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Effects of Strength Training on Knee Osteoarthritis

This study has been completed.

Sponsored by: National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Information provided by: National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
ClinicalTrials.gov Identifier: NCT00000406
  Purpose

To understand the effects of leg strengthening exercise, we will study the effects of strength training of the legs in four groups of people: (1) osteoarthritis (OA) with knee pain; (2) OA without knee pain; (3) no OA but elderly with knee pain; and (4) normal elderly with no OA or knee pain. In each of the first three groups, we will look at whether people who do strength training have less pain and/or slower progression of x-ray signs of OA over 30 months than people who perform nonstrengthening, range-of-motion exercises. We are including the fourth group to find out whether people with OA (groups 1 & 2) have the same response to strength training as healthy elderly people, and whether those with knee pain (groups 1 & 3) have the same response to training as those without joint pain.


Condition Intervention Phase
Osteoarthritis, Knee
Procedure: Progressive resistance exercise
Phase II

MedlinePlus related topics:   Exercise and Physical Fitness    Osteoarthritis   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Single Blind, Active Control, Single Group Assignment, Efficacy Study
Official Title:   Effects of Strength Training on Knee Osteoarthritis (OA)

Further study details as provided by National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS):

Estimated Enrollment:   280
Study Start Date:   September 1977
Study Completion Date:   November 2006
Primary Completion Date:   November 2006 (Final data collection date for primary outcome measure)

Detailed Description:

Several studies have confirmed that weak leg muscles are associated with osteoarthritis (OA) of the knee. Studies of body composition in these people have also shown that, despite being weaker, people with OA have significantly greater muscle mass than those without OA, suggesting that those with OA may have the potential to greatly increase their strength. However, research has not clearly shown whether exercises designed to improve leg strength will decrease the severity of pain or slow the progression of OA based on radiographic (x-ray) analysis. To understand the effects of leg strengthening exercise, we will perform a randomized clinical trial of lower extremity strength training using four subgroups of people: (1) OA with knee pain; (2) OA without knee pain; (3) no OA with knee pain; and (4) normal elderly with no OA or knee pain.

In each of the first three groups, we will determine whether people assigned to strength training have lower pain scores and/or slower progression of radiographic changes of OA over 30 months than controls who perform nonstrengthening exercises (i.e., range-of-motion exercises). We are including the fourth group to determine whether those with OA (groups 1 & 2) exhibit the same response to strength training as healthy elderly people, and whether those with knee pain (groups 1 & 3) have the same response to training as those without joint pain. We will also prospectively monitor changes in body composition and bone mass, quality of life, and symptoms of depression.

  Eligibility
Ages Eligible for Study:   60 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Criteria

Inclusion Criteria:

  • Males and females 60 to 100 years of age

Exclusion Criteria:

  • Knee joint replacement surgery
  • Diabetes mellitus
  • Uncontrollable hypertension
  • Neuropathies of the lower extremity
  • Poor mental cognition (i.e., inability to follow instructions)
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00000406

Locations
United States, Indiana
National Institute for Fitness and Sport    
      Indianapolis, Indiana, United States, 46202

Sponsors and Collaborators

Investigators
Principal Investigator:     Alan Mikesky, PhD     Indiana University School of Medicine    
  More Information


Publications of Results:

Study ID Numbers:   P60 AR20582 Substudy EEHSR3, NIAMS-022
First Received:   November 3, 1999
Last Updated:   December 20, 2007
ClinicalTrials.gov Identifier:   NCT00000406
Health Authority:   United States: Federal Government

Keywords provided by National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS):
Osteoarthritis (OA)  
Knee  
Radiographic OA  
Strength training  
Physical therapy  
Exercise  
Body composition  
Striated muscle
Depression
Radiographic OA with knee pain
Radiographic OA without knee pain
Knee pain without radiographic OA
Normal elderly (no radiographic OA, no knee pain)

Study placed in the following topic categories:
Osteoarthritis, Knee
Depression
Musculoskeletal Diseases
Osteoarthritis
Joint Diseases
Arthritis
Pain
Rheumatic Diseases
Depressive Disorder

ClinicalTrials.gov processed this record on October 31, 2008




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