- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04185064
Cryopneumatic Device After Shoulder Surgeries
January 31, 2024 updated by: Encore Research Inc.
Randomized-Controlled Trial and Evaluation Cohort Study of Patients Using a Cryopneumatic Device After Open or Arthroscopic Shoulder Surgeries
This study randomize patients to receive either a cryopneumatic device or standard care (ice and ice packs) following open or arthroscopic shoulder surgeries.
The primary objective is to determine the impact of the cryopneumatic device on post-surgery pain management, while secondary objectives are to detemine the effect on pain, patient eperience, quality of life, narcotic consumption and time to stop narcotic usage.
Patients who do not wish to participate in the randomized portion of the trial will be invited to participate in an observational cohort who will all receive the cryopneumatic device.
Patients who wish to enter this cohort will not have the device provided to them for free, and will either use their insurance or pay for the device, in order to determine if patients who pay demonstrate different outcomes from the patients receiving the device for free in the RCT.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
200
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: Steven Phillips
- Phone Number: (289) 337-5717
- Email: steve.phillips@myorthoevidence.com
Study Locations
-
-
Ontario
-
Brantford, Ontario, Canada
- Brantford General Hospital
-
Cambridge, Ontario, Canada, L8P 4W3
- Cambridge Memorial Hospital
-
Georgetown, Ontario, Canada, L8P 4W3
- Georgetown Hospital
-
Hamilton, Ontario, Canada
- St. Joseph's Hospital
-
Oakville, Ontario, Canada
- Oakville Trafalgar Hospital
-
-
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
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- men or women aged 18 years and older;
- undergoing a unilateral primary or revision shoulder surgery (total shoulder replacement or arthroscopic surgery [rotator cuff repair, subacromial decompression, Bankart repair, Latarjet repair, debridement]).
Exclusion Criteria:
- patients undergoing bilateral surgery;
- patients who are pregnant or nursing;
- patients that do not believe they can comply with the study protocol;
- patients generally unfit for surgery;
- patients with specific treatment preferences;
- patients who are unable to complete questionnaires due to language barriers, decreased mental capacity, neuro-psychological problems;
- social factors precluding follow-up; 8) inability or unwillingness to provide informed consent.
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 Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cryopnematic Device (Randomized Component)
Game Ready shoulder wrap is applied in operating room and used in recovery room for 45 mins to 1 hour.
Postop Day 1 and 2: the unit will be applied by the patient or a health care provider; as cold as comfortable (34°F; adjustable to 50°F); low compression setting; 30 min on:60 min off (use the pre-set auto program); use throughout the day; use at night as needed.
Postop day 3-14 and onwards: 30 min on:60 min off (use the pre-set auto program); medium compression; as cold as comfortable (34°F; adjustable to 50°F); use minimum of twice/day.
This will be combined with pain management medications, range of motion, and positioning exercises.
|
the Game Ready ATX shoulder wrap that is anatomically engineered for the shoulder joint.
The wrap is connected to the Game Ready GRPro 2.1 system enabling the integrated delivery of continuous cold and intermittent pneumatic compression therapy to the shoulder joint and surrounding soft tissues.
|
Active Comparator: Standard Care
Ice is applied in operating room and used in recovery room for 45 mins to 1 hour.
Postop Day 1 and 2: the ice will be applied by the patient or a health care provider; as cold as comfortable; 30 min on:60 min off; use throughout the day; use at night as needed.
Postop day 3-14 and onwards: 30 min on:60 min off; use minimum of twice/day.
The patients in the control group will receive pain management strategies as would be normally dictated by the physician/therapist.
This may include the use of ice, ice packs and compression bandages, as well as pain medications, range of motion, and positioning exercises
|
Participants will undergo post-surgical cryotherapy using the treating surgeons preferred method of cryotherapy, which can include rest, ice, and compression using standard ice packs or bag of ice, a cryocuff, or other such device.
|
Other: Cryopneumatic Device (Observational Cohort)
Game Ready® shoulder wrap is applied in the operating room and used in the recovery room for 45 mins to 1 hour.
Postop Day 1 and 2: the unit will be applied by the patient or a health care provider; as cold as comfortable (34°F; adjustable to 50°F); low compression setting; 30 min on:60 min off (use the pre-set auto program); use throughout the day; use at night as needed.
Postop day 3-14 and onwards: 30 min on:60 min off (use the pre-set auto program); medium compression; as cold as comfortable (34°F; adjustable to 50°F); use minimum of twice/day.
This will be combined with pain management medications, range of motion, and positioning exercises
|
the Game Ready ATX shoulder wrap that is anatomically engineered for the shoulder joint.
The wrap is connected to the Game Ready GRPro 2.1 system enabling the integrated delivery of continuous cold and intermittent pneumatic compression therapy to the shoulder joint and surrounding soft tissues.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Numeric Pain Rating Scale (NPRS)
Time Frame: 12 weeks
|
The NPRS measures pain severity on an 11-item scale (0 to 10).
The patients will be asked to choose a number from 0 to 10 that best describes their current pain.
0 would mean "no pain" and 10 would mean "worst possible pain".
|
12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Narcotic Consumption
Time Frame: 12 weeks
|
Narcotic usage will be measured based on the number of narcotics consumed during the study period and the time to cease narcotic use.
Details of administration will be collected and recorded on the Medication Log CRF.
|
12 weeks
|
European Quality of Life measure (EQ-5D)
Time Frame: 12 weeks
|
The European Quality of Life measure EQ-5D comprises 5 dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) which are used to calculate a health status score from 0 (worst health) to 1 (best health).
The EQ-5D also has a 0 (worst health) to 1 (best health) visual analog scale component.
|
12 weeks
|
Net Promoter Score
Time Frame: 12 weeks
|
Patient experience will be measured using the Net Promoter Score.
Patients will rate their experience on a simple 0 (worst) to 10 (best) scale.
Responses are classified into 3 groups (promotors, passives, and distractors).
The Net Promoter Score is the percentage of promoters minus the percentage of detractors.
|
12 weeks
|
Number of patients with adverse events; number of adverse events
Time Frame: 12 weeks
|
All adverse events will be monitored and recorded on the Adverse Event CRF.
|
12 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Moin Khan, FRCSC, St. Joseph's Healthcare; McMaster University
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 (Actual)
September 1, 2020
Primary Completion (Actual)
May 17, 2023
Study Completion (Actual)
May 17, 2023
Study Registration Dates
First Submitted
November 30, 2019
First Submitted That Met QC Criteria
November 30, 2019
First Posted (Actual)
December 4, 2019
Study Record Updates
Last Update Posted (Actual)
February 2, 2024
Last Update Submitted That Met QC Criteria
January 31, 2024
Last Verified
January 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- GR_001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
IPD will nto be shared.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
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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