UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041375
Receipt number R000047236
Scientific Title Construction of a model for estimating the prognosis of neurological rehabilitation for post-stroke pain
Date of disclosure of the study information 2020/08/10
Last modified on 2024/04/08 14:43:28

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Basic information

Public title

Construction of a model for estimating the prognosis of neurological rehabilitation for post-stroke pain

Acronym

Construction of a model for estimating the prognosis of neurological rehabilitation for post-stroke pain

Scientific Title

Construction of a model for estimating the prognosis of neurological rehabilitation for post-stroke pain

Scientific Title:Acronym

Construction of a model for estimating the prognosis of neurological rehabilitation for post-stroke pain

Region

Japan


Condition

Condition

Rehabilitation users including other facilities

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Quantify the pathological characteristics in 100 post-stroke pain patients by neurophysiology and kinematics, and elucidate the dependence of pain relief by nerve rehabilitation on the pathological characteristics by machine learning.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1.Collection of basic information
Age, gender, name of main disease, date of onset, presence or absence of pain due to joint movement, presence or absence of upper limb subluxation, presence or absence of range of motion, Modified Ashworth Scale (MAS), presence or absence of allodynia
2.Somatosensory evaluation
Semmes-Weinstein Monofilaments Perception Test
3.Pain evaluation questionnaire
PainDETECT
Neuropathic pain inventory (NPI)
Japanese shortened version McGill Pain Questionnaire (SF-MPQ-JV)
4.Psychological evaluation
Japanese shortened version Pain Catastrophizing Scale (PCS-6)
Tampa Scale for Kinesiophobia Japanese version (TSK-11-J)
5.Pain evaluation
Numerical Rating Scale (NRS) at first time, 2 weeks, 1 month, 2 months, 3 months
6.Physical function evaluation
Fugal-Meyer Assessment (FMA) at the first time and 3 months

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Those who have pain after stroke due to stroke diagnosis

Key exclusion criteria

1.Those who do not recognize post-stroke pain
2.Those who have pain due to orthopedic diseases
3.Subjects who have difficulty in understanding language instructions due to cognitive decline or higher brain dysfunction, and who have difficulty answering questionnaires.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Shinya
Middle name
Last name Iki

Organization

Kawaguchi Neurosurgery Rehabilitation Clinic

Division name

Department of Rehabilitation

Zip code

5730086

Address

9-25-202 Koriencho, Hirakata City, Osaka

TEL

0728351010

Email

kawaguchi.ns.reha@gmail.com


Public contact

Name of contact person

1st name Shinya
Middle name
Last name Iki

Organization

Kawaguchi Neurosurgery Rehabilitation Clinic

Division name

Department of Rehabilitation

Zip code

5730086

Address

9-25-202 Koriencho, Hirakata City, Osaka

TEL

0728351010

Homepage URL

https://kawaguchi-ns.com

Email

kawaguchi.ns.reha@gmail.com


Sponsor or person

Institute

Kawaguchi Neurosurgery Rehabilitation Clinic

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kawaguchi Neurosurgery Rehabilitation Clinic

Address

9-25-202 Koriencho, Hirakata City, Osaka

Tel

0728351010

Email

kawaguchi.ns.reha@gmail.com


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

川口脳神経外科リハビリクリニック(大阪府)、星ヶ丘医療センター(大阪府)、奈良県総合医療センター(奈良県)、協和会病院(大阪府)、摂南総合病院(大阪府)


Other administrative information

Date of disclosure of the study information

2020 Year 08 Month 10 Day


Related information

URL releasing protocol

https://academic.oup.com/ptj/advance-article-abstract/doi/10.1093/ptj/pzae055/7639599?redirectedFrom

Publication of results

Published


Result

URL related to results and publications

https://academic.oup.com/ptj/advance-article-abstract/doi/10.1093/ptj/pzae055/7639599?redirectedFrom

Number of participants that the trial has enrolled

85

Results

cluster 4 (deep muscle pain with pressure sensation). In the cross-sectional analysis, clinical symptoms differed among the subgroups, with differences in the prevalence of arthralgia, limited range of motion, somatosensory disturbance, and allodynia. Longitudinal analysis showed that the prognostic value of pain intensity differed between subgroups. Pain intensity in cluster 4 was significantly relieved, suggesting that conventional exercise-based rehabilitation reduces musculoskeletal pain.

Results date posted

2024 Year 04 Month 08 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Those who have pain after stroke according to the diagnosis of stroke.
No age limit

Participant flow

In addition to the above participant background (selection criteria), the following exclusion criteria were identified before the evaluation of the survey items described later.
Those who did not have post-stroke pain.
Those with pain due to orthopedic disease
Subjects who have difficulty in understanding verbal instructions due to cognitive decline or higher brain dysfunction, and who have difficulty in answering the questionnaire form.

Adverse events

Procedures to minimize risk are performed by professional proximal monitoring during the exercise evaluation. In addition, risk management criteria prior to and during rehabilitation are in accordance with the Anderson-Dohi criteria. During rehabilitation, the risk is considered low because rehabilitation is performed under medical supervision, including control of physical condition and blood pressure, etc. However, while monitoring the patient's mood and physical condition, the patient should take breaks as necessary, and if the patient complains of discomfort, the patient should stop or seek medical attention (from the clinic director) and receive appropriate treatment. The procedure is designed to minimize the risk of injury.

Outcome measures

Collection of basic information: age, sex, name of main disease, date of onset, presence or absence of pain with joint movement, presence or absence of upper limb subluxation, presence or absence of joint range of motion limitation, Modified Ashworth Scale, presence or absence of allodynia
Somatosensory evaluation
Semmes-Weinstein Monofilaments Perception Test
Pain assessment questionnaire PainDETECT
Neuropathic pain inventory
McGill Pain Questionnaire (Japanese abbreviated version)
Psychological assessment
Japanese abbreviated version of Pain Catastrophizing Scale
Tampa Scale for Kinesiophobia Japanese version
Pain assessment
Numerical Rating Scale at the initial visit, 2 weeks, 1 month, 2 months, and 3 months
Physical function assessment
Fugal-Meyer Assessment at the first visit and at 3 months

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 07 Month 14 Day

Date of IRB

2020 Year 07 Month 14 Day

Anticipated trial start date

2020 Year 07 Month 14 Day

Last follow-up date

2021 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Perform the following evaluations
1.Collection of basic information
Age, gender, name of main disease, date of onset, presence or absence of pain due to joint movement, presence or absence of upper limb subluxation, presence or absence of range of motion, Modified Ashworth Scale (MAS), presence or absence of allodynia
2.Somatosensory evaluation
Semmes-Weinstein Monofilaments Perception Test
3.Pain evaluation questionnaire
PainDETECT
Neuropathic pain inventory (NPI)
Japanese shortened version McGill Pain Questionnaire (SF-MPQ-JV)
4.Psychological evaluation
Japanese shortened version Pain Catastrophizing Scale (PCS-6)
Tampa Scale for Kinesiophobia Japanese version (TSK-11-J)
5.Pain evaluation
Numerical Rating Scale (NRS) at first time, 2 weeks, 1 month, 2 months, 3 months
6.Physical function evaluation
Fugal-Meyer Assessment (FMA) at the first time and 3 months


Management information

Registered date

2020 Year 08 Month 10 Day

Last modified on

2024 Year 04 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047236


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name