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Reducing knee load by changing the walking pattern in patients with knee osteoarthritis

The effect of gait re-training using real-time feedback on the knee joint moments in patients with medial knee osteoarthritis

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN14687588
Enrollment
30
Registered
2017-08-14
Start date
2015-12-03
Completion date
Unknown
Last updated
2018-09-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Knee osteoarthritis Musculoskeletal Diseases Knee osteoarthritis

Interventions

Gait training is delivered through use of motion capture technology with real-time feedback to train people to walk with increased toe-in gait, (toes pointing straight forwards or slightly inwards). T

Sponsors

VU Medisch Centrum
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Knee osteoarthritis on the medial compartment based on the ACR criteria 2. Age between 50 and 75 years 3. BMI between 20 and 30kg/m^2 4. Maximum score of 7 on the numeric rating scale (NRS) for pain intensity during the past two weeks 5. Ability to walk independently and unaided (without use of a walking frame, crutches or other assistive device) for 30 minutes

Exclusion criteria

Exclusion criteria: 1. Total knee replacement patients (patients who have already undergone surgery or patients who are planned for surgery) 2. Rheumatoid arthritis or other form of inflammatory arthritis such as crystal arthropathy or septic arthritis 3. Hip osteoarthritis 4. Participants in other experimental research studies (including but not limited to the Vitamin D study and the COOA study) 5. Poor eyesight which could restrict the ability ro understand and use the real-time visual feedback

Design outcomes

Primary

MeasureTime frame
The first peak of the knee adduction moment. This is generally accepted to be a representation of the knee joint loading in the medial compartment of the knee and is an important measure in patients with medial knee osteoarthritis. It is calculated from the measurement of the knee joint position using motion capture equipment and the ground reaction forces using two force plates. In this study a comparison of the first peak of the knee adduction moment is made at baseline, end of training programme (week six) and three and six month follow up (3 and six months after the last training session).

Secondary

MeasureTime frame
1. Pain, functional ability and knee joint stiffness is measured using the WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index, https://www.rheumatology.org/I-Am-A/Rheumatologist/Research/Clinician-Researchers/Western-Ontario-McMaster-Universities-Osteoarthritis-Index-WOMAC) questionnaire at baseline, end of training programme (week six) and 3 and 6 month follow up (3 and 6 months after the last training session) 2. Self-reported pain is measured using a NRS (numeric rating scale) at baseline, end of training programme (week six) and 3 and 6 month follow up (3 and 6 months after the last training session)

Countries

Netherlands

Contacts

Public ContactRosie Richards

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 6, 2026