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.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Jakub Sawicki, MSc
- Telefoonnummer: 4229 514-288-8201
- E-mail: jakub.sawicki.chum@ssss.gouv.qc.ca
Studie Contact Back-up
- Naam: Tomas Gagnon, MSc, PT
- Telefoonnummer: 514-974-9702
- E-mail: tomas.gagnon.vmed@ssss.gouv.qc.ca
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: 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 |
|
Experimenteel: 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 |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
PROM changes
Tijdsspanne: 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)
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
AROM changes
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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)
|
Medewerkers en onderzoekers
Onderzoekers
- Hoofdonderzoeker: Bernadette Nedelec, PhD, OT(c), Centre hospitalier de l'Université de Montréal (CHUM)
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 2027-13919
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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