Status:

COMPLETED

Tai Chi for Knee OA Pain Management: a Mechanistic Study

Lead Sponsor:

Texas Tech University Health Sciences Center

Conditions:

Knee Osteoarthritis

Mind-body Exercise

Eligibility:

FEMALE

Phase:

NA

Brief Summary

This study is to determine how 8-week Tai Chi intervention alters plasma endocannabinoid and its receptors in monocytes/marcrophages, plasma oxylipinds, plasma brain-derived neurotrophic factor, brain...

Detailed Description

Knee osteoarthritis (OA) is one of the five leading causes of disability. Previous studies have shown that a mind-body moderate-intensity Tai Chi (TC) exercise (8-24 weeks) reduced pain and improved p...

Eligibility Criteria

Inclusion

  • Postmenopausal women.
  • WOMAC pain score ≥ 50 on at least 1 of the 5 questions in pain subscale (range of 0 to 100, with higher scores indicating greater pain.
  • English literacy.
  • Able to undergo an MRI scan
  • Diagnosed Have the following symptoms associated with knee OA based on American College of Rheumatology clinical classification criteria for osteoarthritis (Peat 2006). Pain in the knee. Need to at least 3 of the following: over 50 years of age, less than 30 minutes of morning stiffness, crepitus on active motion, bony tenderness, bony enlargement, or no palpable warmth of synovium.

Exclusion

  • Prior experience with mind-body practice (e.g. TC, Qi Gong, yoga, or acupuncture) or physical therapy programs for knee OA within the past 3 months.
  • Severe medical limitations (i.e., dementia, symptomatic heart or vascular disease, or recent stroke) precluding full participation.
  • Medical/neurologic or other systemic diseases affecting the musculoskeletal systems (i.e. polio/Parkinson's/multiple sclerosis, etc. in addition to cerebral vascular accident or stroke) and diabetes with peripheral neuropathy affecting their sensory/balance.
  • Intra-articular steroid injection or reconstructive surgery on most severely affected knee in the past three months.
  • Intra-articular hyaluronic acid injections on most severely affected knee in the past six months.
  • Inability to walk without an assistive device.

Key Trial Info

Start Date :

September 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 31 2024

Estimated Enrollment :

33 Patients enrolled

Trial Details

Trial ID

NCT04046003

Start Date

September 1 2019

End Date

August 31 2024

Last Update

March 28 2025

Active Locations (1)

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Texas Tech University Health Sciences Center

Lubbock, Texas, United States, 79430