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CTRI Number  CTRI/2022/10/046322 [Registered on: 10/10/2022] Trial Registered Prospectively
Last Modified On: 31/05/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Pain on movement while performing weight-bearing and non-weight-bearing activities in patients with knee osteoarthritis 
Scientific Title of Study   To explore movement evoked pain in weight-bearing and non-weight-bearing activities in patients with chronic knee osteoarthritis 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Isha Nitinkumar Agrawal 
Designation  Postgraduate Student 
Affiliation  Manipal College of Health Professions, Manipal Academy of Higher Education 
Address  Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal- 576104, Karnataka, India

Udupi
KARNATAKA
576104
India 
Phone  9113012403  
Fax    
Email  agrawal.nitinkumar@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Ganesh Balthillaya M 
Designation  Assistant Professor (Selection grade) 
Affiliation  Manipal College of Health Professions, Manipal Academy of Higher Education 
Address  Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal- 576104, Karnataka, India

Udupi
KARNATAKA
576104
India 
Phone  9448263631  
Fax    
Email  ganesh.bm@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Anupama Prabhu 
Designation  Assistant Professor (Selection grade) 
Affiliation  Manipal College of Health Professions, Manipal Academy of Higher Education 
Address  Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal- 576104, Karnataka, India

Udupi
KARNATAKA
576104
India 
Phone  9986451010  
Fax    
Email  anupama.prabhu@manipal.edu  
 
Source of Monetary or Material Support  
Manipal College of Health Professions 
 
Primary Sponsor  
Name  Manipal College of Health Professions, Manipal Academy of Higher Education 
Address  Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal-576104, Karnataka, India 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Isha Agrawal  Kasturba Hospital  Department of Physiotherapy, Manipal- 576104, Karnataka, India
Udupi
KARNATAKA 
9113012403

agrawal.nitinkumar@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee - 2 (Student research)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M17||Osteoarthritis of knee,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Chronic knee osteoarthritis (more than 3 months)
2. Conservatively managed or pre-operative knee osteoarthritis cases
3. Pain severity of more than 3 out of 10 on the Numeric Pain Rating Scale (NPRS)
4. Radiologically (Kellgren Lawrence grade of more than 0) or clinically (ACR criteria) diagnosed knee osteoarthritis
5. Can read and understand English and/or Kannada
6. Cognitively sound 
 
ExclusionCriteria 
Details  1. Known case of neurological disorder (e.g., peripheral neuropathy, stroke, GBS, multiple sclerosis, spinal cord lesion, cognitive impairment)
2. Known case of systemic disorder (e.g., rheumatoid arthritis, SLE, fibromyalgia)
3. Skin lesion at assessment site
4. Pain for more than 3 months in areas other than the knee (e.g., chronic low back pain) 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1) Numeric Pain Rating Scale (NPRS) score in weight-bearing activities
2) Numeric Pain Rating Scale (NPRS) score in non-weight-bearing activities
3) Percentage change in pain severity in weight-bearing activities
4) Percentage change in pain severity in non-weight-bearing activities 
One time assessment at the time of recruitment 
 
Secondary Outcome  
Outcome  TimePoints 
1. Wind-up ratio
2. Pain pressure threshold
3. Knee Injury and Osteoarthritis Outcome Score (KOOS)
4. Michigan Body Map (MBM) 
One time assessment at the time of recruitment 
 
Target Sample Size   Total Sample Size="41"
Sample Size from India="41" 
Final Enrollment numbers achieved (Total)= "41"
Final Enrollment numbers achieved (India)="41" 
Phase of Trial   N/A 
Date of First Enrollment (India)   17/10/2022 
Date of Study Completion (India) 30/03/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="7"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

After CTRI approval has been obtained, the participants will be screened based on the inclusion and exclusion criteria. They will be included in the study after giving their informed consent. Demographic details and knee osteoarthritis characteristics will be recorded, after which Knee Injury and Osteoarthritis Outcome Score (KOOS) and Michigan Body Map (MBM) will be administered. The participants will be asked to perform weight-bearing and non-weight-bearing activities, during which the movement evoked pain and its sensitivity will be recorded using the 11-point Numeric Rating Scale (NPRS). Quantitative sensory tests (QST)- temporal summation and pain pressure threshold will be assessed and the results will be recorded. Data will be analyzed statistically and the results will be reported.

 
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