Running for Knee Arthritis

(GORUN Trial)

NK
Overseen ByNatasha Krowchuk, BSc
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of British Columbia
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether running is safe and beneficial for people with knee osteoarthritis (OA), a condition that causes knee pain. It compares new runners with knee OA to healthy individuals who also start running. The main goal is to assess how running affects knee health and overall well-being. Individuals who have experienced knee pain for the past three months and are new to running might be suitable candidates for this study. As an unphased trial, this study provides a unique opportunity to contribute to understanding the impact of running on knee health and overall well-being.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that running is safe for individuals with knee osteoarthritis?

Research shows that running might not harm people with knee osteoarthritis (OA). Studies have found that running does not worsen symptoms or damage the knee's structure in those with knee OA. For example, a 2022 review of 24 studies found no significant harm to knee cartilage (the smooth tissue at the ends of bones) from running. Additionally, other research found that running did not increase the risk of developing knee OA or worsen existing symptoms.

In fact, some studies suggest that running might help protect the knees. Researchers have noticed that running could lower the risk of hip and knee problems over time. This is encouraging news for those with knee OA who are interested in including running in their exercise routine.12345

Why are researchers excited about this trial?

Researchers are excited about the Running for Knee Arthritis trial because it explores the novel idea that running, typically thought to worsen knee pain, might actually benefit individuals with knee osteoarthritis. Unlike standard treatments like pain relievers or physical therapy, this approach investigates whether engaging in a structured running program can improve joint health and reduce pain. The trial aims to challenge existing beliefs and potentially offer a simple, low-cost alternative that empowers individuals to manage their condition through an active lifestyle.

What evidence suggests that running might be an effective treatment for knee osteoarthritis?

Research has shown that running does not worsen knee osteoarthritis (OA) symptoms or cause additional joint damage. In fact, studies suggest that running might protect against knee pain and does not increase arthritis risk. The largest survey of marathon runners found no link between running frequency and arthritis development. Additionally, people who run moderate distances have similar rates of knee OA as non-runners, indicating that running is not harmful. This trial will compare a running program intervention between two groups: individuals with knee osteoarthritis and healthy controls without knee pain. These findings contribute to the growing evidence that running is safe for people with knee OA.12678

Who Is on the Research Team?

MH

Michael Hunt, PT, PhD

Principal Investigator

The University of British Columbia

Are You a Good Fit for This Trial?

This trial is for adults who are new to running (less than 6 months experience or not yet started), can use a treadmill for at least 30 minutes, and either have knee osteoarthritis with frequent pain or healthy knees. People with metal implants, recent surgery, certain health conditions, pregnancy, or inflammatory arthritis cannot join.

Inclusion Criteria

My knees have been pain-free for at least 3 months and my knee x-rays show no osteoarthritis.
Participants have been running consistently for no more than six months at the time of enrollment, with a cumulative weekly volume of less than 5 kilometers OR have yet to take up recreational running consistently
Participants are comfortable running and walking on a treadmill for at least 30 minutes
See 1 more

Exclusion Criteria

Participants have metallic implants (including pace makers, brain aneurysm clips, stents, cochlear implants, artificial heart valves, and prostheses)
I do not have any health issues, besides knee OA, that limit my ability to move normally.
I have had surgery or gotten a tattoo in the last 6 weeks.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Initial assessments including MRI and KOOS evaluations are conducted

1 week
1 visit (in-person)

Treatment

Participants engage in a running program intervention

6 months
Regular check-ins (frequency not specified)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Running

Trial Overview

The study tests how gradually increasing running distance affects knee joint health in people new to running—both those with and without knee osteoarthritis. Participants follow a structured program that slowly increases their weekly running volume.

How Is the Trial Designed?

2

Treatment groups

Active Control

Group I: Healthy controlActive Control1 Intervention
Group II: Knee osteoarthritis groupActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of British Columbia

Lead Sponsor

Trials
1,506
Recruited
2,528,000+

Citations

Effects of Running on the Development of Knee Osteoarthritis

In the short term, running is not associated with worsening PROs or radiological signs of knee OA and may be protective against generalized knee pain.

Does Running Increase the Risk of Hip and Knee Arthritis? A ...

Running does not increase symptoms or structural progression in people with knee osteoarthritis: data from the osteoarthritis initiative.

Effects of Running on the Development of Knee Osteoarthritis

Background: Some studies have suggested that running increases the risk of knee osteoarthritis (OA), while others believe it serves a protective function.

New Study Demonstrates that Running Does Not Increase ...

Results from the largest survey of marathon runners ever conducted showed no association between cumulative running history and the risk for arthritis.

Prevalence and impact of knee osteoarthritis in runners

Within the group of participants that had clinical knee OA following the NICE guideline, 5.1% was recovered and 35% was not-recovered from their knee injury (p< ...

Is running good or bad for your knees? A systematic review ...

One third of studies were low risk of bias. Knee cartilage thickness and volume decreased immediately after running, with declines ranging from 3.3% (95% ...

Does running cause arthritis?

A 2022 analysis of 24 studies found no evidence of significant harm to the cartilage lining the knee joints on MRIs taken just after running. A ...

Is it safe to run if you have knee osteoarthritis?

With the use of MRI, this study evaluate the effects of running on the knee joint and knee cartilage for people with osteoarthrits.