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The study purpose is to explore the effect of functional movement control for patients who have stage II or III degenerative knee joint disease and also physical inactive. Half of patients will receive aerobic exercise and functional movement control training in combination, while the other will simply receive aerobic exercise.
Physical inactivity, which is a common phenomenon among patients with degenerative knee joint disease has been proved a predictor of increased symptoms and poor general health. However, changing the lifestyle of people with this disease who is physical inactive is still a problem which has not been solved. Knee pain may act as barrier to engage in physical activity and can influence patient's movement performance.
The different effectiveness between the aerobic exercise and functional movement control training.
Aerobic exercise has been proved could improve knee pain for the patients with degenerative knee joint disease.
The functional movement control training could improve knee alignment during walking and other functional activities to increase patient's movement awareness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Aerobic exercise & movement control | Experimental | The duration of intervention is 8 weeks.
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| Aerobic exercise | Active Comparator | The duration of intervention is 8 weeks.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aerobic exercise & movement control | Behavioral | The aerobic exercise content is no different between the experimental group and the active comparator group. The movement control is individual training which divided into fourths progressing sessions.
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| Measure | Description | Time Frame |
|---|---|---|
| reaching proportions of the level of health enhancing physical activity | the recommended level of health enhancing physical activity is at least 150 min of moderate intensity physical activity per week | up to 6 months after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Partial foot pressure as a percentage of body weight | The area footprinted during gait was divided into 6 parts according to the average foot areas of subject. Then, the partial foot pressure as a percentage of body weight was calculated as the average value during the stance phase of each step in each part as a percentage of the body weight. | Baseline and up to 1 week after intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chuan-Hsin Yen, BS | Contact | +886933301155 | Yanlisa0728@gmail.com | |
| Wen-Yin Chen, PhD | Contact | wychen@ym.edu.tw |
| Name | Affiliation | Role |
|---|---|---|
| Wen-Yin Chen, PhD | National Yang-Ming University The Department of Physical Therapy and Assistive Technology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation | Recruiting | New Taipei City | Taiwan |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Aerobic exercise | Behavioral | The aerobic exercise will organized in groups. Each group has 6-8 persons. The exercise form is fixed at each time. The description of exercise form is as below:
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| Partial foot area as a percentage of body mass index | The area footprinted during gait was divided into 6 parts. The partial foot area as a percentage of body mass index was calculated as the average value during the stance phase of each step in each part as a percentage of the body mass index. | Baseline and up to 1 week after intervention |
| Gait Cadence | the number of steps per minute | Baseline and up to 1 week after intervention |
| Walking speed | the velocity of single step | Baseline and up to 1 week after intervention |
| Single leg stance time | the time of the stance phase of each foot | Baseline and up to 1 week after intervention |
| Step length | the distance between the first point of contact of a limb with the ground and the first point of contact of the limb on the opposite side | Baseline and up to 1 week after intervention |
| Step width | the distance between the centre of the first heel contact and the following one calculated perpendicularly to the direction of the horizontal axis drawn between the feet | Baseline and up to 1 week after intervention |
| Axis angle | the angle formed by the medial tangent of the foot and the line from the second/third toe to the center of the heel | Baseline and up to 1 week after intervention |
| The Knee injury and Osteoarthritis Outcome Score | A questionnaire to assess the patient's opinion about their knee and associated problems. | Baseline and up to 1 week after intervention |
| Sort Form-12v2 Healthy Survey | 12 question to measure functional health and well-being from the patient's point of view | Baseline and 1, 3, 6 month after intervention |
| D012216 |
| Rheumatic Diseases |
| D001519 | Behavior |