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 | 2024/10/29 08:39:19 |
An association between central sensitization and autonomic nervous system and an effect of aeobic exercise for patietns with knee and hip osteoarthritis
An association between central sensitization and autonomic nervous system and an effect of aeobic exercise
An association between central sensitization and autonomic nervous system and an effect of aeobic exercise for patietns with knee and hip osteoarthritis
An association between central sensitization and autonomic nervous system and an effect of aeobic exercise
Japan |
knee and hip osteoarthritis
Orthopedics | Rehabilitation medicine |
Others
NO
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.
Efficacy
Conditioned pain modulation as a measure of central sensitization is a primary outcome of this study.
Measurements will be performed before and after interventions.
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.
Interventional
Parallel
Randomized
Cluster
Open -no one is blinded
Active
YES
NO
Institution is considered as a block.
NO
Numbered container method
2
Treatment
Behavior,custom |
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.
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.
20 | years-old | <= |
80 | years-old | >= |
Female
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).
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
40
1st name | Hironobu |
Middle name | |
Last name | Uzawa |
International University of Health and Welfare
School of Health Science at Narita, Department of Physical Therapy
286-8686
4-3, Kozunomori, Narita-shi,Chiba-ken
+81-476-20-7701
h.uzawa@iuhw.ac.jp
1st name | Hironobu |
Middle name | |
Last name | Uzawa |
International University of Health and Welfare
School of Health Science at Narita, Department of Physical Therapy
286-8686
4-3, Kozunomori, Narita-shi,Chiba-ken
+81-476-20-7701
h.uzawa@iuhw.ac.jp
International University of Health and Welfare
Grant-in-Aid for Scientific Research
Japanese Governmental office
Japan
International University of Health and Welfare
4-3, Kozunomori, Narita-shi,Chiba-ken
+81-476-20-7701
h.uzawa@iuhw.ac.jp
NO
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)
2022 | Year | 09 | Month | 01 | Day |
Unpublished
No longer recruiting
2022 | Year | 07 | Month | 29 | Day |
2022 | Year | 09 | Month | 27 | Day |
2022 | Year | 09 | Month | 01 | Day |
2025 | Year | 03 | Month | 31 | Day |
2026 | Year | 03 | Month | 31 | Day |
2026 | Year | 03 | Month | 31 | Day |
2026 | Year | 03 | Month | 31 | Day |
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.
2022 | Year | 07 | Month | 12 | Day |
2024 | Year | 10 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000055110