arthrosis knee osteoarthritis
Conditions
Interventions
Patients will be randomized in a) WALK gait retraining program or in b)
physiotherapy with a standardised treatment protocol, in accordance with the
Dutch guideline for physiotherapists on knee OA (
knee osteoarthritis
physical therapy
walk program
Sponsors
Maxima Medisch Centrum
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: - Symptomatic knee OA according to the clinical ACR criteria - Radiographic OA, according to Kellgren and Lawrence grade 1, 2 or 3 - Flexion contracture of 5 degrees or more, measured with a goniometer
Exclusion criteria
Exclusion criteria: - Medial or lateral instability of the knee, o Medial or lateral joint space opening of * 5 mm in 20° of knee flexion is considered as unstable. - Symptomatic bilateral knee OA - Intra-articular injection of the knee, in the previous 3 months - Previous peri-articular osteotomy of the affected knee - Symptomatic OA of hip or ankle - Co morbidity which disables the function of the lower extremity - Rheumatoid Arthritis or other inflammatory joint disease - Physical therapy for current complaints during last 3 months - Insufficient command of the Dutch language - Legally incompetent adults
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Between group difference in change in pain / function score between baseline and 3 months follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are OMERACT*OARSI set of responder criteria, KOOS, NRS pain, EQ-5D, ICOAP, *need for TKA* OARSI-criteria, gait parameters as assessed by gait analyses (duration of full extension and quadriceps muscle activity during midstance of walking cycle) , and medication use. To get more insight in which specific patients will respond on the current intervention also the HADS, Central Sensitization Inventory, pain drawing form and pain cognition list will be evaluated. | — |
Countries
The Netherlands
Outcome results
None listed