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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
180
Telehealth gait retraining is a novel approach to train participants to adopt a non-rearfoot foot strike pattern during running via telecommunications. During telehealth gait retraining, video of a participant's running form are sent to clinicians over a mobile device app and running form feedback is given. This process is repeated once a week for four weeks and then every other week until week 8.
Participants receiving standard Physical Therapy will visit the Physical Therapy Clinic every 2 to 3 weeks to be treated by a Physical Therapist.
The Return to Running protocol is a six-phase running volume progression to re-introduce running slowly and safely after experiencing a running-related injury.
The At Home Exercise Program consists of 4 lower leg and foot exercises that participants can perform on their own time.
Keller Army Community Hospital - Arvin Physical Therapy
West Point, New York, United States
Worst knee pain during running assessed by Visual Analogue Scale (VAS)
Worst knee pain intensity in the past 7 days recorded using a 0 to 10 cm visual analogue scale where 0 equals no pain and 10 indicates the most severe pain the patient could imagine. Higher numbers equal greater levels of reported pain.
Time frame: Change from baseline to 10-weeks
Worst knee pain after running assessed by Visual Analogue Scale (VAS)
Worst knee pain intensity in the past 7 days recorded using a 0 to 10 cm visual analogue scale where 0 equals no pain and 10 indicates the most severe pain the patient could imagine. Higher numbers equal greater levels of reported pain.
Time frame: Change from baseline to 10-weeks
Foot strike pattern during running measured with motion capture
Portion of the foot that makes initial contact with the ground at the start of each stance phase during running.
Time frame: Change from baseline to 10-weeks
University of Wisconsin Running Injury and Recovery Index
A 9-item questionnaire (range 0-36, higher scores indicate more function) that measures a runners assessment of running ability after sustaining a running-related injury.
Time frame: Change from baseline to 10-weeks and 14-weeks
Worst non-knee pain during running assessed by Visual Analogue Scale (VAS)
Worst pain intensity in a region other than the knee during running in the past 7 days recorded using a 0 to 10 cm visual analogue scale where 0 equals no pain and 10 indicates the most severe pain the patient could imagine. Higher numbers equal greater levels of reported pain.
Time frame: Change from baseline to 10-weeks and 14-weeks
Worst knee pain overall assessed by Visual Analogue Scale (VAS)
Worst knee pain intensity experienced overall in the past 7 days recorded using a 0 to 10 cm visual analogue scale where 0 equals no pain and 10 indicates the most severe pain the patient could imagine. Higher numbers equal greater levels of reported pain.
Time frame: Change from baseline to 10-weeks and 14-weeks
Knee function assessed with the single assessment numeric evaluation method
Participants will rate their knee function on a scale of 0 (least normal) to 100 (most normal).
Time frame: Change from baseline to 10-weeks and 14-weeks
Knee function assessed with the anterior knee pain scale
Participants will rate their level of pain, disability, and impairment associated with their knee injury using a 13-item questionnaire (range 0-100, higher scores indicate better function).
Time frame: Change from baseline to 10-weeks and 14-weeks
Worst knee pain during running assessed by Visual Analogue Scale (VAS)
Worst knee pain intensity in the past 7 days recorded using a 0 to 10 cm visual analogue scale where 0 equals no pain and 10 indicates the most severe pain the patient could imagine. Higher numbers equal greater levels of reported pain.
Time frame: Change from baseline to 14-weeks
Worst knee pain after running assessed by Visual Analogue Scale (VAS)
Worst knee pain intensity in the past 7 days recorded using a 0 to 10 cm visual analogue scale where 0 equals no pain and 10 indicates the most severe pain the patient could imagine. Higher numbers equal greater levels of reported pain.
Time frame: Change from baseline to 14-weeks
Foot strike pattern during running measured with motion capture
Portion of the foot that makes initial contact with the ground at the start of each stance phase during running.
Time frame: Change from baseline to 14-weeks
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