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NCT04187092: KneeBRIGHT

Knee Biofeedback Rehabilitation Interface for Game-based Home Therapy for Patients With Knee Osteoarthritis

Completed NA Results posted Last updated 21 February 2023
What this trial tests

NA trial testing KneeBright Group in Osteo Arthritis Knee in 38 participants. Completed in 28 July 2021.

Timeline
1 January 2020
Primary endpoint
28 July 2021
28 July 2021

Quick facts

Lead sponsorUniversity of Virginia
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment38
Start date1 January 2020
Primary completion28 July 2021
Estimated completion28 July 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Virginia

Who can join

Adults 40 to 75, any sex, with Osteo Arthritis Knee. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Knee Injury and Osteoarthritis Outcome Score (KOOS) Primary · KOOS scores will be measured at baseline, day 1 and at the end of intervention, at 12 weeks.

The KOOS has 5 subscales: Symptoms, Pain, Sports, Activities of Daily Living (ADL) and quality of life (QOL). Each scale is expressed on a scale from 0-100 points where 100 = best perceived knee function and 0=worst perceived knee function. The outcome of this study is expressed as a change score from pre-post treatment where positive scores indicate an improvement on each KOOS subscale.

KOOS Symptoms
GroupValue95% CI
KneeBright Group3.3-.8 – 7.4
Standard Rehabilitation Group8.94.7 – 13.2
KOOS Pain
GroupValue95% CI
KneeBright Group4.6-2.2 – 11.5
Standard Rehabilitation Group9.72.6 – 16.8
KOOS ADL
GroupValue95% CI
KneeBright Group6.4-.9 – 13.6
Standard Rehabilitation Group11.23.7 – 18.8
KOOS Sports
GroupValue95% CI
KneeBright Group8.7-1 – 18.4
Standard Rehabilitation Group16.46.4 – 26.5
KOOS QOL
GroupValue95% CI
KneeBright Group9.21.9 – 16.5
Standard Rehabilitation Group9.82.3 – 17.4
Change in Peak Torque of Thigh Muscles Strength Testing Secondary · Peak torque (muscle strength) will be measured at baseline, day 1 and at the end of intervention, at 12 weeks.

Thigh muscle strength will be measured at baseline and follow up. Participants will be asked to perform thigh muscle (quadriceps / knee extension) contractions while measures of strength using a dynamometer (biodex system 4) are recorded. Participants will be asked to perform repeated, maximal muscle contractions to test knee extension muscle strength on the test limb (unilateral test, one thigh tested on each particiant). We recorded peak torque defined as the maximal torque achieved during knee extension contractions. The outcome score is expressed as a change in peak torque from pre-post tr

Extension peak torque 90degree
GroupValue95% CI
KneeBright Group0.11-0.02 – 0.24
Standard Rehabilitation Group0.11-0.02 – 0.23
Extension peak torque 180 degree
GroupValue95% CI
KneeBright Group0.07-0.13 – 0.27
Standard Rehabilitation Group-0.06-0.25 – 0.13

Sponsor's own description

Osteoarthritis (OA) is the leading cause of disability in the United States. As osteoarthritis is associated with the lower limb muscle weakness, rehabilitation through quadriceps strengthening is a well-established treatment for patients with knee OA, but patient adherence to exercise routines is low due to lack of guidance regarding optimal protocols and lack of engagement during the repetitive routines that patients find tedious and boring. The Knee Biofeedback Rehabilitation Interface for Game-based Home Therapy ("KneeBRIGHT") system combines electromyography (EMG) biofeedback with video game therapy to provide knee OA patients with an engaging, effective tool for conducting rehabilitation exercises at home. KneeBRIGHT aims to motivate patients with knee OA to conduct regular muscle strengthening exercise through an engaging, EMG-driven video game therapy. Overall goal of the program is to improve knee OA outcomes through effective and motivating rehabilitation exercises. Participants will be randomized to two groups: (1) KneeBRIGHT group; (2) Standard rehabilitation group. Both groups will undergo baseline and follow up assessment to measure the patient-reported outcomes and thigh muscle strength. Participants in both groups will undergo a 12-week program including 3 exercise sessions per week that includes a combination of in-person and at home sessions. Pre and post intervention outcome measures will be compared to explore the effectiveness. Technology acceptance will also be studied in patients randomized to KneeBRIGHT group.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Video Game-Based Electromyographic Biofeedback Interventions in Patients With Knee Osteoarthritis: A Clinical Trial.
    Kaur M, Krepkovich E, Patrie J, Richardson N, et al · · 2026 · PMID 42046589 · DOI 10.7759/cureus.105993

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Other recruiting trials for Osteo Arthritis Knee

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing