ClinicalTrials.gg
Not yet recruitingNCT07537114Updated Oct 26, 2026

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

An interventional study of Rhythmic Auditory Stimulation with music and Rhythmic Auditory Stimulation with metronome in Knee Osteoarthritis, sponsored by Boston University Charles River Campus. Not yet recruiting. Open to participants aged 50 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by Boston University Charles River Campus · Not applicable, Interventional, and Basic science

Updated Oct 26, 2026Primary completion movedStudy completion moved+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
50 Years to 85 Years
Sex
All
01

Study summary

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.

Read the detailed description

Participants with knee osteoarthritis (OA) will complete two study visits. Both visits will include three walking tasks, which are walking without music or metronome, walking to metronome, and walking with music. During the first visit, participants will alternate between three walking tasks and walk for 7 minutes, for a total of 3 trials. Participants muscle activity, brain activity, and movements will be recorded during these walking trials. During the second visit, participant will perform each walking task for 25 minutes, with rest in between. Participants muscle activity and movements will be recorded during these tasks. Participant's pressure pain threshold will be recorded at the beginning and after each task.

02

Conditions studied

  • Knee Osteoarthritis

Keywords

  • music
  • rhythmic auditory stimulation
  • knee pain
03

In context

Osteoarthritis, Knee

3,292 studies on the registry are indexed under Osteoarthritis, Knee; 623 are open to participants now.

This study's planned enrollment of 20 is below the median of 68 across 2,714 interventional studies indexed under Osteoarthritis, Knee.

Browse Osteoarthritis, Knee studies →

Lead sponsor

Boston University Charles River Campus is the lead sponsor of 159 studies on the registry; 33 are open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 9 (64%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 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
  • Average overall knee pain severity of ≥= 4 on a 11-point numeric rating scale during previous week
  • ≤ 40
  • Able to communicate using English at a level to understand the study procedures and

Exclusion criteria

Exclusion Criteria:

  • 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
  • Other health conditions that impact motor functioning or prevent participation (e.g., stroke, Parkinson's disease, Alzheimer's disease, Multiple Sclerosis, diabetic neuropathy, etc.)
  • or hyaluronic acid injections in either knee in the previous 3 months
  • Pregnancy (self-report)
  • Suspected or known drugs or alcohol abuse
  • (MMSE) score \< 24
  • Hearing impairments
  • Pain in lower back or legs that is greater than knee pain
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Rhythmic auditory stimulation during walking

    All participants will be exposed to different walking conditions including music, metronome, and no music or metronome

    Behavioral: Rhythmic Auditory Stimulation with music · Behavioral: Rhythmic Auditory Stimulation with metronome · Behavioral: Control

Interventions

  • BehavioralRhythmic Auditory Stimulation with music

    Walking to Rhythmic Auditory Stimulation with music

  • BehavioralRhythmic Auditory Stimulation with metronome

    Walking to Rhythmic Auditory Stimulation with metronome

  • BehavioralControl

    Walking to no music or metronome

06

What researchers measure

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

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — Requests will be considered on an individual basis

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for May 2027, 6 months later.

Of 1,111 non-industry interventional studies with no phase under Osteoarthritis, Knee, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 36. This study's planned 6 months is below that.

Counting every sponsor, half of 1,251 studies reached it within 18 months; a quarter within 8 and three quarters within 36.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 26, 2026: primary completion Jun 2027 → May 2027 and completion Jul 2027 → Jun 2027.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Apr 6, 2026
First posted
Apr 17, 2026
StartEst.
Nov 2026
Primary completionEst.
May 2027was Jun 2027
CompletionEst.
Jun 2027was Jul 2027
Last update
Oct 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Primary completion
Jun 2027→May 2027
Oct 26, 2026
Study completion
Jul 2027→Jun 2027
Oct 26, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • EditedmedialMedial quadriceps - medial hamstrings muscle coactivationTime frame: Baseline
Oct 26, 2026
Secondary outcomes
3 edited, 1 description edited
What changed in the outcomes
  • EditedlateralLateral quadriceps- lateral hamstrings muscle coactivationTime frame: Baseline
  • EditedlateralLateral quadriceps - lateral gastrocnemius muscle coactivationTime frame: Baseline
  • Editedother outcomephysicalPhysical activity enjoymentTime frame: Baseline
  • Descriptionother outcomeAuditory-motor synchronization: how it is measured was reworded
Oct 26, 2026
Show all 1 update
  1. Oct 26, 2026
    Primary completion Jun 2027→May 2027
    Study completion Jul 2027→Jun 2027
    Primary outcomes 1 edited
    What changed in the outcomes
    • EditedmedialMedial quadriceps - medial hamstrings muscle coactivationTime frame: Baseline
    Secondary outcomes 3 edited, 1 description edited
    What changed in the outcomes
    • EditedlateralLateral quadriceps- lateral hamstrings muscle coactivationTime frame: Baseline
    • EditedlateralLateral quadriceps - lateral gastrocnemius muscle coactivationTime frame: Baseline
    • Editedother outcomephysicalPhysical activity enjoymentTime frame: Baseline
    • Descriptionother outcomeAuditory-motor synchronization: how it is measured was reworded
    + 3 other changes: responsible party, description and arm descriptions

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07537114
Responsible party
Deepak Kumar (Associate Professor, Boston University Charles River Campus) — Principal investigator
First posted
Apr 17, 2026
Start date
Nov 2026 (estimated)
Primary completion
May 2027 (estimated)
Completion
Jun 2027 (estimated)
Last update
Oct 26, 2026

Study contacts

Deepak Kumar, PT, PhD
Contact
kumard@bu.edu
617-358-3037
Yiwen Yang, DPT
Contact
ywyang@bu.edu
Deepak Kumar, PT, PhD
principal investigator · Boston University Charles River Campus

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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