Effects of Music During Walking on Pain and Muscle Activation in People With Chronic Pain Due to Knee Osteoarthritis

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50-85
SponsorBoston University Charles River Campus

About this trial

The purpose of this research study is to compare muscle activation, changes in pain sensitivity, and brain function, between different walking conditions, including walking to music, walking to metronome, and walking without music or metronome.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Have activity related pain

Experience morning knee stiffness ≤ 30 minutes

Knee pain on most days for 3 months or more

Able to walk at least 20 minutes with assistance

Disqualifiers

Contraindications to exercise

Joint replacement in either hip, knee, or ankle

History of other disease that may involve the index joint including inflammatory joint disease such as rheumatoid arthritis, seronegative spondyloarthropathy (eg, ankylosing spondylitis, psoriatic arthritis, inflammatory bowel disease related arthropathy), crystalline disease (eg, gout or pseudogout), lupus erythematosus, knee joint infections, Paget's disease affecting the knee, or knee joint tumors.

Previous knee osteotomy in either knee

Trial design

Design model

Single group

Treatments tested in this trial

  • Rhythmic Auditory Stimulation with music

    Behavioral

    Walking to rhythmic Auditory Stimulation with music

  • Rhythmic Auditory Stimulation with metronome

    Behavioral

    walking to rhythmic Auditory Stimulation with metronome

  • Control

    Behavioral

    Walking to no music or metronome

Treatment groups

20 Participants
are divided into 1 treatment group
Group A: Rhythmic auditory stimulation during walkingExperimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Exercise-Induced Hypoalgesia (EIH)

Change in pressure pain threshold (PPT) from baseline to after each walking task

Time frame
Baseline
2

medial quadriceps - medial hamstrings muscle coactivation

Medial quadriceps-medial hamstrings muscle co-activation in each walking task will be assessed using surface electromyography

Time frame
Baseline

Secondary outcomes

1

Medial quadriceps- medial gastrocnemius muscle coactivation

Medial quadriceps-medial gastrocnemius muscle co-activation in each walking task will be assessed using surface electromyography

Time frame
Baseline
2

lateral quadriceps- lateral hamstrings muscle coactivation

Lateral quadriceps-lateral hamstrings muscle co-activation in each walking task will be assessed using surface electromyography

Time frame
Baseline
3

lateral quadriceps - lateral gastrocnemius muscle coactivation

Lateral quadriceps-lateral gastrocnemoius muscle co-activation in each walking task will be assessed using surface electromyography

Time frame
Baseline

Other outcomes

1

Prefrontal cortex activation

Prefrontal cortex (PFC) brain activation during each walking task will be assessed using functional near-infrared spectroscopy (fNIRS)

Time frame
Baseline
2

Supplementary Motor Area activation

Supplementary Motor Area (SMA) brain activation during each walking task will be assessed using functional near-infrared spectroscopy (fNIRS)

Time frame
Baseline
3

Auditory-motor synchronization

difference between actual cadence and target cadence in each walking ask (except walking to no music or metronome)

Time frame
Baseline
4

physical activity enjoyment

Modified Physical Activity Enjoyment Scale (PACES) score after each walking task. Range is 7-49 with higher scores indicating greater enjoyment.

Time frame
Baseline

Locations

This trial has no locations.

Sponsors and contacts

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