnosed with osteoarthritis, is analyzed, the inadequacy of the studies providing biopsychosocial evaluation draws attention.
Eligibility criteria
Qualifiers
Diagnosis of knee osteoarthritis according to ACR knee osteoarthritis diagnostic criteria
Being in stage 2 or 3 according to Kellgren-Lawrence radiological staging criteria
To be 18 years of age or older
Being a reader-writer
Disqualifiers
History of major psychiatric illness
Having malignant disease
Having chronic infectious or other rheumatologic diseases
Serious knee trauma or surgical operation in the last 6 months
Trial design
Treatments tested in this trial
- Home exercise program
Treatment groups
Sponsors and collaborators
Aysima Barlak
Lead sponsor
Hacettepe University
Sponsor institution