- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04321655
Reduce Pain and Improve Quality of Life in Patient With Knee Osteoarthritis by Light, Sound and Brain Stimulation
Study Overview
Status
Conditions
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Vipin Saini, Ph.D
- Phone Number: +918059930160
- Email: vipinsaini31@rediffmail.com
Study Contact Backup
- Name: Asir J Samuel, MPT, Ph.D
- Phone Number: +918059930222
- Email: asirjohnsamuel@mmumullana.org
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients diagnosed with clinical chronic knee OA according to the diagnostic criteria of American College of Rheumatology (ACR) were included in the study
- Age between 45-70
- Both sex male and female
Exclusion Criteria:
- Unwillingness to participate in the study,
- Recent history (within the last 3 months) of physical therapy to the same joint,
- Recent history (within the last 3 months) of intra-articular procedure (injection and/or lavage) to the knee,
- History of knee surgery/fracture,
- Acute synovitis/arthritis including the infectious conditions,
- Presence of malignancy,
- Pregnancy
- Taking pain relief medications
- Any metal implants near the site of stimulation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: High Intensity LASER Therapy group (HILT)
Forty patients with chronic KOA in HILT group will received Class IV LASER therapy.
A Class IV LASER emits power more than 500 milliwatt (mW) .
|
The total energy will be delivered to the patient during one session will be 1,250 J through three phases of treatment.
|
EXPERIMENTAL: Ibuprofen gel phonophoresis (IGP) group
Patients with chronic KOA in ibuprofen gel phonophoresis (IGP) group will administered with continuous ultrasound set at a frequency of 1 megahertz (MHz) and an intensity of 1 W/cm2 was applied on a circular basis.
|
Continuous ultrasound set at a frequency of 1 MHz and an intensity of 1 W/cm2 was applied on a circular basis.
(8 min/ one session each day for 3 days/week for 8 weeks).
|
EXPERIMENTAL: Transcranial direct current stimulation (tDCS) group
Fourty patients with chronic KOA will receive structured tDCS (MA-tDCS, Walnut-Medical, Johnstown, PA) treatment.
Two pair of sponge electrodes soaked with saline and fixed to head with elastic bands.
The transcranial direct current stimulation will be applied by a constant current device with an intensity of 2mA
|
Anode electrode -C3/C4 (contralateral side of the most affected knee), Cathode electrode- contralateral supraorbital area.
(2 mA intensity for 20 minutes, one session/day for 3 days/week for 8 weeks)
|
ACTIVE_COMPARATOR: Conventional physiotherapy group (CPT)
Individual with chronic KOA will be educated on how to do the set of exercises correctly at their home during the first session.
All the groups will receive the same, standardized exercise protocol for KOA which consisted of nine exercises including muscle strengthening and flexibility training.
|
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Digitalized pain pressure algometer
Time Frame: Changes will be measured at baseline and end of 8 week intervention
|
Pain intensity will be measured using calibrated digitalized pain pressure algometer (ALGO-DS-01) in patients with KOA.
Sensor digital algometer is force gauge with computer size which is highly accurate.
The ALGO-DS-01 is chosen for the assessment of pain for Mechanical sacroiliac joint dysfunction, which is a reliable and valid tool for assessing sacroiliac joint dysfunction.
The inter rater reliability of pressure pain algometer was demonstrated to be moderate to good reliability with interclass correlation coefficient (ICC) of (0.62-0.84)
|
Changes will be measured at baseline and end of 8 week intervention
|
Western Ontario and Mc Master Universities Osteoarthritis Index
Time Frame: Changes will be measured at baseline and end of 8 week intervention
|
The Western Ontario and Mc Master Universities Osteoarthritis Index (WOMAC) will be was used to evaluate the disease-specific self-reported symptoms of OA.48
This form is comprised of 24 questions in three categories including pain (5 questions), stiffness (2 questions), and physical function (17 questions).
These 24 items are presented in a five-point Likert (0-4) scale, where higher scores indicate the higher intensity of the related symptom.
The minimal clinical important difference of WOMAC at 2 month of intervention is found to be, 14.1 The WOMAC measures five items for pain (score range 0-20), two for stiffness (score range 0-8), and 17 for functional limitation (score range 0-68).
Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations.
|
Changes will be measured at baseline and end of 8 week intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
36-Item Short Form Health Survey
Time Frame: Changes will be measured at baseline and end of 8 week intervention
|
The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life (QoL). The SF-36 measures eight scales: physical functioning (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional (RE), and mental health (MH). There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS). SF-36 is used to assess QoL in patient with KOA. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability. |
Changes will be measured at baseline and end of 8 week intervention
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Adarsh K Srivastav, MPT, Maharishi Markandeshwar Medical College and Hospital
- Study Chair: Asir J Samuel, MPT, Ph.D, Maharishi Markandeshwar Medical College and Hospital
- Study Director: Vipin Saini, Ph.D, Maharishi Markandeshwar Medical College and Hospital
Publications and helpful links
General Publications
- Chang WJ, Bennell KL, Hodges PW, Hinman RS, Young CL, Buscemi V, Liston MB, Schabrun SM. Addition of transcranial direct current stimulation to quadriceps strengthening exercise in knee osteoarthritis: A pilot randomised controlled trial. PLoS One. 2017 Jun 30;12(6):e0180328. doi: 10.1371/journal.pone.0180328. eCollection 2017.
- Stiglic-Rogoznica N, Stamenkovic D, Frlan-Vrgoc L, Avancini-Dobrovic V, Vrbanic TS. Analgesic effect of high intensity laser therapy in knee osteoarthritis. Coll Antropol. 2011 Sep;35 Suppl 2:183-5.
- Coskun Benlidayi I, Gokcen N, Basaran S. Comparative short-term effectiveness of ibuprofen gel and cream phonophoresis in patients with knee osteoarthritis. Rheumatol Int. 2018 Oct;38(10):1927-1932. doi: 10.1007/s00296-018-4099-9. Epub 2018 Jul 12.
- Srivastav AK, Sharma N, Samuel AJ. tDCS combined with cognitive training in a patient with chronic traumatic head injury. Neurophysiol Clin. 2020 Apr;50(2):133-134. doi: 10.1016/j.neucli.2020.02.004. Epub 2020 Mar 5. No abstract available.
Study record dates
Study Major Dates
Study Start (ANTICIPATED)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Joint Diseases
- Musculoskeletal Diseases
- Rheumatic Diseases
- Arthritis
- Osteoarthritis
- Osteoarthritis, Knee
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Cyclooxygenase Inhibitors
- Ibuprofen
Other Study ID Numbers
- MMDU/IEC/110P
- U1111-1248-7814 (OTHER: Universal Trial Number (UTN) by WHO ICTRP)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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