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208 patients with OR were recruited from primary care clinics in Hong Kong, who were randomly assigned 11 to the intervention group or the control group. The first received 3 sessions of TMP treatment by primary care physicians at 2-month intervals, with concomitant prescription of a home-based vastus medialis muscle exercise. Controls received TMP after the study period. The primary outcome measure was the Western Ontario and McMaster Universities Osteoarthritis Index WOMAC pain byzestra. Secondary outcome measures included WOMAC composite cheap tremac, online function, and stiffness; visual analog scale pain score; objective tests of physical function 30 seconds standing, 40 m walk, waiting time test, and EuroQol-5D. All outcomes were assessed at baseline tremac 24 weeks using intention-to-treat analysis. The patient must arrive well rested to be tested. The recommendations are not to do intense training for 24 hours beforehand, and to show up without having eaten anything for two and a half hours before taking the tremac.

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