The Benefit of Functional Movement Control for Patients With Knee Osteoarthritis

Knee Osteoarthritis Clinical Trial

Official title:

The Benefit of Increasing Physical Activity and Functional Movement Control for Patients With Stage II or III Knee Osteoarthritis

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03431298
• Other study ID #: 06-M03-038
• Status: Recruiting
• Phase: N/A
• Start date: March 1, 2018
• Est. completion date: December 31, 2018

Study information

• Verified date: January 2018
• Source: National Yang Ming University
• Contact: Chuan-Hsin Yen, BS
• Phone: +886933301155
• Email: Yanlisa0728[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study purpose is to explore the effect of functional movement control for patients who have stage II or III degenerative knee joint disease and also physical inactive. Half of patients will receive aerobic exercise and functional movement control training in combination, while the other will simply receive aerobic exercise.

Description:

Physical inactivity, which is a common phenomenon among patients with degenerative knee joint disease has been proved a predictor of increased symptoms and poor general health. However, changing the lifestyle of people with this disease who is physical inactive is still a problem which has not been solved. Knee pain may act as barrier to engage in physical activity and can influence patient's movement performance.

The different effectiveness between the aerobic exercise and functional movement control training.

Aerobic exercise has been proved could improve knee pain for the patients with degenerative knee joint disease.

The functional movement control training could improve knee alignment during walking and other functional activities to increase patient's movement awareness.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: December 31, 2018
• Est. primary completion date: December 31, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 75 Years

Eligibility

Inclusion Criteria:

• Participant who was diagnosed has knee osteoarthritis

• Above 40 years old

• Participant who didn't achieve at least 150 min moderate intensity physical activity level per week

Exclusion Criteria:

• Patients with walking disability

• Cannot complete 8 weeks intervention program

• Received arthroscopy or other surgery before 6 months

Related Conditions & MeSH terms

• Knee Osteoarthritis
• Osteoarthritis
• Osteoarthritis, Knee

Intervention

Behavioral:
• Aerobic exercise & movement control
The aerobic exercise content is no different between the experimental group and the active comparator group. The movement control is individual training which divided into fourths progressing sessions. First, lumbo-pelvic and hip dynamic direction control. Second, trunk muscle groups, hip muscle groups and thigh muscle groups extensibility control. Third, trunk muscle groups and hip muscle groups through range control. Fourth, functional movement control training
• Aerobic exercise
The aerobic exercise will organized in groups. Each group has 6-8 persons. The exercise form is fixed at each time. The description of exercise form is as below: 10 min Warm up 40 min Aerobic exercise (which focus on lower extremity muscle strengthening and increasing muscle endurance) 10 min Cool down

Locations

Country	Name	City	State
Taiwan	Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation	New Taipei City

Sponsors (1)

Lead Sponsor	Collaborator
National Yang Ming University

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	reaching proportions of the level of health enhancing physical activity	the recommended level of health enhancing physical activity is at least 150 min of moderate intensity physical activity per week	up to 6 months after intervention
Secondary	Partial foot pressure as a percentage of body weight	The area footprinted during gait was divided into 6 parts according to the average foot areas of subject. Then, the partial foot pressure as a percentage of body weight was calculated as the average value during the stance phase of each step in each part as a percentage of the body weight.	Baseline and up to 1 week after intervention
Secondary	Partial foot area as a percentage of body mass index	The area footprinted during gait was divided into 6 parts. The partial foot area as a percentage of body mass index was calculated as the average value during the stance phase of each step in each part as a percentage of the body mass index.	Baseline and up to 1 week after intervention
Secondary	Gait Cadence	the number of steps per minute	Baseline and up to 1 week after intervention
Secondary	Walking speed	the velocity of single step	Baseline and up to 1 week after intervention
Secondary	Single leg stance time	the time of the stance phase of each foot	Baseline and up to 1 week after intervention
Secondary	Step length	the distance between the first point of contact of a limb with the ground and the first point of contact of the limb on the opposite side	Baseline and up to 1 week after intervention
Secondary	Step width	the distance between the centre of the first heel contact and the following one calculated perpendicularly to the direction of the horizontal axis drawn between the feet	Baseline and up to 1 week after intervention
Secondary	Axis angle	the angle formed by the medial tangent of the foot and the line from the second/third toe to the center of the heel	Baseline and up to 1 week after intervention
Secondary	The Knee injury and Osteoarthritis Outcome Score	A questionnaire to assess the patient's opinion about their knee and associated problems.	Baseline and up to 1 week after intervention
Secondary	Sort Form-12v2 Healthy Survey	12 question to measure functional health and well-being from the patient's point of view	Baseline and 1, 3, 6 month after intervention