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Home > "M" Clinical Trials Conditions > Muscle Strengthening Device for Knee Osteoarthritis  Muscle Strengthening Device for Knee Osteoarthritis
Muscle Strengthening Device for Knee Osteoarthritis
For Condition: Osteoarthritis
Status: Completed
Sponsor(s): National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) ,
Synopsis: Studies have shown that isometric strengthening helps people with osteoarthritis of the knee. Isometric strengthening is muscle-strengthening exercise without movement, in which a person applies a force against a resistant object--for example, pushing against a brick wall. This study will test the effectiveness of a portable isometric exercise device for home use that guides a person through an exercise program using various forms of feedback. We will look at whether people exercising with the device achieve better outcomes (results) in pain, stiffness, strength, and functional measures compared to people who do not use the device or people exercising according to printed material from arthritis organizations.
Details: Previous studies have shown that isometric strengthening is beneficial in managing osteoarthritis of the knee. This type of exercise can decrease joint-related pain and stiffness while increasing strength and functional measures. However, individuals rarely adhere to isometric exercise for any lengthy period of time because there has not been a way to measure applied force and performance over time in the home setting. In addition, this type of exercise has often been described as "boring." We believe that being able to monitor one's progress is essential in maintaining adherence to an isometric exercise program. This study will examine the effectiveness of a portable isometric exercise device for home use that guides the user through an exercise protocol by means of various forms of feedback. We hypothesize that individuals exercising with the device will achieve better outcomes in pain, stiffness, strength, and functional measures than a control group or a group exercising according to printed material from arthritis advocacy groups. We will randomly assign study participants meeting eligibility criteria to the exercise device group, exercise according to printed material group, or control group. We will conduct measures in all groups during a clinic visit at baseline, 2, 4, 6, and 8 weeks. As subjects in the exercise device group strengthen their leg muscles, a physical therapist will likely need to adjust upward the target force for different leg positions during every clinic visit, 2 weeks apart.
Eligibility:
Study Type: Interventional, Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Able to give conformed consent. - Age > 18. - Pain symptoms provoked by activity in the more symptomatic knee of between (and inclusive of) 3/10 and 8/10 on a verbal analog scale. Exclusion Criteria: - Participation in a strengthening program of the knees in the past month. - Uncontrolled or functionally limiting cardiac disease. - Uncontrolled hypertension. - Severe peripheral neuropathy (i.e., insensate to the Simmes 5.07 monofilament). - Knee flexion contracture greater than 10 degrees. - Intra-articular steroids in the past 3 months, or hyaluronic acid in the last 9 months. - Poor health that would impair compliance or assessment. - Arthroscopy of either knee in the past six months. - Lateral instability of > 15 degrees, or posterio-anterior instability of greater than 1 cm. - Knee pain due to pes anserine bursitis. - Active fibromyalgia. - Active alcohol or substance abuse. - Arthritis other than osteoarthritis in the more symptomatic knee. - Pregnancy. - History of cancer (other than skin cancer) not in remission. - Symptomatic spine, hip, ankle, or foot disease other than osteoarthritis that would interfere with assessment of the knee.
Total Enrollment: 92
Location and Contact Information:
Overall Study Official:
KirkReinbold, Principal Investigator, Preventive Medical Technologies, Inc.
Omega Medical Research
Warwick, Rhode Island, 02886
United States
Radiant Research, Inc.
Wyomissing, Pennsylvania, 19610
United States
Radiant Research, Inc.
Moorestown, New Jersey, 08057
United States
Rochester Clinical Research, Inc.
Rochester, New York, 14609
United States
Clinical Research Consultants, Inc.
Trumbull, Connecticut, 06611
United States
Preventive Medical Technologies, Inc.
Philadelphia, Pennsylvania, 19104
United States
Additional Information:
Study ID Numbers: NIAMS-053; R44 AR45153
Study Start Date: September 2001
Record last reviewed: February 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00007241
Other Osteoarthritis Studies:
1. Muscle Strengthening Device for Knee Osteoarthritis
2. Knee Stability Training for Knee Osteoarthritis (OA)
3. Efficacy of Acupuncture with Physical Therapy for Knee Osteo-Arthritis
4. Patient Education in Rheumatoid Arthritis and Osteoarthritis
5. Osteoarthritis Initiative (OAI): A Knee Health Study
Related Studies:
Other Osteoarthritis Clinical Trials
Other Pennsylvania Clinical Trials
Other Philadelphia Clinical Trials
Muscle Strengthening Device for Knee Osteoarthritis
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