The Effect of Dynamic Balance Training on Balance and Physical Function in Those With Knee Osteoarthritis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Change in dynamic balance and mobility from baseline
研究概览
简要总结
There is a high prevalence of falls in those with knee osteoarthritis (OA) compared to healthy older adults. Balance is a key element of function that allows individuals to maintain posture and respond to perturbations, and poor balance control, a risk factor for falls, has been noted in those with knee OA. There is a lack of research guiding treatment for balance deficits in knee OA, with interventions aimed at improving balance deficits in those with knee OA having mixed results. Targeted dynamic balance interventions in other patient populations have been shown to significantly improve dynamic balance control and physical function. If results similar to such populations can be achieved, such a program may produce a significant reduction in functional disability in the knee OA population and improve quality of life. The purpose of this study is to examine the effect of a 10-week targeted dynamic balance intervention on dynamic balance and physical function in people with knee OA. This will be a randomized controlled trial (RCT).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age 50 - 80 years (to meet the American College of Rheumatology clinical definition of OA)
- •radiographically confirmed knee OA in the medial compartment of the tibiofemoral joint
- •predominance of pain/tenderness over the medial (inside) region of the knee
排除标准
- •articular cartilage degradation in the lateral tibiofemoral compartment greater than the medial
- •inflammatory arthritic condition
- •history of knee or hip replacement surgery
- •recent use of corticosteroids (oral or via injection, within last 6 months)
- •pain originating predominantly from the patellofemoral joint
- •inability to ambulate without a gait aid
- •non-English speaking
- •recent (within 6 months) arthroscopic knee surgery
- •significant hip or back pain (limits the ability to perform the testing)
- •Neurological, musculoskeletal or other condition that affects movement ability or balance (i.e. stroke, diabetes, Parkinson's, heart attack, multiple sclerosis, fibromyalgia)
结局指标
主要结局
Change in dynamic balance and mobility from baseline
时间窗: 0, 10 weeks
The Community Balance and Mobility Scale (CB\&M) will be used to assess dynamic balance and mobility. The CB\&M is a scale designed to assess dynamic balance and mobility and is administered by a trained assessor. The scale consists of 13 items including bending, walking, turning, and stair descent, with a maximum possible score of 96 and minimum score of 0. The scale has been validated and deemed reliable for use in the knee osteoarthritis population.
Change in self-reported physical function from baseline
时间窗: 0, 10 weeks
The Western Ontario \& McMaster Universities Osteoarthritis Index (WOMAC) will be used to assess self-reported physical function. The WOMAC physical function subscale consists of 17 questions assessing physical function capabilities during activities of daily living.
次要结局
- Change in knee pain from baseline(0, 10 weeks)
- Change in fear of pain from baseline(0, 10 weeks)
- Change in self-reported physical activity level from baseline(0, 10 weeks)
- Change in knee joint proprioception from baseline(0, 10 weeks)
- Change in muscle strength from baseline(0, 10 weeks)
- Change in knee joint range of motion from baseline(0, 10 weeks)