Video Telehealth Gait Retraining for Running-Related Knee Pain

NCT ID: NCT04269473

Last Updated: 2025-05-21

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

NA

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-14

Study Completion Date

2024-12-01

Brief Summary

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In this randomized control trial, participants with running-related knee pain will be randomly assigned to either an intervention group or a control group. Participants in the intervention group will receive a telehealth gait retraining intervention, an at-home exercise program, a return to running protocol, and standard physical therapy. Participants in the control group will receive an at-home exercise program, a return to running protocol, and standard physical therapy. Data will be collected before intervention, at 10-weeks, and at 14-weeks to determine efficacy of the intervention.

Detailed Description

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Conditions

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Telemedicine Running Knee Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Experimental Group

Participants in the experimental group will receive a telehealth gait retraining intervention in addition to standard physical therapy rehabilitation for running-related knee pain, which includes: an at-home exercise program, a return to running protocol, and standard physical therapy evaluations.

Group Type EXPERIMENTAL

Telehealth Gait Retraining

Intervention Type PROCEDURE

Telehealth gait retraining is a novel approach to train participants to adopt a non-rearfoot foot strike pattern during running via telecommunications. During telehealth gait retraining, video of a participant's running form are sent to clinicians over a mobile device app and running form feedback is given. This process is repeated once a week for four weeks and then every other week until week 8.

Standard Physical Therapy Treatment

Intervention Type PROCEDURE

Participants receiving standard Physical Therapy will visit the Physical Therapy Clinic every 2 to 3 weeks to be treated by a Physical Therapist.

Return to Running Protocol

Intervention Type PROCEDURE

The Return to Running protocol is a six-phase running volume progression to re-introduce running slowly and safely after experiencing a running-related injury.

At Home Exercise Program

Intervention Type PROCEDURE

The At Home Exercise Program consists of 4 lower leg and foot exercises that participants can perform on their own time.

Control Group

Participants in the control group will receive standard physical therapy rehabilitation for running-related knee pain, which includes: an at-home exercise program, a return to running protocol, and standard physical therapy evaluations.

Group Type ACTIVE_COMPARATOR

Standard Physical Therapy Treatment

Intervention Type PROCEDURE

Participants receiving standard Physical Therapy will visit the Physical Therapy Clinic every 2 to 3 weeks to be treated by a Physical Therapist.

Return to Running Protocol

Intervention Type PROCEDURE

The Return to Running protocol is a six-phase running volume progression to re-introduce running slowly and safely after experiencing a running-related injury.

At Home Exercise Program

Intervention Type PROCEDURE

The At Home Exercise Program consists of 4 lower leg and foot exercises that participants can perform on their own time.

Interventions

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Telehealth Gait Retraining

Telehealth gait retraining is a novel approach to train participants to adopt a non-rearfoot foot strike pattern during running via telecommunications. During telehealth gait retraining, video of a participant's running form are sent to clinicians over a mobile device app and running form feedback is given. This process is repeated once a week for four weeks and then every other week until week 8.

Intervention Type PROCEDURE

Standard Physical Therapy Treatment

Participants receiving standard Physical Therapy will visit the Physical Therapy Clinic every 2 to 3 weeks to be treated by a Physical Therapist.

Intervention Type PROCEDURE

Return to Running Protocol

The Return to Running protocol is a six-phase running volume progression to re-introduce running slowly and safely after experiencing a running-related injury.

Intervention Type PROCEDURE

At Home Exercise Program

The At Home Exercise Program consists of 4 lower leg and foot exercises that participants can perform on their own time.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Active Duty Soldier or Cadet between the ages of 18 to 60 years old
* Knee pain that occurs during and/or after running that was not due to a recent acute trauma (such as an accident or a fall) and that is a pain intensity of at least a '3' and no greater than a '7' on a numeric pain rating scale with '0' meaning "no pain" and '10' meaning the "worst possible pain"
* Fluent in speaking and reading English

Exclusion Criteria

* Currently on an Army running limiting profile for something other than knee pain
* Presence of rheumatoid or neurological diseases
* Plans to deploy or permanent change of station (PCS) within 4 months
* Current lower extremity injury other than knee pain
* History of traumatic knee injury (such as a surgery, ligament tear, or meniscal tear)
* Current pregnancy
* Inability to perform 20 unassisted single leg heel raises on each leg
* A non-rearfoot strike pattern during running
* Showing signs of ligamentous instability, meniscus pathology, or knee effusion
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Uniformed Services University of the Health Sciences

FED

Sponsor Role collaborator

Keller Army Community Hospital

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Keller Army Community Hospital - Arvin Physical Therapy

West Point, New York, United States

Site Status

Countries

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United States

References

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Crowell MS, Brindle RA, Miller EM, Reilly N, Ford KR, Goss DL. The effectiveness of telehealth gait retraining in addition to standard physical therapy treatment for overuse knee injuries in soldiers: a protocol for a randomized clinical trial. Trials. 2023 Oct 16;24(1):672. doi: 10.1186/s13063-023-07502-x.

Reference Type DERIVED
PMID: 37845752 (View on PubMed)

Provided Documents

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Document Type: Informed Consent Form

View Document

Other Identifiers

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19KACH004

Identifier Type: OTHER

Identifier Source: secondary_id

RHC-A-19-035

Identifier Type: -

Identifier Source: org_study_id

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