Coxarthrosis Clinical Trial
Official title:
Whole Body Vibration Compared to Conventional Physiotherapy in Patients With Coxarthrosis: a Randomized, Controlled Study
Osteoarthritis (OA) is the most common degenerative arthropathy. Load-bearing joints such as
knee and hip are more often affected than spine or hands. The prevalence of gonarthrosis is
generally higher than that of coxarthrosis.
Because no cure for OA exists, the main emphasis of therapy is analgesic treatment through
either mobility or medication. Non-pharmacologic treatment is the first step, followed by
the addition of analgesic medication, and ultimately by surgery.
The goal of non-pharmacologic and non-invasive therapy is to improve neuromuscular function,
which in turn both prevents formation of and delays progression of OA. A modification of
conventional physiotherapy, whole body vibration has been successfully employed for several
years. Since its introduction, this therapy is in wide use at our facility not only for
gonarthrosis, but also coxarthrosis and other diseases leading to muscular imbalance.
Status | Completed |
Enrollment | 40 |
Est. completion date | October 2015 |
Est. primary completion date | June 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 30 Years to 80 Years |
Eligibility |
Inclusion Criteria: - Age 30 - 80 years - Body weight less than or equal to 160 kg - Body-Mass-Index less than 40 kg/m² - Outpatient - Legal competence - Signed informed consent - Uni- or bilateral Coxarthrosis according to ACR criteria - WOMAC-pain index (visual analogue scale) of 30-70 mm - Coxarthrosis stage II-III according to Kellgren and Lawrence Exclusion Criteria: - Participation in parallel interventional studies - Bilateral Coxarthrosis with WOMAC Pain index more than 70 mm - Previous surgery during the past 6 months at the Index Joint - Injury of the study joint during the last 6 months - Secondary rheumatoid or septic arthrosis or systemic diseases affecting the study joint - Activated coxarthrosis with intraarticular effusion - Body weight > 160 kg or body mass index > 40 kg/m² - Analgesic therapy with steroidal drugs - Physiotherapy of the lower extremities during the past 6 weeks - Existing endoprosthetics in the lower extremities |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Germany | University Hospital | Cologne |
Lead Sponsor | Collaborator |
---|---|
University of Cologne |
Germany,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Changes in Womac | The primary outcome measure is the patients' evaluation of improvement on the visual analogue scale of the WOMAC indices for pain and activities of daily life, comparing baseline and post-treatment. The secondary outcome measures summarized in the appendices will also be assessed at baseline and after 6, 12, and 26 weeks | 26 weeks | No |
Secondary | SF-12 | The SF-12 score uses subjective patient responses to measure success of therapy and thereby evaluate quality of life. SF-12 is the abbreviated version of the SF-36 Health Survey and contains 12 items representing 8 dimensions of physical and mental fitness. In our study, the validated German translation will be used | 26 weeks | No |
Secondary | Leonardo Mechanography | Functional motion analysis, the Modified Clinical Test of Sensory Interaction in Balance, the Tandem Walk Test, and the Rhythmic Weight Shift Test will be performed using the Leonardo Mechanography Gangway (Novotec Inc., Pforzheim, Germany) and the Balance Master Analysis System (Neurocom Inc., Clackamas, USA). These will provide reliable data on essential parts of ambulation, e.g. stride length, speed of movement, shifting of balance point, force, power, and workload | 26 weeks | No |
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