Primary Outcome Measures:
- Walking variables: hip and knee abductor and adductor moments, measured at baseline and after 8 weeks [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
- Muscle strength measures: isometric and isokinetic peak torque measures for the hip abductor and adductor muscles; measured at baseline and after 8 weeks [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Radiographs: lower limb frontal plane alignment measures - limb alignment in degrees; grading of knee osteoarthritis severity (total score out of 13); measured at baseline [ Time Frame: 1 day ] [ Designated as safety issue: No ]
- Speed of performance on the Five-Times-Sit-to-Stand Test; measured at baseline and after 8 weeks [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
- Total score on the WOMAC pain subscale and the WOMAC physical function subscale; measured at baseline and after 8 weeks [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
- Total score obtained for the physical activity scale (PASE); measured at baseline and after 8 weeks [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
Knee osteoarthritis is a common age-related impairment that may progress to cause significant pain and physical disability. Excessive loading at the knee joint is believed to contribute to the progression of knee osteoarthritis. The hip joint and surrounding muscles have been shown to influence the amount of stress occurring at the knee joint during walking. In particular, the hip abductor muscles may have an effect on the knee joint by controlling the position of the pelvis and/or by acting as lateral stabilizers for the knee.
Research suggests that the function of the hip muscles during walking may be decreased in people with knee osteoarthritis and that greater loads may be placed on the knee joint as a result. Thus, interventions aimed at strengthening the hip abductor muscles may be effective for reducing stress on the arthritic knee and slowing the rate of progression of knee osteoarthritis.
The design of the study is a two-group pretest-posttest design using an untreated control group. Thirty-five individuals with medial compartment knee osteoarthritis will be recruited through newspaper advertisements and from the practices of orthopedic surgeons in Kingston, Ontario. Each participant with knee osteoarthritis will be matched with an asymptomatic volunteer for age (+/- 5 years), height (+/- 5 cm), mass (+/- 5 kg) and gender. Participants in the control group will have no clinical or radiographic diagnosis of knee or hip osteoarthritis or rheumatoid arthritis and no history of hip or knee trauma or pain.