Osteoarthritis Musculoskeletal Diseases Arthrosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Clinical diagnosis of knee OA 2. Aged between 45 and 69 years 3. BMI <=40.0 kg/m² 4. Current knee pain (minimum VAS score 2) 5. Oxford Knee Score 20 ~ 35 for index knee 6. Able to walk without an assistive device for at least 15 consecutive minutes
Exclusion criteria
Exclusion criteria: 1. Body mass index (BMI) >40.0 kg/m² 2. History of knee joint replacement or tibial osteotomy 3. Conditions other than knee OA that could affect walking (e.g. amputation, severe back pain, severe peripheral vascular or heart disease and neurological or developmental disease including multiple sclerosis, Parkinson’s disease, myositis, rickets, or lower limb musculoskeletal surgery within the past 6 months) 4. Inability to adopt an altered gait due to previous injury or surgery on the lower extremities 5. Use of any orthotic equipment 6. Corticosteroid injection within the previous 6 weeks 7. Participation in a new structured exercise program within the past 3 months, or planning to commence exercise or other treatment for knee OA in the next 3 months
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Muscle activation data is measured using surface electromyography (EMG) at all assessment sessions (week 0, week 6 and week 10) and first and last training sessions (week 1 and week 6). 2. Knee osteoarthritis severity is measured using Oxford Knee Score at baseline assessment session (week 0). 3. Free-living energy expenditure is measured using a wrist-mounted physical activity monitor (GENEA Active) and weekly activity logs from week 0 to week 5. | — |
Primary
| Measure | Time frame |
|---|---|
| 1. Knee loading parameters (e. g. KAM, KFM and KAM impulse) are measured using the forceplates and motion capture system at all assessment session(week 0, week 6 and week 10), and all training sessions (week 1-6) in the intervention groups. 2. Gait pattern parameters (e. g. foot progression angle, step width, step length) are measured using motion capture system at all assessment session(week 0, week 6 and week 10), and all training sessions (week 1-6) in the intervention groups. 3. Knee pain is measured using Numeric Rating Scale (NRS) at all assessment sessions (week 0, week 6 and week 10). 4. Functional ability is measured using WOMAC questionnaire at all assessment sessions (week 0, week 6 and week 10). | — |
Countries
England, United Kingdom