Video Telehealth Gait Retraining for Running-Related Knee Pain

Keller Army Community Hospital

Status: Completed

Conditions: Knee; Telemedicine; Pain; Running

Treatments: Procedure: Return to Running Protocol; Procedure: Standard Physical Therapy Treatment; Procedure: Telehealth Gait Retraining; Procedure: At Home Exercise Program

Study type: Interventional

Funder types: Other U.S. Federal agency

Identifiers

NCT04269473

RHC-A-19-035

19KACH004

Details and patient eligibility

About

In this randomized control trial, participants with running-related knee pain will be randomly assigned to either an intervention group or a control group. Participants in the intervention group will receive a telehealth gait retraining intervention, an at-home exercise program, a return to running protocol, and standard physical therapy. Participants in the control group will receive an at-home exercise program, a return to running protocol, and standard physical therapy. Data will be collected before intervention, at 10-weeks, and at 14-weeks to determine efficacy of the intervention.

Enrollment: 180 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Active Duty Soldier or Cadet between the ages of 18 to 60 years old
• Knee pain that occurs during and/or after running that was not due to a recent acute trauma (such as an accident or a fall) and that is a pain intensity of at least a '3' and no greater than a '7' on a numeric pain rating scale with '0' meaning "no pain" and '10' meaning the "worst possible pain"
• Fluent in speaking and reading English

Exclusion criteria

• Currently on an Army running limiting profile for something other than knee pain
• Presence of rheumatoid or neurological diseases
• Plans to deploy or permanent change of station (PCS) within 4 months
• Current lower extremity injury other than knee pain
• History of traumatic knee injury (such as a surgery, ligament tear, or meniscal tear)
• Current pregnancy
• Inability to perform 20 unassisted single leg heel raises on each leg
• A non-rearfoot strike pattern during running
• Showing signs of ligamentous instability, meniscus pathology, or knee effusion

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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180 participants in 2 patient groups

Experimental Group

Experimental group

Description:

Participants in the experimental group will receive a telehealth gait retraining intervention in addition to standard physical therapy rehabilitation for running-related knee pain, which includes: an at-home exercise program, a return to running protocol, and standard physical therapy evaluations.

Treatment:

Procedure: At Home Exercise Program

Procedure: Telehealth Gait Retraining

Procedure: Standard Physical Therapy Treatment

Procedure: Return to Running Protocol

Control Group

Active Comparator group

Description:

Participants in the control group will receive standard physical therapy rehabilitation for running-related knee pain, which includes: an at-home exercise program, a return to running protocol, and standard physical therapy evaluations.

Treatment:

Procedure: At Home Exercise Program

Procedure: Standard Physical Therapy Treatment

Procedure: Return to Running Protocol