Walking Aids in the Management of Hip Osteoarthritis

NCT ID: NCT00506714

Last Updated: 2012-10-04

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2009-09-30

Brief Summary

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The purpose of this study is to determine whether or not the use of a nonpharmacologic intervention (single point cane) is effective in the treatment of knee osteoarthritis.

Detailed Description

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Osteoarthritis (OA), the most common joint disease in humans, is a significant cause of pain and disability. Non-pharmacological treatments for hip OA include education, exercise, appliances (walking sticks or insoles), and weight reduction if obese or overweight. Canes are often recommended to reduce adverse forces across joints although there is currently no research evidence regarding the efficacy of walking sticks for hip OA. Little information is available regarding the impact of walking aids on psychosocial function and quality of life in individuals with hip OA. This study will evaluate the effects of walking aids in hip OA by examining gait biomechanics, quality of life, pain, and opinions regarding using a cane.

Comparisons: Compare gait biomechanics in people with symptomatic unilateral hip OA while walking with and without a cane at baseline and after 4 weeks of cane use. Compare gait biomechanics in people with symptomatic unilateral hip OA with and without a cane to those of healthy, age-matched controls. Compare pain and health-related quality of life in people with symptomatic unilateral hip OA following 4 weeks of cane use. Determine the association between changes in gait biomechanics, pain, and health-related quality of life in people with symptomatic unilateral hip OA following 4 weeks of cane use.

Conditions

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Osteoarthritis

Keywords

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Osteoarthritis Walking Sticks Canes

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Adult subjects with hip osteoarthritis

Walk with and without a single point cane at baseline and after four weeks

Group Type EXPERIMENTAL

single point cane

Intervention Type DEVICE

Adjustable single point cane with SureGrip handle

Healthy Subjects

Healthy adults walking without a cane at baseline

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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single point cane

Adjustable single point cane with SureGrip handle

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. hip OA (grades II-IV) of the Kellgren/Lawrence classification
2. with pain in one hip for most days of the prior month
3. Ability to walk 30 feet without postural sway
4. Ability to stand unaided
5. Ability to understand verbal instructions
6. Ability to give informed consent

Exclusion Criteria

1. History of hip or knee trauma or surgery including arthroscopic surgery in the past six months
2. Severe obesity (\> 300 pounds)
3. Neurological disorders that affect lower extremity function such as stroke or peripheral neuropathy, vestibular dysfunction or poor vision
4. Injury or amputation to the lower extremity joints
5. History of other types of arthritis or fibromyalgia
6. Pain from spine, knee, ankle, or foot disease that would interfere with assessment of the hip
7. Poor health that would impair compliance or assessment such as shortness of breath with exertion, chest pain
8. Foot deformities such as hallux rigidus, valgus deformity of the midfoot, previous ankle arthrodesis
9. Greater trochanteric pain syndrome
Minimum Eligible Age

60 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Arthritis Foundation

OTHER

Sponsor Role lead

Responsible Party

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Meika A. Fang, MD

Rheumatology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Meika A Fang, MD

Role: PRINCIPAL_INVESTIGATOR

VA Greater Los Angeles Healthcare System Department of Medicine; UCLA Department of Medicine

Locations

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VA West Los Angeles

Los Angeles, California, United States

Site Status

Countries

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United States

Other Identifiers

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2007-030430

Identifier Type: -

Identifier Source: org_study_id