Effect of Paraffin Wax on Joint Contractures
Effects of Paraffin Wax Therapy on Passive Range of Motion Post-burn Injury: a Pilot Randomized Control Trial
Limited studies have objectively evaluated the benefit on skin pliability, and relieving itch and pain of paraffin wax, nor has paraffin wax treatment been compared to mineral oil, which is an ingredient in therapeutic paraffin wax. The objective of this study is to examine the immediate impact after paraffin treatment compared with mineral oil controls on joint passive range of motion.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The development of joint contractures after a burn injury represents one of the most important morbidities leading to reduced function and quality of life. Paraffin wax is commonly applied to contracted joints for its proposed benefits of increasing skin pliability, and/or relieving itch and pain. This pilot study will determine the feasibility of performing a fully powered study to objectively evaluate whether paraffin wax therapy significantly improves PROM in adult burn survivors with joint contractures of greater than 15% normal joint ROM (upper or lower extremity) compared to equivalent mineral oil treated joint contractures. This study will characterize the changes in PROM, AROM, itch, and pain in adult burn survivors immediately after the application of paraffin wax treatment relative to an intra-individual control scar treated with mineral oil. This will be a prospective, evaluator-blinded, intra-individual, randomized, controlled, pre-post pilot study.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Jakub Sawicki, MSc
- Phone Number: 4229 514-288-8201
- Email: jakub.sawicki.chum@ssss.gouv.qc.ca
Study Contact Backup
- Name: Tomas Gagnon, MSc, PT
- Phone Number: 514-974-9702
- Email: tomas.gagnon.vmed@ssss.gouv.qc.ca
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adult burn survivors (16 years and older)
- Have joint contractures ≥15% normal PROM at two different joints directly related to their burn injury/scars
- Are proficient in English and/or French
- Provide informed consent
Exclusion Criteria:
- Patients who have a cognitive/psychiatric condition that could impair their understanding of the consent process or adherence to protocol procedures
- Patients with neurological impairments related to their burn injury, such as a drop foot or a drop wrist
- Patients with pre-burn joint pathology that limited their PROM
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 |
|---|---|
|
Experimental: Joint contractures 1 wax, 2 oil
Two selectionned joint contractures on a single participant. Interventions : one joint with paraffin wax, second joint with mineral oil |
Application of Paraffin wax on joint contracture for 20 mins before removal Application of Mineral oil on joint contracture for 20 mins before removal |
|
Experimental: Joint contractures 1 oil, 2 wax
Two selectionned joint contractures on a single participant. Interventions : one joint with mineral oil, second joint with paraffin wax |
Application of Paraffin wax on joint contracture for 20 mins before removal Application of Mineral oil on joint contracture for 20 mins before removal |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
PROM changes
Time Frame: 20 minutes (enrollment to end of visit)
|
Passive range of motion of joint contractures treated with Paraffin wax or Mineral oil, before and after treatment, following regular and revised scar goniometry in extension and flexion |
20 minutes (enrollment to end of visit)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
AROM changes
Time Frame: 20 minutes (enrollment to end of visit)
|
active range of motion of joint contractures treated with paraffin wax or mineral oil, before and after treatment, following regular and revised scar goniometry in extension and flexion |
20 minutes (enrollment to end of visit)
|
|
Pain changes in joint contractures
Time Frame: 20 minutes (enrollment to end of visit)
|
Subjective pain of joint contractures treated with paraffin wax or mineral oil (before and after) with Visual analog thermometer |
20 minutes (enrollment to end of visit)
|
|
Itch changes in joint contractures
Time Frame: 20 minutes (enrollment to end of visit)
|
Subjective itch of joint contractures treated with paraffin wax or mineral oil (before and after) with Visual analog thermometer |
20 minutes (enrollment to end of visit)
|
Collaborators and Investigators
Investigators
- Principal Investigator: Bernadette Nedelec, PhD, OT(c), Centre hospitalier de l'Université de Montréal (CHUM)
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Other Study ID Numbers
- 2027-13919
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
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