This trial will test if walking or bicycling exercise is effective as a non-surgical treatment option for patients with knee osteoarthritis.
Traditional, conservative medical treatment of osteoarthritis has been directed at improving functional status through reducing joint pain and inflammation and maintaining or restoring joint function. Exercise is an adjunct therapy in the clinical management of patients with osteoarthritis of the knee. However, it is not uniformly accepted. The central hypothesis of this work is that the Surgeon General's exercise guidelines can be successfully implemented as an effective nonsurgical option for treatment of patients with early stages of knee osteoarthritis. Patients with knee osteoarthritis will be randomized into a control group, a walking exercise group, and a stationary cycling exercise group. The individuals in the exercise groups will be required to exercise three times per week for one year using emerging public health recommendations for aerobic exercise in the adult and aging population. Patient outcome will be assessed using objective gait analysis measurements, knee radiographs to quantify joint space narrowing, magnetic resonance imaging, a general health questionnaire (SF-36), a disease/site specific questionnaire (WOMAC), and a visual-analog pain scale. All subjects will be studied at 0 and 52 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
306
30 minutes/day, 3 times/week for 52 weeks
30 minutes/day, 3 times/week for 52 weeks
Mayo Clinic
Rochester, Minnesota, United States
VAS, SF-36, WOMAC, and Activity Index questionnaires
Time frame: Week 52
Weight-bearing anterior-posterior (AP) and lateral x-rays of the knee
Time frame: Week 52
MRI imaging of the knee
Time frame: Week 52
Measurements of gait during level walking and stair climbing
Time frame: Week 52
Change in consumption of analgesics, reflecting the level of joint pain
Time frame: Week 52
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