Gait Retraining to Reduce Knee Osteoarthritis Pain

NCT ID: NCT01397981

Last Updated: 2013-03-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2012-11-30

Brief Summary

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The purpose of this study is to determine how well people can be trained to produce new and different movements through the use of haptic feedback. One particular application is retraining individuals to walk differently in order to reduce knee joint loads to prevent or treat knee osteoarthritis as an alternative to surgical treatments.

Detailed Description

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During the movement retraining session, you be given different combinations of haptic, visual, and auditory feedback in order to inform you on desired movement changes. This will take place at the Human Performance Laboratory at Stanford University. Motion analysis will be done while you perform movement activities (such as locomotion).

Prior to performing these movement tasks the investigators will attach reflective markers to your body using tape, pre-wrap and/or ace bandages. The investigators will record motion of your body's movements using infrared cameras which capture anatomical data from the reflective markers on your body.

The investigators will provide you with feedback to inform you of desired movement modifications. Haptic feedback devices such as vibration motors and skin stretch devices will be attached to your body via velcro straps and will be used to give "touch" feedback. There will be a computer monitor in front of you during testing to provide visual feedback. Sounds will be played using speakers near the testing area to provide auditory feedback.

The time needed for set up and performance of the above set of tests is approximately 90 minutes. You will be performing walking and other movements for only a small part of that time. The rest of the time will be spent preparing you for the experiment. After the investigators examine your movement data, if some of the data appear inaccurate or the investigators are unable to process the data, the investigators may ask you to repeat the movement analysis at a later time.

Conditions

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Osteoarthritis, Knee

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Walking modification

Changing kinematics for walking

Group Type EXPERIMENTAL

Gait retraining

Intervention Type BEHAVIORAL

Changing the kinematics of walking

Interventions

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Gait retraining

Changing the kinematics of walking

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Symptoms of medial compartment pain during the previous 6 weeks
* Radiographic evidence (AP X-ray) of medial compartment knee osteoarthritis (KL score of 3 or less)
* Ability to walk unaided for 25 minutes without rest
* Age \> 18

Exclusion Criteria

* BMI \> 30
* Previous injury or surgery on foot, ankle, knee, hip, or back inhibiting ability to adopt different walking gait
* Use of shoe insert or hinged knee brace
* Corticosteroid injection within the previous 6 weeks
* Age \> 80
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Pete Bradley Shull

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Pete B Shull

Role: STUDY_DIRECTOR

Stanford University

Locations

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Stanford University School of Medicine

Stanford, California, United States

Site Status

Countries

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United States

References

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Shull PB, Lurie KL, Cutkosky MR, Besier TF. Training multi-parameter gaits to reduce the knee adduction moment with data-driven models and haptic feedback. J Biomech. 2011 May 17;44(8):1605-9. doi: 10.1016/j.jbiomech.2011.03.016. Epub 2011 Apr 2.

Reference Type BACKGROUND
PMID: 21459384 (View on PubMed)

Wheeler JW, Shull PB, Besier TF. Real-time knee adduction moment feedback for gait retraining through visual and tactile displays. J Biomech Eng. 2011 Apr;133(4):041007. doi: 10.1115/1.4003621.

Reference Type BACKGROUND
PMID: 21428681 (View on PubMed)

Shull PB, Shultz R, Silder A, Dragoo JL, Besier TF, Cutkosky MR, Delp SL. Toe-in gait reduces the first peak knee adduction moment in patients with medial compartment knee osteoarthritis. J Biomech. 2013 Jan 4;46(1):122-8. doi: 10.1016/j.jbiomech.2012.10.019. Epub 2012 Nov 10.

Reference Type RESULT
PMID: 23146322 (View on PubMed)

Other Identifiers

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SU-07142011-8086

Identifier Type: -

Identifier Source: org_study_id

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