The WALK gait retraining program is more effective to treat patients with symptomatic mild to moderate knee OA and an extension deficit, compared to a standardised treatment protocol based on the KNGF (royal Dutch association of physiotherapists)…
ID
Bron
Verkorte titel
Aandoening
Knee Osteoarthritis
Knee extension deficit
Conservative treatment
Physiotherapy protocol
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Between group difference in change in pain score of the KOOS between baseline and 3 months follow-up.
Achtergrond van het onderzoek
Osteoarthritis (OA) of the knee is associated with changes in gait pattern. Our hypothesis is that adaptation of the gait pattern through gait retraining can relieve the symptoms in knee OA. A RCT will be performed to compare the effectiveness of the WALK gait retraining program, compared to a standardised treatment protocol based on the KNGF guidelines, in patients with clinical symptoms of mild to moderate knee OA and a knee extension deficit. Main study endpoints is between group difference in change in pain and function score between baseline and 3 months follow-up. Secondary outcome parameters are gait analysis and functional outcome.
Doel van het onderzoek
The WALK gait retraining program is more effective to treat patients with symptomatic mild to moderate knee OA and an extension deficit, compared to a standardised treatment protocol based on the KNGF (royal Dutch association of physiotherapists) guidelines.
Onderzoeksopzet
Baseline, during the first 3 months of the study: weekly, at 6, 9 and 12 month follow-up.
Onderzoeksproduct en/of interventie
Patients will be randomized in a group
(a) control group: physiotherapy with a standardised treatment protocol based on the KNGF (royal Dutch association of physiotherapists) guidelines.
(b) index group: WALK gait retraining program.
Algemeen / deelnemers
Wetenschappers
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Symptomatic knee OA according to the clinical ACR criteria.
Radiographic OA, according to Kellgren and Lawrence grade 1, 2 or 3
Flexion contracture of 5 degrees or more.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
- Medial or lateral instability of the knee,
- Symptomatic bilateral knee OA
- Intra-articular injection of the knee, in the previous 3 months
- Previous peri-articular osteotomy of the affected knee
- Symptomatic OA of hip or ankle
- Co morbidity which disables the function of the lower extremity
- Rheumatoid Arthritis or other inflammatory joint disease
- Physical therapy for current complaints during last 3 months
- Insufficient command of the Dutch language
- Legally incompetent adults
Opzet
Deelname
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL6810 |
| NTR-old | NTR6996 |
| Ander register | : |