Osteoarthritis of the Knee
Conditions
Keywords
osteoarthritis of the knee, digital outcome
Brief summary
To date, treatment options for knee osteoarthritis remain limited, and their clinical evaluation is complex due to the day-to-day fluctuations in symptoms. Hospital tests provide a point-in-time measurement that is influenced by various factors (fatigue, recent activity, weather, etc.), making reliable assessment difficult. The aim of the study is to assess the feasibility and acceptability of monitoring actual activity using the Syde® portable device in up to 30 subjects. Numerical variables derived from data collected by Syde® will be compared with conventional on-site clinical assessment criteria and with data from healthy participants, in order to identify a reliable and robust metric, thereby improving treatment evaluation and personalised patient management. MAIN OBJECTIVES * Evaluate the use of the device * Identify numerical variables and determine the optimal time window for evaluation Patients will have two visits: one at inclusion and a second two months later. They will wear Syde® magneto-inertial sensors, one on each ankle, for the month following the initial visit, then a Syde® sensor on the ankle and another on the wrist on the side of the non-dominant hand for the following month. The total duration of the recording period is two months.
Detailed description
SECONDARY OBJECTIVES * To assess external validity * Spearman correlation coefficient between variables and WOMAC 3.1 scores * Spearman correlation coefficient between results and timed tests * Spearman correlation coefficient between results and Kellgren-Lawrence grade * Assess ability to discriminate between groups * Difference between patients and healthy participants, and between the 50% of patients with the lowest WOMAC 3.1 score and the 50% with the highest score, and overlap between groups * Difference between the three groups of patients according to WOMAC 3.1 score * Collect qualitative data: Results of qualitative interviews on significant aspects of mobility and device acceptability * Identify a stiffness index: Ratio between outcome measurements after 0.5 - 1 - 2 or 3 hours of immobility (at least) for 10 minutes and the same outcome measured over the total recording period, excluding the 10-minute intervals. * Identify the best time of day for recording * The metric properties of the different variables will be calculated over the time periods 1-11; 1-10; 1-9; 1-8; 1-7; 1-6; 1-5; 1-4; 1-3; 1-2 and the first hour of the day in order to identify whether morning stiffness accentuates the difference between OAK and healthy participants. * The metric properties of the different variables will be calculated over the time periods 2-12; 3-12; 4-12; 5-12; 6-12; 7-12; 8-12; 9-12; 10-12; 11-12 and 12 hours of the day in order to identify whether evening fatigue accentuates the difference between OAK and healthy participants.
Interventions
DEVICESyde
Actimyo/Syde is an innovative device intended to be used in a home-based environment. It is composed of two watch-like sensors, each containing a magneto-inertial sensors that record the linear acceleration, the angular velocity, the magnetic field of the movement in all directions.The two watches can be worn as wristwatch or placed near the ankle.
DIAGNOSTIC_TESTThe Self-Paced 40-meter Walk Test (SPWT)
Assesses walking speed over a fixed distance by having participants walk as quickly and safely as possible, but without running, along a 40-meter course.
DIAGNOSTIC_TEST30-second chair stand test (30s-CST)
It is a simple assessment of lower body strength and endurance. Participants are instructed to stand up and sit down from a chair as many times as possible in 30 seconds.
DIAGNOSTIC_TESTThe Timed up and go test (TUG)
During this standardized test, the subject is observed and timed while he/she rises from a chair, walks 3 meters, performs a 180° turn, walk back toward the chair and sits down.
DIAGNOSTIC_TESTWestern Ontario and McMaster Universities Osteoarthritis Index (WOMAC 3.1)
The WOMAC is a widely used self-administered health status measure for evaluating pain, stiffness, and function in patients with osteoarthritis of the hip or knee. The WOMAC measures three separate dimensions: pain (5 questions), stiffness (2 questions) and function (17 questions).
DIAGNOSTIC_TESTPatient global impression of severity (PGI-S)
The PGI-S is a patient-reported measure that evaluates the perceived severity of a condition based on a standardized scale, ranging from "none" to "very severe".
OTHERPain Level Diary
Patients will record their specific OAK average pain level during the day using the VAS scale of 0-10 points for one week at the beginning of each month of recording.
OTHERQualitative Interview
This interview is designed to better understand the patient's perspective on the impact of osteoarthritis of the knee on their motor function and to inform the selection of digital tools in upcoming clinical studies.
Sponsors
Centre Hospitalier Universitaire de Liege
Centre Hospitalier Régional de la Citadelle
SYSNAV
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients with bi- or unilateral Knee Osteoarthritis as confirmed by a qualified rheumatologist/orthopaedist or rehabilitation doctor and having had at least one X-ray or MRI for diagnosis confirmation with Kellgren-Lawrence grade minimum 1 * WOMAC 3.1 total score at screening indicating mild, moderate, or severe symptoms in the past 48 hours * BMI below 35.0 kg/m2
Exclusion criteria
* Patients with significant cognitive disorders, limiting the understanding of the exercises to be performed or the presence of apparent communication difficulties hindering the correct collection of data. * Unable to walk independently (10 meters without any type of external help) * History of any joint replacement surgery. * Currently undergoing or had corticosteroid injections within the past 3 weeks. * Underwent knee surgery in the past 6 months. * Expecting joint replacement surgery or arthroscopy within 3 months. * Pregnant women or women planning to become pregnant during the study * Presence of any other conditions than osteoarthritis (musculoskeletal or neurological) that may affect normal gait. OA in other joints is not considered as an exclusion criterion as long as OAK is the most significant cause of walking impairment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total Recording Time Over 2 Months | 2 months | Total number of hours recorded by the Syde® wearable device over a 2-month period. |
| Median Daily Recording Time | 2 months | Median number of hours recorded per day by the Syde® device over the 2-month period. |
| Days to Reach 180 Recording Hours | 2 months | Number of days required to reach 180 hours of recording, considered the optimal threshold for analysis. |
| Intra-Class Correlation of Syde® Outcomes | Entire recording period over 2 months | Intra-Class Correlation (ICC) of each Syde® outcome calculated over slices of x hours (x = 10 to 90) of data per patient to assess reliability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correlation Between Syde® Variables and WOMAC 3.1 Scores | Baseline and 2 months | Spearman correlation between digital variables and WOMAC 3.1 scores at 2 months. |
| Correlation Between Syde® Variables and Timed Tests | Baseline and 2 months | Correlation between digital variables and results from 40 m self-paced test, 30 s chair stand test, and timed up and go test. |
| Correlation Between Syde® Variables and Kellgren-Lawrence Grade | Baseline | Spearman correlation between digital variables and Kellgren-Lawrence grade. |
| Discriminative Power of Syde® Variables | Entire recording period over 2 months | Differences in Syde® outcomes between patients and controls, and among subgroups based on WOMAC 3.1 scores. |
| Qualitative Interview on Mobility and Usability | Baseline and Month 2 | Qualitative data from interviews exploring mobility limitations, important measures, and impact on daily life. |
| Stiffness Index Based on Immobility | Entire recording period over 2 months | Ratio of outcome measures after 0.5-3 hours of immobility (≥10 minutes) compared to full-day values excluding immobility periods. |
| Optimal Time of Day for Recording | Entire recording period over 2 months | Metric properties of outcomes calculated for various time windows (e.g., 1-11h, 2-12h) to assess morning stiffness and evening fatigue. |
Countries
Belgium
Contacts
STUDY_DIRECTORLaurent Servais, MD, PhD
Centre Hospitalier Universitaire de Liege
Outcome results
None listed