Knee Osteoarthritis in Elderly People - Gait Analysis

Diana Kamal

Status: Invitation-only

Conditions: Quality of Life (QOL); Physical Performance Parameters; Knee Osteoarthritis; Ultrasound

Treatments: Other: Electrotherapy measures: transcutaneous nerve stimulation, ultrasound and low intensity laser; each one daily , applied on both lower limbs, for 10 days. Kinetic measures daily; Other: Gait training; Other: Ultrasound exam of quadriceps muscles (left/right) and gait analysis

Study type: Interventional

Funder types: Other

Identifiers

NCT07093229

Filantropia Hospital

Details and patient eligibility

About

The investigators perform a prospective controlled study and assess gait parameters in bilateral knee osteoarthritis (KOA) elderly patients with wireless system - BTS G-WALK, pre- and post-rehabilitation program. The complete assessment include: ultrasound exam, gait parameters and functional scale.

The investigators investigate the real impact of complete rehabilitation program, with gait control, on the physical performance and functional status.

Enrollment: 120 estimated patients

Sex: All

Ages: 65 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• participants older than 65 years diagnosed with KOA according to ACR criteria, also accepted in our country;
• at least 5 years of disease progression;
• painful knee for a period of 48 hours after physical activity;
• absence of knee injuries at least 6 months before;
• absence of major disturbances in the frontal plane alignment of the knee;
• participants with other co-morbidities, but well controlled, like: arterial hypertension, dyslipidaemia and mellitus diabetes type II; a history of a symptomatic or complicated upper gastro-intestinal ulcer;
• compliance with physical exercise during the healthcare program.

Exclusion criteria

• unstable medical conditions preventing the patient from participating in the rehabilitation programs,
• history of knee replacement,
• neurological or any other conditions affecting strength or function of lower limbs.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 2 patient groups

Study Group

Experimental group

Description:

Experimental: Study Group. Elderly participants diagnosed with bilateral KOA will receive complete rehabilitation program (10 sessions of electrotherapy measures - transcutaneous nerve stimulation, ultrasound and low intensity laser treatment; 6 weeks of kinetic measures and gait training). Previous, all participants will be complete gait clinical, ultrasound and functional assess.

Treatment:

Other: Gait training

Other: Ultrasound exam of quadriceps muscles (left/right) and gait analysis

Other: Electrotherapy measures: transcutaneous nerve stimulation, ultrasound and low intensity laser; each one daily , applied on both lower limbs, for 10 days. Kinetic measures daily

Control Group

Active Comparator group

Description:

Active Comparator: Control Group Control Group will receive only 10 sessions of electrotherapy (transcutaneous nerve stimulation, ultrasound and low intensity laser treatment) and 6 weeks of kinetic measures, without gait control training. Previous, all participants will be complete clinical gait, ultrasound and functional assess.

Treatment:

Other: Ultrasound exam of quadriceps muscles (left/right) and gait analysis

Other: Electrotherapy measures: transcutaneous nerve stimulation, ultrasound and low intensity laser; each one daily , applied on both lower limbs, for 10 days. Kinetic measures daily