UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000043343
Receipt number R000049487
Scientific Title Quantitative assessment of distal radioulnar joint instability and intervention effects
Date of disclosure of the study information 2021/02/16
Last modified on 2022/10/29 21:16:00

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Basic information

Public title

Quantitative assessment of distal radioulnar joint instability and intervention effects

Acronym

Quantitative assessment of distal radioulnar joint instability and intervention effects

Scientific Title

Quantitative assessment of distal radioulnar joint instability and intervention effects

Scientific Title:Acronym

Quantitative assessment of distal radioulnar joint instability and intervention effects

Region

Japan


Condition

Condition

Orthopedic disease with distal radial joint instability, wheelchair users, healthy subjects

Classification by specialty

Surgery in general Orthopedics Rehabilitation medicine
Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To quantitatively assess distal radioulnar joint instability using an ultrasound system and an cyclic compression device and to investigate its relationship to clinical symptoms. To evaluate the safety and efficacy of rehabilitation interventions.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Distal radioulnar joint instability
Upper extremity function (muscle strength, range of motion, questionnaires, etc.)

Key secondary outcomes

Basic Information
Medical Information


Base

Study type

Interventional


Study design

Basic design

Factorial

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Device,equipment Maneuver

Interventions/Control_1

We quantitatively assess distal radioulnar joint instability (once on each side).

Detailed methodology
DRUJ instability will be assessed by Force-monitor ultrasonography. Grip strength, range of motion (ROM), circumference and, interview using Quick DASH participants' daily activities, work, and any difficulties or pain experienced during sports, will be assessed. The Force-monitor ultrasonography system applies cyclic compression to the DRUJ with an ultrasound probe to measure radioulnar displacement and applied compression force. Apply cyclic compression with a compression depth of 3 mm and a compression rate of 1.5 Hz.

Safety considerations
Since the depth of compression is 3 mm, only a slight force is applied, and there is little risk of inducing pain. If any discomfort or pain is felt, the apparatus is quickly stopped by pressing the stop button.

Follow-up
We will conduct follow-up surveys on an annual basis.

Expected outcomes of the study
Intervention for DRUJ instability may be related to TFCC injury prevention in wheelchair basketball athletes.

Dissemination of results and publication policy
Measurement results will be fed back to participants.
The research results will be published in an integrated form so that individuals cannot be identified.

Interventions/Control_2

We provide rehabilitation for distal radioulnar joint instability (teaching activities of daily living and taping).

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

90 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients with distal radioulnar joint instability, or healthy individuals, or wheelchair users

Problems anticipated
Shortage of the expected target population within the time frame is expected.
Solution: Switch to a longitudinal survey by identifying trends from the target population recruited in the first year.

Key exclusion criteria

Patients with distal radioulnar joint instability.
(1) Patients with acute deterioration of the condition.
(2) Decline in cognitive function.
(3) The patient who judged that the medical doctor was inappropriate.
Healthy individuals:
(1) Persons with no disease in both upper limbs.
Wheelchair users:
(1) Patients with acute deterioration of the condition.
(2) Decline in cognitive function.
(3) The patient who judged that the medical doctor was inappropriate.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name YUINE

Organization

Ibaraki Prefectural University of Health Sciences

Division name

Department of Occupational Therapy

Zip code

300-0394

Address

4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki

TEL

029-840-2220

Email

yuinehi@ipu.ac.jp


Public contact

Name of contact person

1st name Hiroshi
Middle name
Last name YUINE

Organization

Ibaraki Prefectural University of Health Sciences

Division name

Department of Occupational Therapy

Zip code

300-0394

Address

4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki

TEL

029-840-2220

Homepage URL


Email

yuinehi@ipu.ac.jp


Sponsor or person

Institute

Ibaraki Prefectural University of Health Sciences

Institute

Department

Personal name



Funding Source

Organization

Ibaraki Prefectural University of Health Sciences

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Tokyo Medical University Ibaraki Medical Center

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ibaraki Prefectural University of Health Sciences Institutional Review Board

Address

4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki

Tel

029-840-4000

Email

ishiika@ipu.ac.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

Ibaraki Prefectural University of Health Sciences Hospital(Ibaraki)


Other administrative information

Date of disclosure of the study information

2021 Year 02 Month 16 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2021 Year 02 Month 16 Day

Date of IRB

2020 Year 11 Month 12 Day

Anticipated trial start date

2021 Year 02 Month 16 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Rationale & background information
Preventing triangular fibrocartilage complex (TFCC) injuries and reducing the risk of recurrence are essential issues for wheelchair basketball athletes. Distal radioulnar joint (DRUJ) stability may be associated with hand function and may be related to TFCC injury prevention in wheelchair basketball athletes. Although DRUJ instability can be quantitatively assessed using ultrasonography, the incidence of DRUJ instability in wheelchair basketball athletes and its relationship to hand function is unclear.

Data Management
We will keep the data locked in a locker with a key.

Statistical Analysis
A Cross-sectional Survey: group comparisons between TFCC-injured and non-injured groups and correlation analysis of hand function
Intervention study: group comparison between intervention group and normal group
The statistical significance level will be less than 5%.

Quality assurance
We will keep (university hospital medical information-clinical trials registry) UMIN-TR informed of the progress of our research in response to periodic confirmations.

Project management
HY will contribute to the study concept, design, data acquisition and analysis. HM, YS, and KT will contribute to the study concept, design, data acquisition and analysis. YY and HS will contribute to the study concept, data interpretation. NI and TY will contribute to the data acquisition and interpretation.

Ethics approval and consent to participate
This study was approved by the Institutional Review Board of Ibaraki Prefectural University of Health Sciences (No. e306)
In accordance with the Declaration of Helsinki, the purpose, methods, anticipated benefits and potential risks, and other relevant matters of the research will be explained to all participants and written informed consent obtained.


Management information

Registered date

2021 Year 02 Month 16 Day

Last modified on

2022 Year 10 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049487


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name