Osteoarthritis Clinical Trial
— EMBARKOfficial title:
Multisite RCT Investigating the Efficacy of Massage in Osteoarthritis
Verified date | August 2015 |
Source | Duke University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to verify the efficacy of an 8-week course of manualized Swedish massage for reducing pain and increasing function compared to light-touch bodywork, and usual care, in 222 adults with OA of the knee.
Status | Completed |
Enrollment | 222 |
Est. completion date | June 2015 |
Est. primary completion date | June 2015 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 35 Years and older |
Eligibility |
Inclusion Criteria: - 35 years of age or greater. - Written confirmation of OA of the knee as provided by the participant's physician. - Radiographically-established OA of the knee. - Pre-randomization rating within a certain range on the Visual Analog Pain Scale (0 - 100 mm scale). - Receiving care for diagnosed OA of the knee under the care of a board-certified primary care physician, with or without involvement of a board-certified rheumatologist. - Patients with bilateral knee involvement will have the more severely affected knee designated as the study knee. - American College of Rheumatology defined OA of the knee; specifically: a. Knee pain b. Satisfaction of at least three of the following six criteria: i. Age great than 50 years ii. Stiffness < 30 minutes iii. Crepitus iv. Bony Tenderness v. Bony enlargement vi. No palpable warmth Exclusion Criteria: - Presence of rheumatoid arthritis, fibromyalgia, recurrent or active pseudo gout. - Presence of cancer or other decompensated medical conditions that limit the ability to participate fully in all interventions, assessments, and follow-up visits. - Signs or history of kidney or liver failure. - Presence of asthma requiring the use of corticosteroid treatment. - Use of oral corticosteroids within the past four weeks. - Use of intra-articular knee depo-corticosteroids with the past three months. - Use of intra-articular hyaluronate with the past six months. - Arthroscopic surgery of the knee within the past year. - Significant injury to the knee within the past six months. - Presence of a rash or open wound over the knee. - Unable to satisfy the treatment and follow-up requirements. - Unable to provide written informed consent. - Currently receiving massage therapy on a regular basis (at least twice a month). - Knee replacement of study knee (ok if the knee not being studied has been replaced). - History of participating in the EMBARK Phase I or II studies. |
Country | Name | City | State |
---|---|---|---|
United States | Yale-Griffin Prevention Research Center, Integrative Medicine Center at Griffin Hospital | Derby | Connecticut |
United States | Duke University Medical Center- Duke Integrative Medicine | Durham | North Carolina |
United States | Atlantic Health System -- Atlantic Health Integrative Medicine | Morristown | New Jersey |
Lead Sponsor | Collaborator |
---|---|
Duke University | National Center for Complementary and Integrative Health (NCCIH) |
United States,
Perlman AI, Ali A, Njike VY, Hom D, Davidi A, Gould-Fogerite S, Milak C, Katz DL. Massage therapy for osteoarthritis of the knee: a randomized dose-finding trial. PLoS One. 2012;7(2):e30248. doi: 10.1371/journal.pone.0030248. Epub 2012 Feb 8. — View Citation
Perlman AI, Sabina A, Williams AL, Njike VY, Katz DL. Massage therapy for osteoarthritis of the knee: a randomized controlled trial. Arch Intern Med. 2006 Dec 11-25;166(22):2533-8. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Western Ontario and McMaster Universities Osteoarthritis of the Knee and Hip Index (WOMAC) | The Index is self-administered and assesses the three dimensions of pain, disability and joint stiffness in knee and hip osteoarthritis through 24 questions. WOMAC 3.1 is available in 65 languages using either a five-point Likert scale or a 100 mm visual analog scale. The WOMAC has been subject to numerous validation studies to assess reliability and responsiveness to change in therapy, including physical forms of therapy | Baseline, 8, 16, 24, 36 and 52 weeks (Baseline, 8, 16, 24, 32, 40 and 48 for Usual Care group) | |
Secondary | Change in Pain: The Visual Analog Scale (VAS) | Used to measure pain sensation intensity evoked by nociceptive stimuli. Subjects quickly and easily rate stimuli within the series by indicating level of pain on a 100 mm scale. Pain intensity is represented by the participant drawing a line on the scale indicative of pain experienced (0 = no pain, to 100 = worse pain imaginable). The VAS is anchored at the left by "no pain sensation" and at the right by "the most intense pain sensation imaginable." | Baseline, 8, 16, 24, 36 and 52 weeks (Baseline, 8, 16, 24, 32, 40 and 48 for Usual Care group) | |
Secondary | Change in Pain: PROMIS Pain Interference Questionnaire | Patient Reported Outcomes Measurement Information System (PROMIS), funded by the National Institutes of Health (NIH), is a system of highly reliable, valid, flexible, precise, and responsive assessment tools that measure patient-reported health status. The Pain Interference Questionnaire has 6 questions answered on an ordinal scale of five gradations. | Baseline, 8, 16, 24, 36 and 52 weeks (Baseline, 8, 16, 24, 32, 40 and 48 for Usual Care group) | |
Secondary | Change in Joint Flexibility | Joint flexibility is defined as the range of motion (ROM) allowed at the knee. The knee's ROM is measured by the number of degrees from the starting position of a segment to its position at the end of its full range of the movement. This is measured using a double-armed goniometer. A stationary arm holding a protractor is placed parallel with a stationary body segment and a movable arm moves along a moveable body segment. The pin (axis of goniometer) is placed over the joint. | Baseline, 8, 16, 24, 36 and 52 weeks (Baseline, 8, 16, 24, 32, 40 and 48 for Usual Care group) | |
Secondary | Change in Physical Function | Measured time in seconds to walk fifty (50) feet (15 m) on a level surface within the clinic facilities. | Baseline, 8, 16, 24, 36 and 52 weeks (Baseline, 8, 16, 24, 32, 40 and 48 for Usual Care group) |
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