- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02917356
The Effect of "Laying on of Hands" in Older Women With Knee Osteoarthritis
September 26, 2016 updated by: Giancarlo Lucchetti, Federal University of Juiz de Fora
The Effect of Laying on of Hands on the Pain, Joint Stiffness and Functional Capacity of Older Women With Knee Osteoarthritis: A Randomized Controlled Trial
Osteoarthritis (OA) is the most common form of chronic degenerative joint disease, as well as the main cause of pain and disability in older persons worldwide.
The limited results of physical therapy in OA makes OA patients potential candidates for complementary therapies, such as laying on of hands.
The present study aims to investigate the effect of Laying on of Hands on the Pain, Joint Stiffness and Functional Capacity of Elderly Women With Knee Osteoarthritis.
This is a randomized controlled trial with three allocation groups: spiritual laying on of hands ("passe espiríta" - Spiritist passe/spiritual healing) (SP), non-spiritual laying on of hands (LH) and Control Group without laying on of hands (CG).
All subjects will participate in a 45-minute kinesiotherapy program.
After that, groups will be directed to the 5-minute session of laying on of hands according to their groups.
During the application of SP, LH and CG, the subjects will remain in a sitting position, blindfolded with dark goggles, and receive the following verbal command: "Relax and calm your mind."
The intervention will happen twice a week for eight weeks and a blinded physical therapist will assess the pre and post scores of pain, functionality, joint stiffness (through WOMAC and visual analogic scale), anxiety and depression (HADS), religiosity (DUREL) and spirituality (FACIT Sp12) and quality of life (WHOQOL-Bref), among other secondary outcomes.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
Osteoarthritis (OA) is the most common form of chronic degenerative joint disease, as well as the main cause of pain and disability in older persons worldwide.
The limited results of the medical and physical therapy approach in the OA treatment make patients with such disorder into possible candidates for complementary and alternative therapies (CAT) aiming to obtain a relieve in their symptoms.
Given the importance of providing alternative scientific evidence-based, painless and low cost treatments, it is necessary to carry out studies in order to investigate the impact of CAT in culturally accepted contexts, such as laying on of hands with spiritual or non-spiritual contexts.
The present study aims to investigate the effect of Laying on of Hands on the Pain, Joint Stiffness and Functional Capacity of Elderly Women With Knee Osteoarthritis.
This is a randomized controlled trial with three allocation groups: spiritual laying on of hands ("passe espiríta" - Spiritist passe/spiritual healing) (SP), non-spiritual laying on of hands (LH) and Control Group without laying on of hands (CG).
All subjects will participate in a 45-minute kinesiotherapy program.
After that, groups will be directed to the 5-minute session of laying on of hands according to their groups.
During the application of SP, LH and CG, the subjects will remain in a sitting position, blindfolded with dark goggles, and receive the following verbal command: "Relax and calm your mind."
The intervention will happen twice a week for eight weeks and a blinded physical therapist will assess the pre and post scores of pain, functionality, joint stiffness (through WOMAC and visual analogic scale), anxiety and depression (HADS), religiosity (DUREL) and spirituality (FACIT Sp12) and quality of life (WHOQOL-Bref), among other secondary outcomes.
Study Type
Interventional
Enrollment (Anticipated)
105
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Katy A Zacaron, MSc
- Phone Number: 55 (33) 99153-5366
- Email: katy.andrade.3@gmail.com
Study Contact Backup
- Name: Giancarlo Lucchetti, MD, PhD
- Phone Number: 55 (32) 2102-3841
- Email: gian.tln@terra.com.br
Study Locations
-
-
Minas Gerais
-
Juiz de Fora, Minas Gerais, Brazil
- Recruiting
- Juiz de Fora Department of elderly affairs
-
Contact:
- Katy A Zacaron, MSc
- Phone Number: 55 (32) 3031-0656
- Email: katy.andrade.3@gmail.com
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
60 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Clinically and radiographically diagnosed with OA in both knees, according to the criteria set by the American College of Rheumatology
- Knee OA grade II or III, according to the criteria by Kellgren and Lawrence
- Moderate to very severe pain, according to the Western Ontario and McMaster Universities (WOMAC) pain subscale) (score between 10 and 20)
- Using stable doses of analgesics and NSAIDs during the intervention;
- Do not perform physical therapy or other complementary therapies with laying on of hands different from those proposed in the current study;
- Being able to travel to the rehabilitation site;
- Being able to read, understand and speak Portuguese;
- Preserved cognition
Exclusion Criteria:
- Having made use of oral or intra-articular corticosteroids for at least 3 months before the intervention;
- Having made use of intra-articular hyaluronate for at least three months before the intervention;
- Having full or partial prosthetic hips and/or knees;
- Presenting neurological diseases or other rheumatic diseases;
- Presenting medical contraindications to perform light to moderate physical activity;
- Being absent for two consecutive or three non-consecutive times.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Spiritual laying on of hands group
|
The SP will be applied after physical therapy (kinesiotherapy).
Spiritual healers from Spiritism will perform the SP.
In order to produce a culturally acceptable environment, the Spiritist therapists will 'prepare' the environment by praying for 5 minutes.
The Spiritist therapists will hold both hands 10-15 cm above the patients' head.
Then, they will longitudinally lower their hands starting from the patients' head towards their legs, for four times.
Subsequently, the therapists shall lay their hands on patients' head and on their knees.
The therapists will remain silent during these procedures and try to 'heal' the patients.
The subjects will remain in a seated position, blindfolded with dark-blinded goggles, and will receive the following verbal command: "Relax and calm your mind."
Other Names:
|
Active Comparator: Non-spiritual Laying on of Hands group
|
The non-spiritual laying on of hands will be applied after physical therapy (kinesiotherapy), for 5 minutes, without touching the patients and without 'preparing' the environment.
They will hold their hands 10-15 cm above patient's head and will focus on healing the patients.
They will visualize the following sentence: "I want you to heal"; without saying prayers or invocations.
The subjects will remain in a seated position, blindfolded with dark-blinded goggles, and will receive the following verbal command: "Relax and calm your mind."
|
Sham Comparator: Control Group (CG)
|
The patients will be subjected to physical therapy (kinesiotherapy), only.
However, they will be accompanied by people who will stay in the room and move slowly and randomly in order to sham the presence of someone performing the laying on of hands.
However, they will not perform the laying on of hands.
These people will not focus on healing the patients and they will be asked to mentally count 5 minutes while they are with the patients.
The subjects will remain in a seated position, blindfolded with dark-blinded goggles, and will receive the following verbal command: "Relax and calm your mind."
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change from baseline in pain on the WOMAC scale
Time Frame: At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
Change from baseline in joint stiffness on the WOMAC scale
Time Frame: At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
Change from baseline in functional capacity on the WOMAC scale
Time Frame: At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
Change from baseline in pain on the visual analog scale
Time Frame: At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Changes in depressive and anxiety symptoms on the HADS scale
Time Frame: At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
Changes in Quality of life on the WHOQOL-Bref scale
Time Frame: At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
Change from baseline in spirituality on the FACIT Sp12
Time Frame: At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
Change from baseline in mobility through the "Timed Up and Go" test
Time Frame: At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
At the beginning, after 8 weeks (end of intervention) and after 16 weeks.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Katy A Zacaron, MSc, Federal University of Juiz de Fora
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
August 1, 2016
Primary Completion (Anticipated)
April 1, 2018
Study Completion (Anticipated)
March 1, 2020
Study Registration Dates
First Submitted
September 25, 2016
First Submitted That Met QC Criteria
September 26, 2016
First Posted (Estimate)
September 28, 2016
Study Record Updates
Last Update Posted (Estimate)
September 28, 2016
Last Update Submitted That Met QC Criteria
September 26, 2016
Last Verified
September 1, 2016
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CAAE52623115.0.0000.5147
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
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.
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