Gonarthrosis
Conditions
Brief summary
The management of knee osteoarthritis via a physical activity protocol for rehabilitation has convincing results. However, the effectiveness of these protocols could be improved with a connected instrumented knee brace with an exercise protocol adapted for the patient which is supervise by an online physiotherapist to check the progression during home-based rehabilitation.
Detailed description
The management of knee osteoarthritis via physical activity protocol for rehabilitation has convincing results. The aim of this study is to determine the improvement of the effectiveness of a home-based rehabilitation with and without instrumented knee brace for moderated gonarthrosis patients. The study will focus during one years on 80 moderated gonarthrosis patients with a Kellgren and Lawrence (K&L) score between 2 and 3, aged between 50 and 80. Each patient will practice an 8 weeks progressive home exercise program with 3 session per weeks. The effectiveness of this protocol will be quantified with a gait analysis with kinematics, kinetics and electromyography, before and after the progressive home exercise protocol. The statistical analysis will focus on ANOVA and correlation between control group and instrumented knee brace group.
Interventions
muscular strengthening protocol with traditional rehabilitation protocol without orthosis
DEVICEwith instrumented Orthosis
8 weeks of muscular strengthening with the orthosis connected to the phone app associated
Sponsors
Centre Hospitalier Universitaire de Nice
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Person who signed informative consent * Affiliated with the social security * Male and female aged between 50 and 80 * Walk without assistance * Smartphone's use
Exclusion criteria
* Person under protective measure * Orthopedics issues * Neurologic issues (MMSE Test \< 24) * Knee or hip prothesis * Person with NSAIDs and analgesics treatment with an effective intake less than 48 hours before the evaluation * Predominant patello-femoral arthritis * Symptomatic hip OA * Knee infection * Knee injuries
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change External Knee Moment Abduction (EKAM) during gait cycle from baseline at 8 weeks after rehabilitation | At the baseline (inclusion) and after 8 weeks of muscular strengthening | Assessment of knee external knee moment abduction |
Countries
France
Contacts
PRINCIPAL_INVESTIGATOROlivier GUERIN, MD
Nice University Hospital
Outcome results
None listed