Viewing Study NCT03450486



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Last Modification Date: 2024-10-26 @ 12:41 PM
Study NCT ID: NCT03450486
Status: COMPLETED
Last Update Posted: 2018-05-07
First Post: 2018-02-20

Brief Title: Exercise on Knee OA With the Star Excursion Balance Test
Sponsor: Western University Canada
Organization: Western University Canada

Study Overview

Official Title: Effects of Exercise on Joint Stiffness and Dynamic Balance in Individuals With Knee Osteoarthritis Evaluated Through Star Excursion Balance Test
Status: COMPLETED
Status Verified Date: 2018-02
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Osteoarthritis is a prevalent and disabling condition Exercise is recommended to maintain strength and mobility and to decrease pain However acute bouts of exercise have conflicting outcomes they are fatiguing and they also can increase coordination and balance The purpose of this study is to assess the effects of a single bout of exercise 30 minutes on balance performance of individuals with self-identified unilateral knee osteoarthritis Balance will be assessed using the star excursion balance test before and after the exercise session Differences in performance between the two star excursion balance tests will reflect the changes due to exercise The changes between their balance performance on each limb will reflect the changes due to osteoarthritis
Detailed Description: Knee OA affects over 241 million people worldwide and poses a significant burden to the healthcare system Cross et al 2014 Knee OA leads to decreased quadriceps muscle strength and impaired postural control and joint proprioception Hurley et al 1997 These factors lead to balance impairments in individuals with osteoarthritis compared to controls Wegener et al 1997 It has been reported that the completion of a warm-up program improves the dynamic and static balance of healthy individuals Daneshjoo et al 2012 Therefore exercise may acutely facilitate neuromuscular control reduce stiffness and significantly improve dynamic balance in individuals with knee OA Alternatively muscular fatigue that may negate these benefits Nardone et al 1997 Given that falls are a devastating injury in the elderly Sri-On et al 2017 and that exercise programs improve balance Carter et al 2001 Tse et al 2015 it is important to evaluate the acute effects of a single bout of exercise on balance performance in individuals with osteoarthritis The Star Excursion Balance Test SEBT has been validated for quantifying dynamic balance in healthy individuals Kinzey Armstrong 1998 and individuals with knee OA Kanko 2017 It is important to evaluate the effects of exercise on balance in individuals with OA as changes in balance following exercise may lead to either impairments or improvements and have direct implications for the safety of exercise as a recommended approach in OA

This study will recruit 35 individuals with self-identified unilateral knee osteoarthritis according to clinical criteria for classification of idiopathic knee OA Altman et al 1986 They will complete a Physical Activity Readiness Questionnaire for Everyone PAR-Q to clear them for participation in physical activity Warburton et al 2011 They will complete a standard questionnaire assessing knee function the Knee injury and Osteoarthritis Outcome Score KOOS Roos et al 2003 They will complete the star excursion balance test on each of their affected and unaffected limbs before and after completing a 30 minute bout of exercise This exercise session will be supervised and emphasizes optimal alignment of the trunk and lower limb joints relative to one another as well as quality of movement performance while dynamically and functionally strengthening the lower limb muscles Bennell et al 2011 The research participants will dictate the intensity and duration of the program

Differences in performance between the two star excursion balance tests will reflect the changes due to exercise The changes between their balance performance on each limb will reflect the changes due to osteoarthritis

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None