Gait retraining interventions for medial knee osteoarthritis.

Not Applicable

Recruiting

• Conditions: Knee osteoarthritis; Musculoskeletal - Osteoarthritis; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12621000414819
• Lead Sponsor: A. Prof Milena Simic (CI)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2021-04-15
• Last Update Posted: 10 June 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

People will be included if they display clinical signs of knee OA according to the National Institute for Health and Care Excellence (NICE) guidelines, which involves being 45 years old or older, having activity-related joint pain, and having either no morning joint-related stiffness or morning stiffness that lasts no longer than 30 mins. Participants will be included if they report medial knee pain, and average knee pain of greater or equal to 1/10 on a visual analog scale (VAS) with 0 representing no pain, and 10 representing worst pain imaginable. Participants will be included if they are able to walk unaided for at least 30 mins and display evidence of knee OA based on clinical screening according to the American College of Rheumatology (ACR) Clinical Classification for Knee Osteoarthritis.

Exclusion Criteria

History of knee arthroplasty within the past 6 months, history of joint replacement surgery involving the knee or hip of the affected side, neurological conditions affecting ambulation, other systematic rheumatologic conditions affecting joints (e.g.: rheumatoid arthritis), spinal pain with lower limb symptoms, BMI 35 kg/m^2, self-reported genu valgum alignment.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Three-dimensional gait analysis. Participants will be asked to walk barefoot at their comfortable walking speed. Gait will be collected over an average of 5 trials, using a 20 camera Vicon Vantage system and embedder Kistler force plates. This will be assessed at the baseline, 6-week, and 3-month follow-up time points using the 3D gait analysis laboratory. The primary biomechanical outcome of interest will be proxy measures of medial knee joint load. This includes the early- and late-stance peak knee adduction moment (KAM), KAM impulse, and varus thrust.[ Baseline, six-weeks and 3-month follow-up]