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NCT06208631 | RECRUITING | Osteoarthritis, Knee


Effects of Movement Retraining on Knee Loading in Individuals With Knee Osteoarthritis
Sponsor:

Stanford University

Information provided by (Responsible Party):

Scott Delp

Brief Summary:

This study investigates how well individuals with knee osteoarthritis can learn to alter their calf muscle activation using haptic biofeedback while walking and evaluates how these changes affect knee loading. Prior research has utilized musculoskeletal simulations to determine that reducing the activation of one of the calf muscles, the gastrocnemius, can have a large impact on reducing knee loading. However, this has not been tested in individuals with knee osteoarthritis. In this study, participants will be trained to alter the activation of their gastrocnemius muscle, by receiving haptic feedback after each step. The feedback will indicate how the participant changed their muscle activation relative to baseline. Participants will train for up to three sessions, with 30 minutes of walking with feedback in each session. If a participant can learn to adjust their muscle activation in the first training session, they will be able to complete the second training session. An exploratory third session may be conducted to investigate changes in knee loading while using the new walking strategy during over-ground walking. The movement data collected during the training sessions will be used as inputs to computer simulations of the musculoskeletal system to determine if walking with the new muscle activation strategy reduces knee loading.

Condition or disease

Osteoarthritis, Knee

Intervention/treatment

Gait retraining

Phase

NA

Study Type : INTERVENTIONAL
Estimated Enrollment : 13 participants
Masking : NONE
Primary Purpose : OTHER
Official Title : Effects of Haptic Movement Retraining on Osteoarthritis Progression
Actual Study Start Date : 2024-01-18
Estimated Primary Completion Date : 2024-12
Estimated Study Completion Date : 2024-12

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • * Medial and/or lateral compartment knee osteoarthritis
  • * Diagnosed with knee osteoarthritis of at least six months duration
  • * Ambulatory without aids
  • * Able to walk for at least 60 minutes
  • * Typical pain rating less than or equal to 4 on scale of 0-10
  • * Able to reduce gastrocnemius muscle activation by 10% from baseline
Exclusion Criteria
  • * History of symptomatic arthritis in lower limb joints other than the knees
  • * Replacement of any lower extremity joint
  • * Symptoms originating from the patellofemoral joint
  • * Body mass index equal to or greater than 35
  • * Nerve or muscle disease associated with walking difficulty
  • * History of rheumatoid arthritis, gout, or autoimmune disease
  • * History of lower limb fracture or surgery requiring hospitalization
  • * Pregnant
  • * Severe knee malalignment, defined as a hip-knee-ankle angle of more than 5 degrees from neutral
  • * Recurrent giving way of the knee

Effects of Movement Retraining on Knee Loading in Individuals With Knee Osteoarthritis

Location Details

NCT06208631


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Locations


RECRUITING

United States, California

Stanford Human Performance Lab

Stanford, California, United States, 94305

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