UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000048356
Receipt number R000055110
Scientific Title An association between central sensitization and autonomic nervous system and an effect of aeobic exercise for patietns with knee and hip osteoarthritis
Date of disclosure of the study information 2022/09/01
Last modified on 2023/05/01 11:49:21

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Basic information

Public title

An association between central sensitization and autonomic nervous system and an effect of aeobic exercise for patietns with knee and hip osteoarthritis

Acronym

An association between central sensitization and autonomic nervous system and an effect of aeobic exercise

Scientific Title

An association between central sensitization and autonomic nervous system and an effect of aeobic exercise for patietns with knee and hip osteoarthritis

Scientific Title:Acronym

An association between central sensitization and autonomic nervous system and an effect of aeobic exercise

Region

Japan


Condition

Condition

knee and hip osteoarthritis

Classification by specialty

Orthopedics Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aims of this study is;
1. to examine relationships between central sensitization and autonomic nervous system
2. to examine an effect of aerobic exercise for patients with knee and hip osteoarthritis

For aim 1, we will conduct observational study.
For aim 2, we will conduct a case study and randomized controlled trial.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Conditioned pain modulation as a measure of central sensitization is a primary outcome of this study.
Measurements will be performed before and after interventions.

Key secondary outcomes

Numerical analog scale of knee pain (intensity of knee pain)
Heart rate variability (autonomic nervous activities)
Heart rate recovery when aerobic exercise (autonomic nervous activities)
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC, disability)
PainDETECT (neuropathic pain)
Pain Catastrophizing Scale (pain catastrophizing)
International Physical Activity Questionnaire (physical activity)
Hospital Anxiety and Depression Scale (anxiety and depression)
Pittsburgh Sleep Quality Index (sleep quality)
Checklist for Individual Strength (fatigue)
Basic characteristics (age, sex, diagnosis and level of OA, history of medicine, marital status, educational status, height, weight, body mass index, X-ray, medication, blood and urine sampling)

Measurements will be performed before and after interventions.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

Participants in the intervention group (hand ergometer: HE group) will perform hand ergometer using TERASUERUGO TE4-70 (Showa Denki Co., Ltd., Osaka, Japan) as aerobic exercise.
It is performed once per week for 12 weeks, and each exercise is ten minutes and three minutes for recovery time after the exercise.

Hand ergometer can choose a load of 20-70W.
A load for each participant is decided according to 60-75% of their predicted maximum heart rate (220 - age).
hand ergometer will be supervised by physical therapists of International University of Health and Welfare.

Furthermore, general self-exercise program for alleviating knee pain will mainly consist of flexibility and resistance training.
Compliance to self-exercise will be self-reported.

Interventions/Control_2

Control group (self-exersise: SE group) will perfomrm general self-exercise program for alleviating knee pain will mainly consist of flexibility and resistance training which are the same program as HE group.
Compliance to self-exercise will be self-reported.

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

80 years-old >=

Gender

Female

Key inclusion criteria

The inclusion criteria are;
(1) women with knee or hip osteoarthritis who are outpatients at International University of Health and Welfare Narita and Ichikawa Hospital
(2) lasting pain over three months
(3) patients and their orthopedists agree to participate this study
(4) body mass index is 18-35kg/m2
(5) positive sign of conditioned pain modulation (only case report and randomized controlled trials).

Key exclusion criteria

The exclusion criteria are;
(1) disabilities of cardiopulmonary vascular, central nervous and autonomic nervous system,
(2) facial, chest and abdominal pain
(3) cancer pain
(4) patients who took exercise or physical therapy within three months
(5) patients who is difficult to communicate and to answer questionnaire
(6) patients who take fallowing medications; beta- blocker, antidepressant and anticonvulsant

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Hironobu
Middle name
Last name Uzawa

Organization

International University of Health and Welfare

Division name

School of Health Science at Narita, Department of Physical Therapy

Zip code

286-8686

Address

4-3, Kozunomori, Narita-shi,Chiba-ken

TEL

+81-476-20-7701

Email

h.uzawa@iuhw.ac.jp


Public contact

Name of contact person

1st name Hironobu
Middle name
Last name Uzawa

Organization

International University of Health and Welfare

Division name

School of Health Science at Narita, Department of Physical Therapy

Zip code

286-8686

Address

4-3, Kozunomori, Narita-shi,Chiba-ken

TEL

+81-476-20-7701

Homepage URL


Email

h.uzawa@iuhw.ac.jp


Sponsor or person

Institute

International University of Health and Welfare

Institute

Department

Personal name



Funding Source

Organization

Grant-in-Aid for Scientific Research

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

International University of Health and Welfare

Address

4-3, Kozunomori, Narita-shi,Chiba-ken

Tel

+81-476-20-7701

Email

h.uzawa@iuhw.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

国際医療福祉大学成田病院(千葉県)
国際医療福祉大学市川病院(千葉県)


Other administrative information

Date of disclosure of the study information

2022 Year 09 Month 01 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

Open public recruiting

Date of protocol fixation

2022 Year 07 Month 29 Day

Date of IRB

2022 Year 09 Month 27 Day

Anticipated trial start date

2022 Year 09 Month 01 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry

2026 Year 03 Month 31 Day

Date trial data considered complete

2026 Year 03 Month 31 Day

Date analysis concluded

2026 Year 03 Month 31 Day


Other

Other related information

Observation dn case study started from Februry, 2023.
Randomized controlled trial will start from May 2023.

Pricise protocol of randomized controlled trial will be submitted to a journal, and URL of the protocol will be updated in this site after publishing.


Management information

Registered date

2022 Year 07 Month 12 Day

Last modified on

2023 Year 05 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000055110


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name