Improving Walking Quality and Quantity in Osteoarthritis (IWALQQ-OA)

Boston University Charles River Campus

Status

Suspended

Conditions

Knee Osteoarthritis

Treatments

Behavioral: MCG

Behavioral: SCG

Study type

Interventional

Funder types

Other

Identifiers

NCT03064139

4428E

Details and patient eligibility

About

This study evaluates the feasibility of a mindful walking intervention for management of knee osteoarthritis. Participants will be randomly assigned to receive one of two interventions i.e. mindful walking intervention or a self-care intervention.

Full description

People with knee osteoarthritis have low levels of physical activity, especially walking activity. They also walk with abnormal walking biomechanics that are associated with greater knee loading. Therefore, it is important to increase the levels of walking activity in people with knee osteoarthritis, but also change their walking patterns to reduce knee loading.

This study will last 12 months and participants will be randomized into 2 groups. For the first 6-months, half of the participants will attend sessions at a community location that include training in mindful walking technique. The other half will meet for the same frequency and duration at a community location for education on osteoarthritis and its management (focusing on symptom management, importance of physical activity, weight management, etc.). Both groups will also receive a wrist-worn activity monitor and a smartphone application that they will use throughout the study. After 6-months all participants will be allowed to practice on their own.

All participants will complete gait analysis, knee MRI, questionnaires, physical function assessment at baseline and at 6-months. All participants will also complete questionnaires at 3,9, and 12 months. Weekly physical activity and knee pain data will be collected using the mobile health technology for 12- months.

Enrollment

62 estimated patients

Sex

All

Ages

50 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

age 50-80 years
BMI ≤40 kg/m2
Meet American College of Rheumatology clinical and/or clinical+radiographic criteria for knee osteoarthritis
Knee pain score ≥ 4 during last week
Predominantly medial knee pain
Predominantly medial knee radiographic osteoarthritis with or without radiographic patellofemoral osteoarthritis
Ability to ambulate for a minimum of 20 minutes, without any assistive device
Available for the study duration
Own a smartphone
Can speak and understand English

Exclusion criteria

Contraindications to exercise
Using orthotics for knee pain such as knee braces, wedge insoles
Knee injection in previous 3-months
Currently receiving physical therapy for knee pain
Planning major treatment for knee pain (e.g., physical therapy, surgery) in next 6 months
Self-reported joint diseases like rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, gout, etc.
Self-reported total joint replacement in any lower extremity joint
Self-reported neurological conditions like stroke, Parkinson's disease, etc.
Self-reported muscular disease like muscle dystrophy
Self-reported musculoskeletal or neurologic conditions that affect gait.