Aquatic Power Training - Full Text View

Sponsor:	University of Iowa
Information provided by:	University of Iowa
ClinicalTrials.gov Identifier:	NCT00904319

Purpose

Knee Osteoarthritis (OA) accounts for a significant proportion of mobility limitations and is one of the most disabling problems facing the growing population of older adults. The purpose of this research is to reduce disablement of older adults with symptomatic knee osteoarthritis.

Condition	Intervention
Knee Osteoarthritis	Other: Aquatic Power Training

Study Type:	Interventional
Study Design:	Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment
Official Title:	Optimizing Mobility in Older Adults With Knee Osteoarthritis: Aquatic Power Training

Resource links provided by NLM:

MedlinePlus related topics: Osteoarthritis

U.S. FDA Resources

Further study details as provided by University of Iowa:

Primary Outcome Measures:

400 meter walk time [ Time Frame: 0, 6, and 12 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Lower limb function (LLFDI) [ Time Frame: 0, 6, and 12 weeks ] [ Designated as safety issue: No ]
Quality of life (KOOS) [ Time Frame: 0, 6, and 12 weeks ] [ Designated as safety issue: No ]
Knee osteoarthritis pain (KOOS pain scores) [ Time Frame: 0 and 6 weeks ] [ Designated as safety issue: No ]
Vastus lateralis muscle bulk [ Time Frame: 0, 2, 6, and 12 weeks ] [ Designated as safety issue: No ]

Enrollment:	81
Study Start Date:	April 2009
Study Completion Date:	December 2009
Primary Completion Date:	December 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Aquatic Aquatic Power Training	Other: Aquatic Power Training Aquatic power training program with an exercise specialist 2/week for 6 weeks.

Detailed Description:

Aquatic based training can offer many of the same benefits associated with a land based exercises but water has certain properties that provide a more gentle and welcoming environment for exercising. Buoyancy in water counteracts gravity to support the weight of the subject and decrease the forces put on the joints. Viscosity of water can provide resistance proportional to the effort exerted and with gentle friction enhancing proprioceptive feedback. Immersing in warm water can cause an increase in body temperature due to specific heat and thermal conductivity, which can cause blood vessels to dilate. In addition, hydrostatic forces reduce edema, increasing venous return and healthy circulation. [Prins, 1999]; [Wilder, 1998]

Studies have shown that water based exercise has been proven to significantly decrease pain in people with knee osteoarthritis compared to those in a land based exercise program. [Silva, 2003] In comparing an aquatic physical therapy session to a no intervention group the aquatic program resulted in less pain, improved physical function, quality of life, and strength. [Hinman, 2007]

The purpose of this research study is to determine whether an aquatic therapy program aimed at increasing muscle power will be effective in improving knee symptoms and mobility in men and women with symptomatic knee osteoarthritis.

The purpose of this study is to assess the efficacy of aquatic power training for improving mobility limitations, disability and quality of life in older adults with symptomatic knee OA.

Hypothesis 1: In older adults with symptomatic knee OA, a 6-week aquatic power training intervention will reduce lower limb mobility limitations (400m walk time).

Hypothesis 2: In comparison to baseline measures, at 6-week follow-up, there will be improvements in a) lower limb function (LLFDI), b) quality of life (KOOS Knee QOL),c) knee OA specific pain (KOOS pain) scores, and d) vastus lateralis muscle bulk (thigh muscle). These changes will be sustained at 12 week follow-up.

Eligibility

Ages Eligible for Study:	50 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Age 50 or older
Symptomatic knee osteoarthritis (knee osteoarthritis diagnosed by the American College of Rheumatology criteria and frequent knee symptoms)

Exclusion Criteria:

bilateral knee replacement
acute or terminal illness
unstable cardiovascular condition or other medical conditions that may impair ability to participate such as pulmonary disease requiring use of supplement oxygen, or lower limb musculoskeletal surgery in the past 6 months
unwilling to be in a pool (approximately 4 feet deep)
400m walk time equal to or slower than the median for sex and decade:

M 50's 250.2 60's 289.9 70's+ 290.8

F 50's 315.9 60's 305.2 70's+ 292.5

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00904319

Locations

United States, Iowa
The University of Iowa
Iowa City, Iowa, United States, 52242

Sponsors and Collaborators

University of Iowa

Investigators

Principal Investigator:

Neil A Segal, MD, MS

The University of Iowa

More Information

No publications provided

Responsible Party:	Neil A. Segal, MD, The University of Iowa
ClinicalTrials.gov Identifier:	NCT00904319 History of Changes
Other Study ID Numbers:	200903762
Study First Received:	May 15, 2009
Last Updated:	June 24, 2010
Health Authority:	United States: Institutional Review Board

Keywords provided by University of Iowa:

osteoarthritis
knee pain
power training
rehabilitation

Additional relevant MeSH terms:

Osteoarthritis
Osteoarthritis, Knee
Arthritis

Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases

ClinicalTrials.gov processed this record on February 09, 2012