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.
調査の概要
詳細な説明
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.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Jakub Sawicki, MSc
- 電話番号：4229 514-288-8201
- メール：jakub.sawicki.chum@ssss.gouv.qc.ca
研究連絡先のバックアップ
- 名前：Tomas Gagnon, MSc, PT
- 電話番号：514-974-9702
- メール：tomas.gagnon.vmed@ssss.gouv.qc.ca
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：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 |
|
実験的：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 |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
PROM changes
時間枠：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)
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
AROM changes
時間枠：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
時間枠：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
時間枠：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)
|
協力者と研究者
捜査官
- 主任研究者：Bernadette Nedelec, PhD, OT(c)、Centre hospitalier de l'Université de Montréal (CHUM)
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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