Video Telehealth Gait Retraining for Running-Related Knee Pain
- Conditions
- KneeRunningPainTelemedicine
- Interventions
- Procedure: Telehealth Gait RetrainingProcedure: Return to Running ProtocolProcedure: Standard Physical Therapy TreatmentProcedure: At Home Exercise Program
- Registration Number
- NCT04269473
- Lead Sponsor
- Keller Army Community Hospital
- 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 180
- 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
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experimental Group At Home Exercise Program Participants in the experimental group will receive a telehealth gait retraining intervention in addition to standard physical therapy rehabilitation for running-related knee pain, which includes: an at-home exercise program, a return to running protocol, and standard physical therapy evaluations. Experimental Group Telehealth Gait Retraining Participants in the experimental group will receive a telehealth gait retraining intervention in addition to standard physical therapy rehabilitation for running-related knee pain, which includes: an at-home exercise program, a return to running protocol, and standard physical therapy evaluations. Control Group Return to Running Protocol Participants in the control group will receive standard physical therapy rehabilitation for running-related knee pain, which includes: an at-home exercise program, a return to running protocol, and standard physical therapy evaluations. Experimental Group Standard Physical Therapy Treatment Participants in the experimental group will receive a telehealth gait retraining intervention in addition to standard physical therapy rehabilitation for running-related knee pain, which includes: an at-home exercise program, a return to running protocol, and standard physical therapy evaluations. Experimental Group Return to Running Protocol Participants in the experimental group will receive a telehealth gait retraining intervention in addition to standard physical therapy rehabilitation for running-related knee pain, which includes: an at-home exercise program, a return to running protocol, and standard physical therapy evaluations. Control Group Standard Physical Therapy Treatment Participants in the control group will receive standard physical therapy rehabilitation for running-related knee pain, which includes: an at-home exercise program, a return to running protocol, and standard physical therapy evaluations. Control Group At Home Exercise Program Participants in the control group will receive standard physical therapy rehabilitation for running-related knee pain, which includes: an at-home exercise program, a return to running protocol, and standard physical therapy evaluations.
- Primary Outcome Measures
Name Time Method Worst knee pain after running assessed by Visual Analogue Scale (VAS) 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) 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 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 Outcome Measures
Name Time Method Foot strike pattern during running measured with motion capture Change from baseline to 14-weeks Portion of the foot that makes initial contact with the ground at the start of each stance phase during running.
Worst knee pain after running assessed by Visual Analogue Scale (VAS) Change from baseline to 14-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.
Knee function assessed with the anterior knee pain scale Change from baseline to 10-weeks and 14-weeks Participants will rate their level of pain, disability, and impairment associated with their knee injury using a 13-item questionnaire (range 0-100, higher scores indicate better function).
University of Wisconsin Running Injury and Recovery Index Change from baseline to 10-weeks and 14-weeks A 9-item questionnaire (range 0-36, higher scores indicate more function) that measures a runners assessment of running ability after sustaining a running-related injury.
Worst non-knee pain during running assessed by Visual Analogue Scale (VAS) Change from baseline to 10-weeks and 14-weeks Worst pain intensity in a region other than the knee during running 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 overall assessed by Visual Analogue Scale (VAS) Change from baseline to 10-weeks and 14-weeks Worst knee pain intensity experienced overall 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.
Knee function assessed with the single assessment numeric evaluation method Change from baseline to 10-weeks and 14-weeks Participants will rate their knee function on a scale of 0 (least normal) to 100 (most normal).
Worst knee pain during running assessed by Visual Analogue Scale (VAS) Change from baseline to 14-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.
Trial Locations
- Locations (1)
Keller Army Community Hospital - Arvin Physical Therapy
🇺🇸West Point, New York, United States