| CTRI Number |
CTRI/2024/02/062318 [Registered on: 06/02/2024] Trial Registered Prospectively |
| Last Modified On: |
04/02/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Medical Device Physiotherapy (Not Including YOGA) |
| Study Design |
Other |
|
Public Title of Study
|
Comparing Shockwave and Therapeutic Ultrasound Treatments for Knee Osteoarthritis: What Helps with Pain, Movement, and Strength |
|
Scientific Title of Study
|
Effect of Radial Extracorporeal Shockwave Therapy v/s Therapeutic
Ultrasound on pain, physical function and strength in patients with Knee
Osteoarthritis: An Experimental Study |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Niraj Khandelwal |
| Designation |
Master of Physiotherapy Student |
| Affiliation |
K J Somaiya college of physiotherapy |
| Address |
OPD 4 Musculoskeletal Department K J Somaiya college of physiotherapy Eastern express highway Sion Mumbai
Mumbai
MAHARASHTRA
400022
India
Mumbai MAHARASHTRA 400022 India |
| Phone |
8208301776 |
| Fax |
|
| Email |
niraj.k@somaiya.edu |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Annamma Varghese |
| Designation |
HOD, Musculoskeletal Physiotherapy |
| Affiliation |
K J Somaiya college of physiotherapy |
| Address |
OPD 4 Musculoskeletal Department K J Somaiya college of physiotherapy Eastern express highway Sion Mumbai
Mumbai
MAHARASHTRA
400022
India
Mumbai MAHARASHTRA 400022 India |
| Phone |
9223402046 |
| Fax |
|
| Email |
annamma@somaiya.edu |
|
Details of Contact Person Public Query
|
| Name |
Dr Annamma Varghese |
| Designation |
HOD, Musculoskeletal Physiotherapy |
| Affiliation |
K J Somaiya college of physiotherapy |
| Address |
OPD 4 Musculoskeletal Department K J Somaiya college of physiotherapy Eastern express highway Sion Mumbai
Mumbai
MAHARASHTRA
400022
India
Mumbai MAHARASHTRA 400022 India |
| Phone |
9223402046 |
| Fax |
|
| Email |
annamma@somaiya.edu |
|
|
Source of Monetary or Material Support
|
| OPD 4, KJ Somaiya college of physiotherapy |
|
|
Primary Sponsor
|
| Name |
K J Somaiya college of physiotherapy |
| Address |
OPD 4 Musculoskeletal Department K J Somaiya College of Physiotherapy Eastern express highway Sion Mumbai |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Niraj Khandelwal |
KJ Somaiya college of physiotherapy |
OPD 4 Musculoskeletal Department KJ Somaiya college of physiotherapy Estern express highway Sion Mumbai Mumbai MAHARASHTRA |
8208301776
niraj.k@somaiya.edu |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Instutional Ethics Committee KJ Somaiya College of Physiotherapy |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M171||Unilateral primary osteoarthritisof knee, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Radial Extracorporeal Shockwave Therapy |
Aqueous gel will be applied to the skin before administering the shockwave to the knee joint. The shockwave probe will be applied directly to the most tender areas of the medial tibial plateau and the patellofemoral border. During each treatment session, a total of 2000 shocks will be delivered, with 1000 shocks specifically targeted at the medial tibial plateau and 1000 shocks focused on the patellofemoral border. These pulses will be administered at a frequency of 5 Hz and air pressure used for the treatment will be set at 3.0 Bar |
| Comparator Agent |
Theraputic Ultrasound |
The ultrasound probe will be applied using an aqueous gel as a coupling medium in circular movements with the probe positioned at right angles to the skin. The treatment area will cover a total of 25cm2 and will extend to both the patellofemoral and tibiofemoral borders of the target knee on both the lateral and medial margins, while avoiding the patella. Continuous ultrasonic waves will be applied with a frequency of 1 MHz and a power of 1 watt/cm2 for 5 minutes, during which the ultrasound waves will be consistently delivered to the targeted knee area. |
|
|
Inclusion Criteria
|
| Age From |
40.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
Patients between 40 to 60 years of age, diagnosed with osteoarthritis of the knee with a Kellgren-Lawrence grading of II or III, having unilateral knee osteoarthritis or more severe symptoms in one knee of bilateral osteoarthritis, experiencing pain in the knee joint with a visual analog scale (VAS) score ranging from 4 to 7, and willing to participate in the study. |
|
| ExclusionCriteria |
| Details |
1)Previous knee surgery (in last 2 years).
2)Knee joint infection.
3)Metal implants.
4)Rheumatoid arthritis or other inflammatory joint diseases.
5)Knee joint instability or ligamentous injury. 6)Contraindication to Shock wave therapy or Therapeutic ultrasound.
7)Any other medical or psychological condition that may interfere with the study procedures or outcome. |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Other |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
1)Visual analogue scale
2)Western Ontario and McMaster University Osteoarthritis Scale
3)Humac NORM Isokinetic Dynamometer |
Pre intervention:Baseline assessment
Post intervention:After 3 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Nil |
Nil |
|
|
Target Sample Size
|
Total Sample Size="50" Sample Size from India="50"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
25/02/2024 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Approval is obtained from Institutional Ethics Committee. Patients will be selected based on inclusion criteria. Written Informed Consent will be taken from patients and basic demographic data will be collected. Pre-treatment assessment will be done for pain using Visual Analogue Scale (VAS), for physical function using WOMAC scale and strength using isokinetic dynamometer. Patients will be allocated randomly using computer based software into Group A or Group B. Group A – Radial Extracorporeal Shockwave therapy+ Exercise for 3 weeks. Group B -Therapeutic ultrasound+ Exercises for 3 weeks. Post treatment Assessment will be done after 3 weeks for pain using Visual Analogue Scale (VAS), for physical function using WOMAC scale and strength using isokinetic.Statistical analysis will be done after data collection. |