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Gait Retraining to Reduce Joint Loading, Inflammation, and PTOA Risk

Novel Strategies to Combat Post-Traumatic Osteoarthritis (PTOA): Gait Retraining to Reduce Joint Loading, Inflammation, and PTOA Risk

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03551678
Enrollment
45
Registered
2018-06-11
Start date
2019-06-21
Completion date
2022-12-31
Last updated
2020-10-27

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

Conditions

Anterior Cruciate Ligament Reconstruction

Brief summary

The purpose of this study is to determine changes to knee joint loading, biological markers, and cartilage structure following a novel active feedback gait retraining program in anterior cruciate ligament reconstructed patients.

Interventions

DEVICEActive feedback gait retraining

The device measures pressure/force under the lateral side of the foot and activates vibration if loading crosses a set threshold. The location of the vibration is customized for each subject to achieve maximal sensitivity.

Sponsors

United States Department of Defense
CollaboratorFED
VA Palo Alto Health Care System
Lead SponsorFED

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No

Inclusion criteria

* age 18-40 years * history of primary ACLR with or without meniscal repair * full weight-bearing status * neutral to varus knee alignment * plans to remain in the area for at least 8 months.

Exclusion criteria

* Kellgren-Lawrence (KL) radiographic grade \> 2 * additional injury or surgery to the involved knee * BMI \>30 kg/m2 * use of walking, orthopedic, or prosthetic assistive device * pregnancy * inability to have MRI

Design outcomes

Primary

MeasureTime frameDescription
Knee Adduction MomentChange from baseline to immediately after 8 weeks of retrainingKnee Joint Loading (%Bw\*Ht) will be assessed at baseline and immediately after gait retraining

Secondary

MeasureTime frameDescription
Medial knee compartment qMRIChange from baseline to 6 months after retrainingChanges to quantitative MRI measures at 6 months after retraining will be correlated with changes to joint loading
Knee Adduction MomentChange from baseline to 3 months after retrainingKnee Joint Loading (%Bw\*Ht)
Serum inflammatory markersChange from baseline to immediately after 8 weeks of retrainingChanges to serum inflammatory markers immediately after the end of training from baseline will be correlated with changes to joint loading

Countries

United States

Contacts

Primary ContactJennifer Hledik, PhD
jerhart@stanford.edu650-493-5000
Backup ContactJessica Asay, MS
asay@stanford.edu

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026