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EFFECTIVENESS OF IMPAIRMENT-TARGETED EXERCISE PRESCRIPTIONS IN MANAGING KNEE PAIN AND OSTEOARTHRITIS: THE TARGET-KNEE-PAIN STUDY
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Conservative management of knee pain and osteoarthritis often involves exercise therapy, yet tailored approaches based on individual clinical presentations are lacking in clinical trials. This study, titled TargET-Knee-Pain, aims to assess the effectiveness of impairment-targeted exercise prescriptions in improving physical impairments among older adults with knee pain. Participants from the community will be recruited, focusing on three specific impairments: weak quadriceps, reduced range of knee flexion, and standing balance issues. Customized exercise regimes will be developed by physiotherapists during six weekly home visits and six weekly phone calls, targeting individual impairments. Primary outcome measures, including standing balance on one leg, quadriceps strength, and the Four Balance Test Scale, will be assessed after 12 weeks. Secondary outcome measures, such as pain, stiffness, and daily task difficulty, will be evaluated using the WOMAC scale. Exercise status will be recorded by a blinded study nurse at three points throughout the study. The TargET-Knee-Pain study seeks to determine whether impairment-targeted exercise prescriptions are effective in improving knee pain and function in older adults, potentially paving the way for future randomized trials comparing this approach with traditional exercise methodsddd