The Relationship of the Medial Longitudinal Arch Height With Clinical Features of Knee Osteoarthritis
NCT ID: NCT05656014
Last Updated: 2024-08-12
Study Results
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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COMPLETED
90 participants
OBSERVATIONAL
2022-12-07
2024-06-03
Brief Summary
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* Is there any relationship between knee pain and disability in knee osteoarthritis and MLA height?
* Is there any relationship between the radiologic severity of knee osteoarthritis and MLA height?
* Is there any relationship between knee joint alignment in knee osteoarthritis and MLA height?
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Detailed Description
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The study sample will be formed by the simple random sampling method from adult patients with knee osteoarthritis who will be admitted to our clinics and outpatient clinics with knee pain. It was planned to include 93 participants to be able to detect the two-way correlation between the knee WOMAC score and the arch height index with an effect size of 0.3, a power of 90%, and a 5% margin of error.
Initially, demographic data, including age, gender, body mass index (BMI), limb dominance, and time from knee pain onset of participants, will be recorded. For both knees goniometric measurement of knee passive range of motion (ROM), visual analogue scale (VAS) for pain and Western Ontario and McMaster Universities Arthritis Index (WOMAC) will be applied. Kellgren/Lawrence stages, mechanical, and anatomical tibiofemoral angles for knee joints will be obtained from lower limb length X-ray. MLA height index measurement will be performed by an investigator blinded to the patient's clinical condition. According to the results of descriptive statistics, the relationship between MLA height measurement results (arch height index and arch height flexibility) and Kellgren-Lawrence stage, VAS, WOMAC and tibiofemoral angles will be examined by correlation analysis. In case of significant correlation, regression analyses for Kellgren-Lawrence, VAS and WOMAC scores as dependent variables will be applied.
Conditions
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Study Design
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CASE_ONLY
CROSS_SECTIONAL
Study Groups
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Patients with knee osteoarthritis
Adult patients 50 years of age or older diagnosed with knee osteoarthritis according to American College of Rheumatology criteria
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* Having a diagnosis of knee osteoarthritis according to the American College of Rheumatology
Exclusion Criteria
* Presence of neurological condition resulting in lower limb sensorimotor deficit
* Having another inflammatory rheumatological disease
* Having a malignant tumour with bone metastasis
* Having lower limb oedema, lymphedema, skin and soft tissue loss that will prevent the evaluation of foot morphology (arch height index)
* Severe neuropsychiatric disease or condition that interferes with communication
* Having therapeutic injection into the knee joint in the last 3 months
* Presence of any major trauma that aggravated knee pain in the last 6 weeks
50 Years
ALL
No
Sponsors
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Gazi University
OTHER
Responsible Party
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Levent Karataş
Investigator, MD
Principal Investigators
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Levent Karataş, MD
Role: PRINCIPAL_INVESTIGATOR
Gazi University Faculty of Medicine
Locations
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Gazi University Hospital, Department of Physical Medicine and Rehabilitation
Ankara, , Turkey (Türkiye)
Countries
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References
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Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, Christy W, Cooke TD, Greenwald R, Hochberg M, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum. 1986 Aug;29(8):1039-49. doi: 10.1002/art.1780290816.
Williams DS, McClay IS. Measurements used to characterize the foot and the medial longitudinal arch: reliability and validity. Phys Ther. 2000 Sep;80(9):864-71.
Weimar WH, Shroyer JF. Arch height index normative values of college-aged women using the arch height index measurement system. J Am Podiatr Med Assoc. 2013 May-Jun;103(3):213-7. doi: 10.7547/1030213.
Hillstrom HJ, Song J, Kraszewski AP, Hafer JF, Mootanah R, Dufour AB, Chow BS, Deland JT 3rd. Foot type biomechanics part 1: structure and function of the asymptomatic foot. Gait Posture. 2013 Mar;37(3):445-51. doi: 10.1016/j.gaitpost.2012.09.007. Epub 2012 Oct 26.
Zifchock RA, Theriot C, Hillstrom HJ, Song J, Neary M. The Relationship Between Arch Height and Arch FlexibilityA Proposed Arch Flexibility Classification System for the Description of Multidimensional Foot Structure. J Am Podiatr Med Assoc. 2017 Mar;107(2):119-123. doi: 10.7547/15-051. Epub 2017 Feb 15.
Karatas L, Vuralli D, Gunendi Z. The effect of medial longitudinal arch height and medial longitudinal arch support insoles on postural balance in perimenopausal women. Turk J Med Sci. 2019 Jun 18;49(3):755-760. doi: 10.3906/sag-1808-39.
Marques Luis N, Varatojo R. Radiological assessment of lower limb alignment. EFORT Open Rev. 2021 Jun 28;6(6):487-494. doi: 10.1302/2058-5241.6.210015. eCollection 2021 Jun.
Moreland JR, Bassett LW, Hanker GJ. Radiographic analysis of the axial alignment of the lower extremity. J Bone Joint Surg Am. 1987 Jun;69(5):745-9.
Other Identifiers
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Knee osteoarthritis and AHI
Identifier Type: -
Identifier Source: org_study_id
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