@article{ref1,
title="Intensive gait training for older adults with symptomatic knee osteoarthritis",
journal="American journal of physical medicine and rehabilitation",
year="2015",
author="Segal, Neil A. and Glass, Natalie A. and Teran-Yengle, Patricia and Singh, Bhupinder and Wallace, Robert B. and Yack, H. John",
volume="94",
number="10 Suppl 1",
pages="848-858",
abstract="OBJECTIVE: The objective of this study was to determine whether individualized gait training is more effective than usual care for reducing mobility disability and pain in individuals with symptomatic knee osteoarthritis. <br><br>DESIGN: Adults aged 60 yrs or older with symptomatic knee osteoarthritis and mobility limitations were randomized to physical therapist-directed gait training on an instrumented treadmill, with biofeedback individualized to optimize knee movements, biweekly for 3 mos or usual care (control). Mobility disability was defined using Late Life Function and Disability Index Basic Lower Limb Function score (primary); mobility limitations, using timed 400-m walk, chair-stand, and stair-climb tests; and symptoms, using the Knee Injury/Osteoarthritis Outcome Score at baseline, as well as at 3, 6, and 12 mos. The analyses used longitudinal mixed models. <br><br>RESULTS: There were no significant intergroup differences between the 35 gait-training (74.3% women; age, 69.7 ± 8.2 yrs) and 21 control (57.1% women; age, 68.9 ± 6.5 yrs) participants at baseline. At 3 mos, the gait-training participants had greater improvement in mobility disability (4.3 ± 1.7; P = 0.0162) and symptoms (8.6 ± 4.1; P = 0.0420). However, there were no intergroup differences detected for pain, 400-m walk, chair-stand, or stair-climb times at 3 mos or for any outcomes at 6 or 12 mos. <br><br>CONCLUSIONS: Compared with usual care, individualized gait training resulted in immediate improvements in mobility disability knee symptoms in adults with symptomatic knee osteoarthritis, but these effects were not sustained.<p /> <p>Language: en</p>",
language="en",
issn="0894-9115",
doi="10.1097/PHM.0000000000000264",
url="http://dx.doi.org/10.1097/PHM.0000000000000264"
}