The GREAT trial

Gait Rehabilitation in Early Arthritis Trial

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Summary

Multicentre randomised controlled trial (RCT) design where patients are individually randomised on a 1:1 allocation ratio to receive either usual care or usual care plus intervention.

The intervention is treatment sessions over 12 weeks to guide participants for undertaking a gait rehabilitation programme comprised of functional walking tasks and will include a supported home-based gait rehabilitation programme and an embedded psychological component to promote positive sustainable change.

Chief Investigator:

Prof Martijn Steultjens (Glasgow Caledonian University)

Associate Investigator:

Gordon Hendry (Glasgow Caledonian University)

Local PI – Dr Samantha Hider

Trial Manager:

Central – Lisa Jolly

Local – Sarah Bathers
Sponsor / Reference Number: Keele University
Funder / Reference Number: National Institute for Health Research – Health Technology Assessment Programme / 15/165/04
UKCRN Study Portfolio Reference Number: 38124
Registration Reference Number: ISRCTN18132064
Start Date: 31 Oct 2017
End Date:  Oct 2024

Aim and objectives

Does the addition of a specifically designed gait rehabilitation programme to standard care improve lower limb function in early rheumatoid arthritis patients? 

Objectives for main trial phase: 

  • To compare the clinical effectiveness of the addition of a new gait rehabilitation intervention to usual care versus usual care alone on lower limb function
  • To compare the cost-effectiveness of the addition of a new gait rehabilitation intervention to usual care versus usual care alone
  • To evaluate participants’ view and experiences of the usual care and gait rehabilitation interventions.
  • To evaluate intervention therapists’ (physiotherapists and podiatrists) view and experiences of the usual care and gait rehabilitation interventions and trial processes.