Rate of Torque Development and Voluntary Quadriceps Activation in Patients With Knee Osteoarthritis: A Quantitative Analysis Before and After a Single Session of Manual Physical Therapy
Knee Osteoarthritis, Knee Arthritis, Knee Pain Chronic
About this trial
This is an interventional treatment trial for Knee Osteoarthritis
Eligibility Criteria
Inclusion Criteria:
- Age range including 50-70 years old
- Diagnosis of clinical and radiographic knee osteoarthritis (Altman's Criteria: knee pain, osteophytes and one of the following: crepitus with active motion, morning stiffness less than or equal to 30 minutes, bony enlargement)
- Grade 2-4 Kellgren Lawrence radiographic knee osteoarthritis
Able to tolerate maximal quadriceps isometric quadriceps contraction with the knee flexed to 60 degrees without pain increasing more than 3/10 points on the Numeric Pain rating scale
5
- English proficiency and cognition to understand explanations of research purpose and procedures
- Tricare beneficiary
Exclusion Criteria:
- Knee pain referred from another anatomic region
- Cardiovascular disease (limited to uncontrolled hypertension/arrhythmias as well as a pacemaker
- Rheumatoid arthritis
- Active cancer
- BMI > 35
- Intra-articular knee injection within the previous 3 months
- Traumatic knee injury or surgery in past 12months
- Total knee or hip arthroplasty
- Gait is limited to a greater extent by conditions other than knee osteoarthritis
- Any condition that would contraindicate manual therapy or exercise
- Medical "red flags" of a potentially serious condition including cauda equina syndrome, major or rapidly progressing neurological deficit, fracture, active infection, or systemic disease
- Known current pregnancy or history of pregnancy in the last 6 months
- Separating from the military in the next 2 months, pending litigation, or pending medical board
Sites / Locations
- Jennifer Moreno ClinicRecruiting
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Control Group
Manual Physical Therapy
The control group will receive a 30-minute class on knee osteoarthritis diagnosis, prognosis, various treatment options, and will conclude with a question and answer session. This will account for the 30 minute face to face time provided in the treatment group
The treatment group will receive one 30-minute session of orthopedic manual physical therapy targeting the knee joint and soft tissues with complementary exercises targeted at their impairment. The manual therapy and exercises are tailored to the individual based on their limitations and restrictions.