Knee Osteoarthritis Clinical Trial
— GREATOfficial title:
Gait Retraining Enhances Athletes' Technique: GREAT After Anterior Cruciate Ligament Reconstruction
NCT number | NCT03918681 |
Other study ID # | 19KACH001 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | August 1, 2019 |
Est. completion date | March 1, 2021 |
The participant population for this study will be a convenience sample of 40 active duty soldiers and cadets at West Point, New York (NY) who are recovering from anterior cruciate ligament reconstruction (ACLR) and are cleared to return to run by their medical provider. Two groups will be utilized in this pre-test, post-test, single-blind randomized controlled trial study design. The purpose of this study is to determine if patients recovering from ACLR benefit from running gait retraining to adopt a forefoot strike pattern and 5-10% increase in step rate when compared to a traditional walk to run program.
Status | Recruiting |
Enrollment | 40 |
Est. completion date | March 1, 2021 |
Est. primary completion date | January 1, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 50 Years |
Eligibility |
Inclusion Criteria: 1. Able and willing to give informed consent 2. Between 18-50 years of age 3. Active duty Soldier or cadet 4. History of Anterior Cruciate Ligament Reconstruction in the last 18 months 5. Cleared to return to run by their Department of Defense medical provider (primary care physician, orthopedic surgeon, physical therapist, or athletic trainer) 6. Ability to perform 20 unassisted single leg heel raises bilaterally 7. Ability to perform 10 pain-free, symmetrical, single-leg squats to between 45-60 degrees bilaterally 8. Ability to perform 20 pain-free single leg hops in place bilaterally Exclusion Criteria: 1. Currently on an Army running limiting profile 2. Concomitant Posterior Cruciate Ligament or Lateral Cruciate Ligament injury 3. Concomitant meniscectomy >50% 4. History of inflammatory arthritis or gout 5. History of ACL injury to either knee 6. History of major lower-extremity joint injury and/or surgery 7. Known pregnancy currently or in the previous 6 months |
Country | Name | City | State |
---|---|---|---|
United States | Keller Army Community Hospital | West Point | New York |
Lead Sponsor | Collaborator |
---|---|
Keller Army Community Hospital | Telemedicine & Advanced Technology Research Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Patient Specific Functional Scale (PSFS) | PSFS, scored on a 0-10 scale with six pre-filled items: walking, running on level ground less than 2 miles, running uphill, running downhill, running on level ground greater than 2 miles, and hopping/jumping). | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Other | Single Assessment Numeric Evaluation (SANE) | SANE, scored on a 0-100% scale with 100% equaling completion of function | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Other | Peak Vertical Ground Reaction Force | A vertical ground reaction force measure that indicates how the peak force applied to the body. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Other | Braking Force | A vertical ground reaction force measure that indicates the amount of anterior force applied to the body. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Other | Vertical Center of Mass Displacement | The difference between the highest vertical and lowest vertical point achieved during a running stride. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Primary | Visual Analogue Scale (VAS) During Running Pain | VAS, measures self-reported pain, scored on a 0-10 scale with 0 being no pain and 10 being worst pain imaginable. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Primary | Knee Injury and Osteoarthritis Outcome Score (KOOS) | Subjective Knee Evaluation Form | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Secondary | University of Wisconsin Running and Recovery Index (UWRI) | UWRI, scored on a scale from 0-36 with 36 equaling completion of running function and a score of 0 equating to inability to run. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Secondary | CPII Serum Biomarker Concentration | Blood specimen biomarker associated with knee osteoarthritis and cartilage/bone turnover. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Secondary | C1 Serum Biomarker Concentration | Blood specimen biomarker associated with knee osteoarthritis and cartilage/bone turnover. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Secondary | 2C Serum Biomarker Concentration | Blood specimen biomarker associated with knee osteoarthritis and cartilage/bone turnover. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Secondary | C2C Serum Biomarker Concentration | Blood specimen biomarker associated with knee osteoarthritis and cartilage/bone turnover. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Secondary | CTX-1 Serum Biomarker Concentration | Blood specimen biomarker associated with knee osteoarthritis and cartilage/bone turnover. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Secondary | NTX Serum Biomarker Concentration | Blood specimen biomarker associated with knee osteoarthritis and cartilage/bone turnover. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) | |
Secondary | Average Vertical Loading Rate (AVLR) | A vertical ground reaction force measure that indicates how quickly force is being applied to the body. | Change from Pre-Intervention (Initial) to Post-Intervention (up to 10 weeks). Change from Pre-Intervention (Initial) to Follow-Up (Up to 15 weeks) |
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