Resistive Exercise for Arthritic Cartilage Health (REACH)
Recruitment status was Active, not recruiting
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Purpose
Female subjects over the age of 40 will be recruited and randomised into a progressive resistance training (PRT) or sham-exercise group. The PRT group will train at 80% of their peak strength, using Keiser pneumatic resistance machines, and progress approximately 3% per session. Strength will be re-assessed fortnightly. Exercises will target muscles around the hip and knee. The sham-exercise group will train on the same equipment as the PRT group except hip adduction, but without added resistance or progression. Both groups will train 3 days per week for roughly 45 minutes for 6 months.
It is hypothesised that high intensity PRT will decelerate the tibial and femoral cartilage degeneration in the knee affected most by OA.
Primary Outcome:
Articular cartilage morphology following 6 months high intensity progressive resistance training
Secondary Outcomes:
Muscle and fat cross-sectional area (CSA) (pre and post) Muscle strength, power, endurance, and contraction velocity (pre, 3 months, & post) Medications (pre, 3 months, & post) Body composition (pre, 3 months, & post) Balance; Physical function (pre, 3 months, & post) Questionnaires (pre, 3 months, & post)
- Habitual exercise (PASE) -WOMAC index (pain, stiffness and functional ability)
- Depressive symptoms (Depression Scale) -Quality of life (SF36)
- Confidence performing physical activity (Ewart) -Demographics
| Condition | Intervention | Phase |
|---|---|---|
|
Osteoarthritis |
Behavioral: Progressive resistance training |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind Primary Purpose: Treatment |
| Official Title: | The Effect of 6 Month High Intensity Progressive Resistance Training on Knee Articular Cartilage Morphology in Female Osteoarthritic Patients |
- Articular cartilage morphology following 6 months high intensity progressive resistance training
- Muscle and fat cross-sectional area (CSA) (pre and post)
- Muscle strength, power, endurance, and contraction velocity (pre, 3 months, & post)
- Medications (pre, 3 months, & post)
- Body composition (pre, 3 months, & post)
- Balance; Physical function (pre, 3 months, & post)
- Questionnaires (pre, 3 months, & post):
- Habitual exercise (PASE)
- WOMAC index (pain, stiffness and functional ability)
- Depressive symptoms (Depression Scale)
- Quality of life (SF36)
- Confidence performing physical activity (Ewart)
- Demographics
| Estimated Enrollment: | 60 |
| Study Start Date: | April 2005 |
| Estimated Study Completion Date: | July 2009 |
Eligibility| Ages Eligible for Study: | 40 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Female
- Aged over 40 years old
- Primary Osteoarthritis in at least one knee using standard criteria of the American College of Rheumatology (ACR) criteria for classification of clinical osteoarthritis
- Ambulatory without human assistance
- Willingness to be randomised to experiential or control group
- Ability to attend scheduled exercise and testing sessions
Exclusion Criteria:
- Regular exercise of any kind over the past 3 months (>1dpw).
- Secondary osteoarthritis (traumatic or post-surgical), rheumatic disease, gouty or septic arthritis, Paget's disease, pseudogout, major congenital abnormalities, hemochromatosis, Wilson's disease and other rare forms of arthritis
- Joint injury, injection or surgery within the past 6 months or knee joint replacement
- Contraindications to MRI/Exercise
Contacts and Locations| Australia, New South Wales | |
| University of Sydney | |
| Sydney, New South Wales, Australia, 2140 | |
| Principal Investigator: | Benedicte Vanwanseele, PhD | University of Sydney |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00465660 History of Changes |
| Other Study ID Numbers: | ACTRN012605000116628 |
| Study First Received: | April 24, 2007 |
| Last Updated: | April 24, 2007 |
| Health Authority: | Australia: Human Research Ethics Committee |
Keywords provided by University of Sydney:
|
Osteoarthritis Cartilage Exercise Progressive Resistance Training |
Additional relevant MeSH terms:
|
Osteoarthritis Arthritis Joint Diseases Musculoskeletal Diseases Rheumatic Diseases |
ClinicalTrials.gov processed this record on May 22, 2013