Evaluation of a Video Telehealth Gait Retraining Program Versus a Standard Exercise and Education Program for Patients With Running-Related Knee Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Telemedicine
- Sponsor
- Keller Army Community Hospital
- Enrollment
- 180
- Locations
- 1
- Primary Endpoint
- Worst knee pain after running assessed by Visual Analogue Scale (VAS)
- Status
- Completed
- Last Updated
- 11 months ago
Overview
Brief Summary
In this randomized control trial, participants with running-related knee pain will be randomly assigned to either an intervention group or a control group. Participants in the intervention group will receive a telehealth gait retraining intervention, an at-home exercise program, a return to running protocol, and standard physical therapy. Participants in the control group will receive an at-home exercise program, a return to running protocol, and standard physical therapy. Data will be collected before intervention, at 10-weeks, and at 14-weeks to determine efficacy of the intervention.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Active Duty Soldier or Cadet between the ages of 18 to 60 years old
- •Knee pain that occurs during and/or after running that was not due to a recent acute trauma (such as an accident or a fall) and that is a pain intensity of at least a '3' and no greater than a '7' on a numeric pain rating scale with '0' meaning "no pain" and '10' meaning the "worst possible pain"
- •Fluent in speaking and reading English
Exclusion Criteria
- •Currently on an Army running limiting profile for something other than knee pain
- •Presence of rheumatoid or neurological diseases
- •Plans to deploy or permanent change of station (PCS) within 4 months
- •Current lower extremity injury other than knee pain
- •History of traumatic knee injury (such as a surgery, ligament tear, or meniscal tear)
- •Current pregnancy
- •Inability to perform 20 unassisted single leg heel raises on each leg
- •A non-rearfoot strike pattern during running
- •Showing signs of ligamentous instability, meniscus pathology, or knee effusion
Outcomes
Primary Outcomes
Worst knee pain after running assessed by Visual Analogue Scale (VAS)
Time Frame: Change from baseline to 10-weeks
Worst knee pain intensity in the past 7 days recorded using a 0 to 10 cm visual analogue scale where 0 equals no pain and 10 indicates the most severe pain the patient could imagine. Higher numbers equal greater levels of reported pain.
Worst knee pain during running assessed by Visual Analogue Scale (VAS)
Time Frame: Change from baseline to 10-weeks
Worst knee pain intensity in the past 7 days recorded using a 0 to 10 cm visual analogue scale where 0 equals no pain and 10 indicates the most severe pain the patient could imagine. Higher numbers equal greater levels of reported pain.
Foot strike pattern during running measured with motion capture
Time Frame: Change from baseline to 10-weeks
Portion of the foot that makes initial contact with the ground at the start of each stance phase during running.
Secondary Outcomes
- Knee function assessed with the anterior knee pain scale(Change from baseline to 10-weeks and 14-weeks)
- University of Wisconsin Running Injury and Recovery Index(Change from baseline to 10-weeks and 14-weeks)
- Worst non-knee pain during running assessed by Visual Analogue Scale (VAS)(Change from baseline to 10-weeks and 14-weeks)
- Worst knee pain overall assessed by Visual Analogue Scale (VAS)(Change from baseline to 10-weeks and 14-weeks)
- Knee function assessed with the single assessment numeric evaluation method(Change from baseline to 10-weeks and 14-weeks)
- Worst knee pain during running assessed by Visual Analogue Scale (VAS)(Change from baseline to 14-weeks)
- Worst knee pain after running assessed by Visual Analogue Scale (VAS)(Change from baseline to 14-weeks)
- Foot strike pattern during running measured with motion capture(Change from baseline to 14-weeks)