Osteoarthritis (OA) is a condition that causes pain and stiffness in the joints, often due to injuries like torn ligaments. Even after surgery, these injuries can lead to long-term joint problems. Current treatments don\'t fully prevent OA from developing. This study is testing a new 12-week exercise program designed to improve how the knee moves, using a special sensor-based system. The goal is to reduce joint inflammation and prevent the development of OA in patients who have had knee surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
60
Personalized digital training intervention aims to correct pathological knee movement and loading patterns and reduce inflammation in pre-stage knee osteoarthritis.
Charité - Universitätsmedizin Berlin, BeMoveD - Berlin Movement Diagnostics
Berlin, Germany
RECRUITINGCharité - Universitätsmedizin Berlin
Berlin, Germany
RECRUITINGPrimary Endpoint
Restoration of normal knee angle and moment patterns during walking at 6-month follow-up (compared to normative data), as determined by a machine learning-derived gait index.
Time frame: at 6-month follow-up visit
Secondary Endpoint: Cartilage Thickness
Quantitative magnetic resonance imaging measurement of cartilage thickness, expressed in millimeters (mm), across predefined articular sub-regions of the knee.
Time frame: Baseline, 6, and 36 months follow-up visits
Secondary Endpoint: Cartilage Volume
Quantitative magnetic resonance imaging measurement of cartilage volume, expressed in cubic millimeters (mm³), across predefined articular sub-regions of the knee.
Time frame: Baseline, 6, and 36 months follow-up visits
Secondary Endpoint: Cartilage Composition
Quantitative magnetic resonance imaging measurement of cartilage composition using laminar T2 relaxation time, expressed in milliseconds (ms), reflecting cartilage water content and collagen organization across predefined articular sub-regions of the knee.
Time frame: Baseline, 6, and 36 months follow-up visits
Secondary Endpoint: Meniscus Position
Quantitative magnetic resonance imaging measurement of meniscus extrusion, expressed in millimeters (mm), defined as the distance the meniscus extends beyond the edge of the tibial plateau.
Time frame: Baseline, 6, and 36 months follow-up visits
Secondary Endpoint: Hoffa Synovitis
Quantitative magnetic resonance imaging measurement of Hoffa synovitis, expressed as a signal distribution pattern (dimensionless) within the infrapatellar (Hoffa's fat pad) region.
Time frame: Baseline, 6, and 36 months follow-up visits
Secondary Endpoint: Effusion Synovitis
Quantitative magnetic resonance imaging measurement of joint effusion and synovitis, expressed as synovial fluid volume in cubic millimeters (mm³).
Time frame: Baseline, 6, and 36 months follow-up visits
Secondary Endpoint: Magnetic Resonance Imaging Osteoarthritis Knee Score (MOAKS)
Semi-quantitative assessment of structural pathology using the Magnetic Resonance Imaging Osteoarthritis Knee Score (MOAKS), where scores range from 0 (no cartilage damage) to 3 (severe cartilage damage), with higher scores indicating greater pathology, across fourteen articular sub-regions.
Time frame: Baseline, 6, and 36 months follow-up visits
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.