Personalized Digital Training Intervention to Reduce Inflammation by Correcting Pathological Movement Patterns in Pre-stage Knee Osteoarthritis After Anterior Cruciate Ligament Reconstruction
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Training intervention.
- Кому может быть актуально
- Состояния в реестре: Osteoarthritis (OA) of the Knee, ACL Reconstruction. Базовые параметры: 18 лет — 50 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Германия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Personalized Digital Training Intervention to Reduce Inflammation by Correcting Pathological Movement Patterns in Pre-stage Knee Osteoarthritis (OA)
Обзор
Osteoarthritis (OA) is a condition that causes pain and stiffness in the joints, often due to injuries like torn ligaments. Even after surgery, these injuries can lead to long-term joint problems. Current treatments don\'t fully prevent OA from developing. This study is testing a new 12-week exercise program designed to improve how the knee moves, using a special sensor-based system. The goal is to reduce joint inflammation and prevent the development of OA in patients who have had knee surgery.
Вмешательства
- Поведенческое Training intervention
Personalized digital training intervention aims to correct pathological knee movement and loading patterns and reduce inflammation in pre-stage knee osteoarthritis.
Первичные конечные точки
- Primary Endpoint [Срок оценки: at 6-month follow-up visit]
Вторичные конечные точки (7)
- Secondary Endpoint: Cartilage Thickness [Срок оценки: Baseline, 6, and 36 months follow-up visits]
- Secondary Endpoint: Cartilage Volume [Срок оценки: Baseline, 6, and 36 months follow-up visits]
- Secondary Endpoint: Cartilage Composition [Срок оценки: Baseline, 6, and 36 months follow-up visits]
- Secondary Endpoint: Meniscus Position [Срок оценки: Baseline, 6, and 36 months follow-up visits]
- Secondary Endpoint: Hoffa Synovitis [Срок оценки: Baseline, 6, and 36 months follow-up visits]
- Secondary Endpoint: Effusion Synovitis [Срок оценки: Baseline, 6, and 36 months follow-up visits]
- Secondary Endpoint: Magnetic Resonance Imaging Osteoarthritis Knee Score (MOAKS) [Срок оценки: Baseline, 6, and 36 months follow-up visits]
Критерии участия
Критерии включения
- Signed written informed consent
- Adult subjects between 18 to 50 years old at the time of screening
- Primary ACL reconstruction within a maximum of 6 months after a unilateral ACL injury
- Complete baseline assessment between 8 and 12 weeks after ACL reconstruction
Критерии исключения
- Significant trauma to a weight-bearing joint within 12 months prior to study initiation (excluding the ACL injury)
- Previous surgeries on the study knee (except for the ACL reconstruction)
- Signs of knee OA as defined by the OARSI-Joint Space Narrowing (JSN) Score of two or more (standing AP x-ray)
- Physical activity level: Tegner activity score before injury of 0-2 (very low activity) or 8-10 (very high activity)
- Body mass index ≥ 30 kg/m2;
- Inflammatory arthropathies;
- Immunosuppression due to illness or medication;
- Sepsis or hemostasis disorders;
- Severe uncontrolled inflammatory disease or autoimmune disease (e.g., ulcerative colitis, Crohn's disease, etc.);
- Having malignancy and undergoing treatment including chemotherapy, radiotherapy, or immunotherapy;
- Contraindications for MRI, including pacemakers, defibrillators, metal implants, pregnancy, sensorineural hearing loss above 30 dB, tinnitus and claustrophobia
- Unable to freely give their informed consent (e.g., individuals under legal guardianship).
- Currently enrolled in or has not yet completed a period of at least 5 times as the half-life time of the drug used in the previous trial since ending other investigational device or drug trial(s)
- Patients who are dependent on the sponsor, investigator, or study site;
- Pregnant or breast-feeding women or women of childbearing potential not protected by an effective contraceptive method of birth control (defined as pearl index < 1);
- Any form of substance abuse, psychiatric disorder, or other condition that, in the opinion of the Investigator, may invalidate communication with the Investigator and/or designated study personnel;
- Patients who are committed to an institution by virtue of an order issued by either the judicial or the administrative authorities;
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Профилактика
Центры проведения
Германия · 2 центра
- Charité - Universitätsmedizin Berlin, BeMoveD - Berlin Movement Diagnostics — Berlin
- Charité - Universitätsmedizin Berlin — Berlin
Идентификаторы
NCT: NCT06596824 · PROTO-WP4 · 101095635