DO YOU HAVE PAIN IN THE
FRONT OF YOUR KNEE?
Why is this study being
conducted?
Kneecap
arthritis is one of the most common types of knee arthritis. It causes pain and
stiffness in the knee particularly with activities such as walking up and
down stairs, and with squatting.
However,
we know little about the features of this disease or what treatments may
be effective. In younger people with kneecap pain, foot orthoses improved the
function of the legs and reduced kneecap pain.
Thus this study
will aim to determine if people over 40 with kneecap pain, and x-ray evidence
of kneecap arthritis, also experience improvement in pain
and leg function with footwear or foot orthoses treatments.
What is
involved?
Forty
people with kneecap arthritis will be randomly allocated to either a
footwear only, or footwear + foot orthoses group. The effectiveness of these
two interventions will be compared from baseline at 2 and 4 months by a series
of questionnaires that will measure the improvement in kneecap pain and leg
function. MRIs may also be taken at the beginning of the study, and at 4
months to determine if there is any improvement in bone marrow lesions - a
feature commonly associated with knee arthritis.
What
treatments are being evaluated?
All
participants in the study will receive New Balance stability shoes with
special features designed to reduce the collapse of the feet and knees.
Participants
in the foot orthoses group will receive a pair of custom made foot
orthoses to wear in the New Balance shoe for the duration of the study.
Participants
must be willing to wear the footwear, or footwear + foot orthoses as much as
possible (around 8 hours a day) for the duration of the study
Would you
like to be involved?
To
be involved in our study, you will need to meet our eligibility criteria.
To
be included in the kneecap arthritis group, you must
have:
•
pain in the front of your knee joint present on most days of the
last month
•
have x-ray evidence of arthritis in the kneecap (we provide this
x-ray if you don't have a current one of your knee)
You
would need to attend the research laboratory in the La Trobe Sport and Exercise
Medicine Research Centre at the Bundoora campus of Latrobe University on
up to 3 occasions. Initial testing takes a maximum of 2 hours with followup
visits a maximum of 1 hour duration. You would also need to attend a private
radiology practice for a free x-ray of your knee in addition to MRIs at the
beginning and completion of the study (at 4 months). The
questionnaires that need to be completed at the beginning, at the 2 month mark
and at the end of the study (4 months) can be completed online or hard copy if
you prefer.
If you think you may be eligible and are
interested in taking part in our study, please contact our research team via
email on n.wyndow@uq.edu.au
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