- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00455182
Acupuncture for Pain Management After Hip or Knee Arthroplasty
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The postoperative acute pain of hip or knee arthroplasty can decrease early postoperative rehabilitation if uncontrolled. This pain is commonly managed with medications, which can be associated with a variety of side effects, including sedation, confusion, and falls. These side effects are particularly common among the elderly, who undergo the majority of these procedures. Adding non-pharmacologic therapies for pain management that can decrease the use of medication during the early post-operative period following hip or knee arthroplasty would be beneficial to patient recovery.
According to the National Institutes of Health (NIH) Consensus Statement, acupuncture has shown promising results in some medical situations, such as the management of post-operative and chemotherapy induced nausea and vomiting, as well as in post-operative dental pain. While a recent study funded by the NIH National Center for Complementary and Alternative Medicine showed that acupuncture provides pain relief and improves function for people with osteoarthritis of the knee, studies involving acupuncture and arthroplasty are few.
Two recent studies in which acupuncture was used in patients who underwent arthroplasty showed mixed results. In a study of ear acupuncture for pain relief in hip arthroplasty, there was decreased use of pain medication in those receiving acupuncture; however, the pain intensity rating was the same in both the acupuncture and sham acupuncture control groups (Usichenko TI, Pain, 2005). In a study that involved a longer duration of acupuncture therapy following total knee arthroplasty, patients who were treated with acupuncture in addition to standard physiotherapy showed no difference in pain, stiffness, or function at the end of six weeks when compared to patients who received standard physiotherapy(van Arendonk N, Physiotherapy, 2004-Abstract only). Further studies are needed to assess the efficacy of acupuncture in the post-operative pain management of patients who have undergone hip or knee arthroplasty.
The purpose of this pilot study is to test the feasibility of conducting such a study in order to competitively apply for funding for a full clinical trial.
This study is a randomized, single-blind, controlled trial with acupuncture in the immediate post-operative period versus sham acupuncture or standard medical care at HealthEast Woodwinds Hospital in Woodbury, Minnesota. Ninety (90) patients scheduled for elective hip or knee arthroplasty will be recruited from Woodwinds Hospital and randomized to one of the three treatment groups in a 1:1:1 ratio (30 patients in each group). Patients in the acupuncture or sham acupuncture group will receive one treatment on postoperative day 1. Pain medication use will be recorded and pain intensity will be assessed using the Visual Analog Scale.
Study Type
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Minnesota
-
Woodbury, Minnesota, United States, 55125
- HealthEast Woodwinds Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18-80 years old
- Undergoing total hip or total knee arthroplasty
- Spinal anesthesia during surgery
Exclusion Criteria:
- Arthroplasty of contralateral limb within the past three months
- Medical condition, in judgement of examiner, that may preclude safe participation in protocol or prevents completion of the study
- General anesthesia
- Use of any investigational drug in the past 30 days
- Has received acupuncture in the past
- Currently participating in another interventional study
- Unwilling to be randomized
- Patients who request Healing Touch, another form of alternative treatment that is offered at Woodwinds Hospital.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: 1
Standard medical care
|
Standard medical care at Woodwinds Hospital includes guided imagery, essential oils and massage.
|
Experimental: 2
Acupuncture
|
Standard medical care plus a single true acupuncture treatment.The needles are strategically inserted into the scalp, trunk, arms or legs (not near the surgical site) and manipulated.
The needles are withdrawn between 5 minutes and 30 minutes after insertion.
|
Sham Comparator: 3
Sham acupuncture
|
Standard medical care plus sham acupuncture.
A single treatment, using a maximum of 9 sham needles, which adhere to the skin but do not penetrate it.
The sham needles are strategically placed on the scalp, trunk, arms or legs (not near the surgical site)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Pain intensity as measured by the Visual Analog Scale
Time Frame: Before and immediately following treatment
|
Before and immediately following treatment
|
Pain medication use
Time Frame: before and after treatment
|
before and after treatment
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Cost of pain treatment
Time Frame: Annually
|
Annually
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Daniel Hoeffel, M.D., Summit Orthopedics
Publications and helpful links
General Publications
- N van Arendonk. Does the inclusion of acupuncture improve pain and functional outcome following total knee arthroplasty? Physiotherapy 90:168, 2004.
- Gilbertson B, Wenner K, Russell LC. Acupuncture and arthroscopic acromioplasty. J Orthop Res. 2003 Jul;21(4):752-8. doi: 10.1016/S0736-0266(03)00028-7.
- Usichenko TI, Dinse M, Hermsen M, Witstruck T, Pavlovic D, Lehmann C. Auricular acupuncture for pain relief after total hip arthroplasty - a randomized controlled study. Pain. 2005 Apr;114(3):320-327. doi: 10.1016/j.pain.2004.08.021.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- HE 06 10 007
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Pain
-
University Hospital Schleswig-HolsteinZealand University Hospital; European Regional Development Fund; Design School...CompletedPain, Acute | Pain, Chronic | Pain Measurement | Pain, CancerGermany
-
Flowonix MedicalApproved for marketingBack Pain | Leg Pain | Trunk Pain | Intractable Pain | Arm Pain
-
Dow University of Health SciencesRecruitingLow Back Pain | Chronic Low-back Pain | Low Back Pain, Mechanical | Mechanical Low Back Pain | Pain, Chronic | Pain, Back | Lower Back Pain Chronic | CLBP - Chronic Low Back PainPakistan
-
Dr. Negrin University HospitalCompletedPostoperative Pain, Acute | Postoperative Pain, ChronicSpain
-
George Washington UniversityRecruitingCervical Fusion | Pain, Back | Pain, Neck | Myofacial PainUnited States
-
Universitat Jaume ICompletedPain, Acute | Pain, Chronic | OncologySpain
-
Atatürk Chest Diseases and Chest Surgery Training...RecruitingPostoperative Pain | Postoperative Pain, Acute | Postoperative Pain, Chronic | VATSTurkey
-
Janssen Research & Development, LLCCompletedPain, Radiating | Pain, Burning | Pain, Crushing | Pain, Migratory | Pain, SplittingUnited States, France, Spain, Poland, Portugal
-
Atatürk Chest Diseases and Chest Surgery Training...RecruitingPostoperative Pain | Thoracotomy | Postoperative Pain, Acute | Postoperative Pain, ChronicTurkey
-
susanne beckerSNSFCompletedLow Back Pain | Pain, Acute | Pain, ChronicSwitzerland
Clinical Trials on Standard medical care
-
University Hospital, MontpellierCompletedPrimary Lymphedema Secondary LymphedemaFrance
-
South London and Maudsley NHS Foundation TrustSpecial Trustees for St Thomas' and Guy's HospitalsUnknown
-
Rutgers, The State University of New JerseyNational Cancer Institute (NCI)TerminatedPancreatic Cancer | Malnutrition | Lung Cancer | Prostate Cancer | Weight ChangesUnited States
-
The First Hospital of Jilin UniversityNot yet recruiting
-
Dalin Tzu Chi General HospitalCompleted
-
University Hospital TuebingenCoordination Centre for Clinical trials (KKS), 69120 Heidelberg, Germany; European... and other collaboratorsTerminatedAcute Ischemic StrokeBelgium, Germany, Finland, France, Spain
-
Chantal Berna RenellaUniversity of Lausanne HospitalsRecruiting
-
VA Connecticut Healthcare SystemDonaghue Medical Research FoundationCompletedDiabetic Neuropathy
-
University of AlbertaTerminated
-
Enrique LeiraRecruitingAcute StrokeUnited States