Knee Osteoarthritis
Conditions
Keywords
Osteoarthritis, Gait training, Knee pain, Rehabilitation, Physical Therapy
Brief summary
Knee osteoarthritis (OA) accounts for a significant proportion of mobility limitations and is one of the most disabling problems facing the growing population of older adults. The long-term objective of this research is to reduce disablement of older adults with symptomatic knee OA. The principle of specificity of training indicates that exercises that closely approximate the goal functional activity are most effective in improving physical performance during that activity. Based on this principle, the specific aim of this pilot study is to design a patient-specific gait training intervention using analysis of compensatory joint moments and energy expenditure. Successful completion will inform rehabilitation for maintaining or improving mobility as well as explore the mechanism of effect.
Interventions
Gait training with physical therapist 2/week for 3 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Symptomatic knee osteoarthritis (knee osteoarthritis diagnosed by x-ray and frequent knee symptoms) * Age 60 or older
Exclusion criteria
* acute or terminal illness * unstable cardiovascular condition or other medical conditions that may impair ability to participate such as pulmonary disease requiring the use of supplemental oxygen, neurological disease that affects gait, or lower limb musculoskeletal surgery in the past 6 months. * Bilateral knee replacement
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in functional limitation assessed by the A) Summary Performance Score which includes balance tests, timed 4-meter walk, and timed chair stand test B) Timed stair climb C) Late Life Function and Disability Instrument (LLFDI) Questionnaire | 12 weeks |
| Changes in the disability measure, a timed 400 meter walk | 12 Weeks |
| Changes in impairments assessed using the Knee and Osteoarthritis Outcome Score (KOOS) questionnaire | 12 Weeks |
Countries
United States