About this trial
The goal of this pragmatic randomized trial is to evaluate the effectiveness of remote Tai Chi to treat knee pain in adults with knee osteoarthritis. The main questions the trial aims to answer are:
* Compared to routine care, will patients with Knee OA receiving remote Tai Chi exhibit greater improvement in knee-related pain (WOMAC pain score, primary outcome), pain interference (PROMIS-Pain Interference, secondary outcome), and health-related quality of life at 3 months? * Does remote tai chi decreases healthcare utilization and analgesic use over the one-year study period?
Researchers will compare remote Tai Chi added to routine care to routine care alone to see if remote tai chi works to treat knee osteoarthritis pain. Participants will participate in remotely delivered web-based tai chi sessions, twice a week for 12 weeks, or will continue to receive routine care. Participants will be followed for 12 months after randomization.
Eligibility criteria
Qualifiers
Age 50 years or older
Treating clinician diagnosis of knee osteoarthritis
Have a score of 40 (visual analog version) or greater on at least 1 of the 5 questions in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale (range of 0 to 100, with higher scores indicating greater pain) at baseline.
Able to provide informed consent
Disqualifiers
Currently practicing Tai Chi
Serious medical conditions (e.g., dementia, significant neurological deficits or neurodegenerative disorder, active cancer treatment, psychosis, sensory deficits) limiting the participant's ability to participate in the Tai Chi safely, as determined by the principal investigators
Unable to walk without a cane or other assistive device
Any previous or scheduled knee replacement
Trial design
Treatments tested in this trial
- Remote Tai Chi
Treatment groups
Sponsors and collaborators
Tufts Medical Center
Lead sponsor
Boston Medical Center
Collaborator
University of California, Los Angeles
Collaborator
The Cleveland Clinic
Collaborator
National Center for Complementary and Integrative Health (NCCIH)
Collaborator