UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000039579
Receipt number R000045138
Scientific Title Randomized controlled study on efficacy of kinesitherapy using therapeutic modality in knee osteoarthritis
Date of disclosure of the study information 2020/02/25
Last modified on 2024/02/27 11:46:02

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Basic information

Public title

Randomized controlled study on efficacy of kinesitherapy using therapeutic modality in patients with knee osteoarthritis

Acronym

Randomized controlled study on efficacy of kinesitherapy using therapeutic modality in knee osteoarthritis

Scientific Title

Randomized controlled study on efficacy of kinesitherapy using therapeutic modality in knee osteoarthritis

Scientific Title:Acronym

Randomized controlled study on efficacy of kinesitherapy using therapeutic modality in knee osteoarthritis

Region

Japan


Condition

Condition

Knee osteoarthritis

Classification by specialty

Orthopedics Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare efficacy between kinesitherapy with and without therapeutic modality for knee osteoarthritis

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Clinical symptoms are scored by self reported measurement outcomes using the Japanese Knee Osteoarthritis Measure before rehabilitation, 3 months and 6 months after the rehabilitation.

Key secondary outcomes

Knee range of motion, leg tightness are measured, and knee joint synovitis, joint edema, quadriceps muscle volume are evaluated using ultrasound device before rehabilitation, 3 months and 6 months after rehabilitation.
Knee radiography are evaluated before rehabilitation to measure knee osteoarthritis grade and leg alignment.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Device,equipment Behavior,custom

Interventions/Control_1

Kinesitherapy includes knee range of motion exercise, stretching, and strengthening, which are instructed by a physical therapist once a week during 3 months

Interventions/Control_2

In addition to the kinesitherapy, ultrasound therapy is performed once a week during 3 months for their both knees.

Interventions/Control_3

In addition to the kinesitherapy, NMES is performed once a week during 3 months for their both knees.

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

60 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

Inclusion criteria are the patients diagnosed as knee osteoarthritis by X-ray examination, who are able to walk without any walker aids.

Key exclusion criteria

Exclusion criteria are the patients with goat or collagen disease as underlying disease, and the patients with bone necrosis, bone fracture, acute knee joint edema, or surgery such as knee arthroplasty.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Koun
Middle name
Last name Yamauchi

Organization

Akita hospital

Division name

Department of orthopedic surgery

Zip code

4720056

Address

2-6-12 Takara, Chiryu City, Aichi, Japan

TEL

0566-81-2763

Email

koun_mail_world@yahoo.co.jp


Public contact

Name of contact person

1st name Yamada
Middle name
Last name Daisuke

Organization

Akita hospital

Division name

Research support division

Zip code

4720056

Address

2-6-12 Takara, Chiryu City, Aichi, Japan

TEL

0566-81-2763

Homepage URL


Email

sougo@akitahospital.or.jp


Sponsor or person

Institute

Akita hospital

Institute

Department

Personal name



Funding Source

Organization

No funding.

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Akita hospital(Aichi)

Address

2-6-12 Takara, Chiryu City, Aichi, Japan

Tel

0566-81-2763

Email

sougo@akitahospital.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

秋田病院(愛知県)


Other administrative information

Date of disclosure of the study information

2020 Year 02 Month 25 Day


Related information

URL releasing protocol

No

Publication of results

Unpublished


Result

URL related to results and publications

Not completed

Number of participants that the trial has enrolled

93

Results

Analysing

Results date posted

2024 Year 02 Month 27 Day

Results Delayed

Delay expected

Results Delay Reason

Analysing

Date of the first journal publication of results


Baseline Characteristics

Knee osteoarthritis (OA) is a common disease in worldwide and leads to pain and instability of the knee. Therapeutic exercise, particularly including combining exercises to increase muscle strength and flexibility, and aerobic capacity, can improve these knee symptoms, and secondarily increase physical function and participation in social and recreational activities for patients with knee OA (Uthman ). The evidence of therapeutic exercise efficacy in patients with knee OA has been strongly confirmed (Uthman ); however, therapeutic exercise was not effective for all of patients with knee OA and the effective rate was 74% (Skou ). Although some authors have reported that therapeutic exercise efficacy on knee pain relief was affected by age (Goh et al.) and by varus knee alignment (Lim BW ), the other possible potential determinants of therapeutic exercise efficacy in patients with knee OA have been unknown.

Participant flow

This prospective cohort study was conducted between 2016 and 2023 in a hospital at the department of orthopedic surgery examination of outpatients. A total of 93 patients, aged 60 to 80 years, who complained of knee pain lasting for 3 months in one or both knees, were able to walk without using a cane, and who were diagnosed as medial knee OA by the first author (17 years of experience), based on the Kellgren Lawrence classification using radiography, were registered into the study. Of 93 patients, 87 were followed up for 3 months.

Adverse events

No

Outcome measures

Measurements of lower extremity and patella alignments
Measurements of subcutaneous fat thickness, individual QM thicknesses, power-Doppler (P/D) scores and joint effusion in the knee
Evaluation for knee function and self-reported score on knee pain and ADL

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2020 Year 02 Month 25 Day

Date of IRB

2019 Year 10 Month 01 Day

Anticipated trial start date

2020 Year 02 Month 25 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 02 Month 24 Day

Last modified on

2024 Year 02 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045138


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name