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Trial registered on ANZCTR
Registration number
ACTRN12606000109505
Ethics application status
Approved
Date submitted
17/03/2006
Date registered
27/03/2006
Date last updated
7/06/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
A Randomised Controlled Trial Comparing Two Different Knee Exercise Programmes in the management of Adolescents with Symptomatic Joint Hypermobility
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Scientific title
A Randomised Controlled Trial Comparing Two Different Knee Exercise Programmes to reduce pain in Adolescents with Symptomatic knee Joint Hypermobility in the context of generalised joint hypermobility
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Secondary ID [1]
273383
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none
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Universal Trial Number (UTN)
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Trial acronym
nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hypermobility
1074
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Knee pain
1075
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Condition category
Condition code
Musculoskeletal
1154
1154
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A 2 week observation period for all subjects will be followed by randomisation into one of two treatment groups. Each group will receive 8 weeks of physiotherapy treatment of around 45 minutes of supervised physiotherapy each week for 4 weeks then biweekly for another 4 weeks, directed at strengthening and improving control of the muscles around the knee, and advice on home exercises which they will be asked to do daily. The two groups will be doing exercises in different ranges of movement. Both types of exercises are not new and have already been in practice for the treatment of children with this condition.
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Intervention code [1]
942
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Treatment: Other
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Comparator / control treatment
control period prior to treatment and 2 different types of treatment programmes
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Control group
Active
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Outcomes
Primary outcome [1]
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Reduction in pain using VAS scale of at least 20%
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Assessment method [1]
1552
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Timepoint [1]
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8 weeks and 3 months after the start of the intervention.
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Secondary outcome [1]
2798
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Reduction in fatigue using a VAS of at least 20%
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Assessment method [1]
2798
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Timepoint [1]
2798
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8 weeks and 3 months after the start of the intervention.
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Secondary outcome [2]
2799
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Improvement in strength of the quadriceps using the paediatric quantitative measurement system.
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Assessment method [2]
2799
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Timepoint [2]
2799
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8 weeks and 3 months after the start of the intervention .
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Secondary outcome [3]
2800
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Improvement in functional activities and quality of life using the childhood health assessment questionaire.
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Assessment method [3]
2800
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Timepoint [3]
2800
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8 weeks and 3 months after the start of the intervention.
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Secondary outcome [4]
2801
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Decrease in resting joint hypermobility (hyperextension) of at least 2 degrees or 20 %.
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Assessment method [4]
2801
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Timepoint [4]
2801
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8 weeks and 3 months after the start of the intervention.
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Secondary outcome [5]
2802
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Decrease in functional fatigue by time to ascend a flight of stairs.
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Assessment method [5]
2802
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Timepoint [5]
2802
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8 weeks and 3 months after the start of the intervention.
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Eligibility
Key inclusion criteria
Beighton score 5/9knee which hyperextend equal to or more than 10 degrees.
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Minimum age
7
Years
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Maximum age
16
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Previous knee injury previous patella dislocations.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
simple randomisation using a randomization table created by a computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Patients all undergo a 2 week observation period after enrolment and are then randomised to one of two parallel active treatment groups. The patients are blinded to the treatment of the other group as they will not have any contact with them. The assessor is blinded as to which active treatment group the subject being assessed has been allocated to. The comparison between two treatments will be double blind randomised controlled but the within subject comparison of any treatment verses no treatment will be single blind only.
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/05/2006
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Actual
1/05/2006
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Date of last participant enrolment
Anticipated
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Actual
1/05/2007
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
25
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
5917
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The Children's Hospital at Westmead - Westmead
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Recruitment postcode(s) [1]
13365
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2145 - Westmead
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Funding & Sponsors
Funding source category [1]
1261
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Hospital
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Name [1]
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Childrens Hospital at Westmead
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Address [1]
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Locked Bag 4001, Westmead NSW 2145
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Country [1]
1261
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Australia
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Funding source category [2]
1262
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Other
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Name [2]
1262
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ConnecTed
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Address [2]
1262
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Locked Bag 4001, Westmead NSW 2145
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Country [2]
1262
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Australia
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Primary sponsor type
Individual
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Name
Verity Pacey
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Address
Children's Hospital at Westmead Locked Bag 4001 Westmead NSW Australia 2145
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Country
Australia
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Secondary sponsor category [1]
1117
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Individual
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Name [1]
1117
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Dr Louise Tofts
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Address [1]
1117
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Children's Hospital at Westmead
Locked Bag 4001
Westmead NSW Australia 2145
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Country [1]
1117
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
2595
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childrens hospital at westmead ethics
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Ethics committee address [1]
2595
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Ethics committee country [1]
2595
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Australia
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Date submitted for ethics approval [1]
2595
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Approval date [1]
2595
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01/12/2005
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Ethics approval number [1]
2595
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approved 2005
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Summary
Brief summary
Joint Hypermobility Syndrome is a common but poorly recognised condition which mainly affects children. Joint hypermobility or double-jointedness can result in significant symptoms of pain, often described as growing pains, and symptoms of fatigue. This research study aims to find out what the best set of physiotherapy exercises is to reduce knee pain in individuals with joint hypermobility and pain. We are looking to recriut 40 teenagers aged 12-16 with knees that bend backward and are sore and give them 8 weeks of physiotherapy to see if it helps with the pain. Physiotherapy is the recommended treatment in this situation but reaserch to prove that it works has never been done, also different hospitals recommend different types of physiotherapy exercises and we will try and find out which ones work best or if there is no difference.
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Trial website
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Trial related presentations / publications
Pacey, V., Tofts, L., Adams, R., Munns, C., Nicholson, L. (2013). Exercise in children with joint hypermobility syndrome and knee pain: a randomised controlled trial comparing exercise into hypermobile versus neutral knee extension. Pediatric Rheumatology Online Journal, 11(1), 1-11 Open Access URL: http://ped-rheum.biomedcentral.com/articles/10.1186/1546-0096-11-30
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Public notes
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Attachments [1]
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/AnzctrAttachments/1170-Pacey et al knee RCT.pdf
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Contacts
Principal investigator
Name
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Dr Louise Tofts
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Address
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Locked Bag 4001
Westmead NSW 2145
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Country
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Australia
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Phone
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+61 2 9845 2132
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Fax
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Email
35657
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[email protected]
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Contact person for public queries
Name
10131
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Dr Verity Pacey
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Address
10131
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Physiotherapy Department
The Children's Hospital at Westmead
Locked Bag 4001
Westmead NSW 2145
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Country
10131
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Australia
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Phone
10131
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+61 2 98453369
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Fax
10131
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+61 2 98453685
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Email
10131
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[email protected]
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Contact person for scientific queries
Name
1059
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Dr Louise Tofts
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Address
1059
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Children's Hospital Institute of Sports Medicine
The Children's Hospital at Westmead
Locked Bag 4001
Westmead NSW 2145
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Country
1059
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Australia
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Phone
1059
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+61 2 98450761
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Fax
1059
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+61 2 98450432
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Email
1059
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Exercise in children with joint hypermobility syndrome and knee pain: a randomised controlled trial comparing exercise into hypermobile versus neutral knee extension
2013
https://doi.org/10.1186/1546-0096-11-30
N.B. These documents automatically identified may not have been verified by the study sponsor.
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