Motor Learning in Knee Osteoarthritis

  • STATUS
    Recruiting
  • participants needed
    50
  • sponsor
    St. Pölten University of Applied Sciences
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Updated on 5 August 2020
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osteoarthritis
exercise therapy
range of motion
non-surgical treatment
gait evaluation

Summary

Non-surgical treatment options, like exercise therapy, show excellent short-term effects regarding pain reduction and improvement of knee function. However, mid- and long-term effects are missing so far. This might indicate that long-lasting changes in motor-skill performance (Motor Learning) have not occurred. Motor learning is associated with permanent changes in the capability for skilled movement behavior avoiding unfavorable joint loads and inappropriate muscle activation patterns, leading to compensatory movement strategies. One-sided and high repetitive loads in the knee joint could be one reason for the progression of knee osteoarthritis. Physiotherapeutic strategies should therefore be able to stimulate motor learning processes. In physiotherapy, motor learning can be optimized by using instructions and feedback, targeting an external focus of attention, when learning specific movement patterns. This study investigates the effects of a 12 week exercise therapy program, using an external focus of attention, on functional and biomechanical parameters in patients with knee osteoarthritis. To measure possible changes, functional measurements are taking place at baseline, after 6, 12 and 24 weeks. The biomechanical measurements (3D gait analysis) are taking place at baseline, after 12 and 24 weeks.

Details
Condition Physical therapy, Osteoarthritis of knee, Osteoarthritis, Osteoarthritis, Lower Extremity Biomechanics
Age 45years - 60years
Treatment External Focus Of Attention, Internal Focus Of Attention
Clinical Study IdentifierNCT04445350
SponsorSt. Pölten University of Applied Sciences
Last Modified on5 August 2020

Eligibility

 Yes No Not Sure

Inclusion Criteria

Kellgren-Lawrence-Score 1-3
BMI < 33
Free range of motion in the knee joint

Exclusion Criteria

Activated knee osteoarthritis
Lower extremity surgery in the past 6 weeks
Intake or injection of corticosteroids in the past 3 month
Long-term medication non-steroidal anti-inflammatory drugs
Neurological diseases
Drug or alcohol abuse
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