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Trial registered on ANZCTR
Registration number
ACTRN12607000351415
Ethics application status
Approved
Date submitted
10/06/2007
Date registered
29/06/2007
Date last updated
29/06/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
Transcutaneous Pulse Radiofrequency Treatment for Knee Pain
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Scientific title
Transcutaneous Pulse Radiofrequency treatment to relieve pain of knee osteoarthritis.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
knee osteoarthritis
1908
0
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Condition category
Condition code
Musculoskeletal
1999
1999
0
0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Double Blind Randomised Control Trial of Active (5 two-minute 20ms 2Hz 80V in one treatment session) and Inactive (5 two-minute 0V in one treatment session) Transcutaneous Pulse Radiofrequency Treatment For Knee Pain in patients awaiting knee replacement surgery.
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Intervention code [1]
1819
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Treatment: Devices
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Comparator / control treatment
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Control group
Placebo
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Outcomes
Primary outcome [1]
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VAS 0-100 pain score
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Assessment method [1]
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Timepoint [1]
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Baseline, 1 week, 1, 3, 6 and 12 months
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Secondary outcome [1]
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Brief Pain Inventory (BPI),
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Assessment method [1]
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Timepoint [1]
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Baseline, 1 week, 1, 3, 6 and 12 months
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Secondary outcome [2]
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Ability to perform 4 desired tasks previously limited by pain,
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Assessment method [2]
4755
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Timepoint [2]
4755
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Baseline, 1 week, 1, 3, 6 and 12 months
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Secondary outcome [3]
4756
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Pain Self-Efficacy questionnaire,
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Assessment method [3]
4756
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Timepoint [3]
4756
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Baseline, 1 week, 1, 3, 6 and 12 months
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Secondary outcome [4]
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MOS Short Form-36, Knee injury
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Assessment method [4]
4757
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Timepoint [4]
4757
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Baseline, 1 week, 1, 3, 6 and 12 months
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Secondary outcome [5]
4758
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Osteoarthritis Outcome Scale (KOOS) questionnaire
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Assessment method [5]
4758
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Timepoint [5]
4758
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Baseline, 1 week, 1, 3, 6 and 12 months
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Secondary outcome [6]
4759
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Global Treatment Satisfaction score,
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Assessment method [6]
4759
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Timepoint [6]
4759
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Baseline, 1 week, 1, 3, 6 and 12 months
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Secondary outcome [7]
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Medication usage and perceived need for more treatment.
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Assessment method [7]
4760
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Timepoint [7]
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Baseline, 1 week, 1, 3, 6 and 12 months
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Secondary outcome [8]
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Range of movement measured with a goniometer,
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Assessment method [8]
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Timepoint [8]
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Baseline, 1 week, 1, 3, 6 and 12 months
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Secondary outcome [9]
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'Timed chair stands, 20m and 400m walks.
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Assessment method [9]
4762
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Timepoint [9]
4762
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Baseline, 1 week, 1, 3, 6 and 12 months
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Eligibility
Key inclusion criteria
Waiting list patients with painful knee(s) rated >=5/10 on a verbal rating scale awaiting knee arthroplasty.
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Minimum age
18
Years
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Maximum age
No limit
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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
Subject on waiting list for a revision knee replacement, or with ipsilateral hip or ankle pain interfering with walking.Subject has terminal cancer, is unable to communicate or refuses to participate.
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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 by 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
The patients and assessors will be blinded
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/08/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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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
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Funding & Sponsors
Funding source category [1]
2140
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University
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Name [1]
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Grant from Frankston Hospital
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Address [1]
2140
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr Murray Taverner
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Address
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Country
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Terence Loughnan
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Address [1]
1944
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Country [1]
1944
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3936
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Frankston Hospital
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Ethics committee address [1]
3936
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Ethics committee country [1]
3936
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Australia
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Date submitted for ethics approval [1]
3936
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Approval date [1]
3936
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Ethics approval number [1]
3936
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2007-24
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Summary
Brief summary
The aim of this follow-on study is to determine if a transcutaneous pulse radiofrequency treatment can provide useful pain relief in patients with complex knee pain awaiting knee arthroplasty. Knee pain is a common problem with 19-23% prevalence in people aged between 40 and 79 years. An earlier study has shown some patients awaiting knee replacement surgery obtain good pain relief and functional improvement from selective nerve blocks lasting several weeks or months. This however still leaves a significant number of patients experiencing pain while waiting for surgery and other strategies need to be explored. Favourable outcomes have been reported from case series of transcutaneous pulse radiofrequency treatment described in conference proceedings and the literature. Transcutaneous PRF is a painless, non-invasive, non-destructive, needle-free alternative treatment that applies a pulsing electrical field around the target nerve using TENS electrodes that ‘stuns’ rather than destroys the nerve, rendering the nerve incapable of transmitting pain signals. It is not known how transcutaneous PRF works, however, it is thought to induce long lasting biochemical changes in the target spinal nerves without disrupting sensation or motor function. Treatment can be repeated if there is a good response to the first transcutaneous PRF. 40 knee arthroplasty waiting list patients rating their knee pain =5/10 on a verbal rating scale will be invited to participate in a DBRPC trial of transcutaneous pulse radiofrequency treatment. Patients with awaiting a revision hip replacement, with hip or ankle pain interfering with walking, terminal cancer, unable to communicate in English or don’t want to participate will be excluded. The outcome will be determined by comparing pre and post transcutaneous pulse radiofrequency treatment self report questionnaires and objective physical measures
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
27633
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Country
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Phone
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Fax
27633
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Email
27633
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Contact person for public queries
Name
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Dr Murray Taverner
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Address
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Department of Medicine
Frankston Hospital
PO Box 52
Frankston VIC 3199
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Country
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Australia
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Phone
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+61 3 97847777
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Fax
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+61 3 97847441
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Murray Taverner
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Address
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Department of Medicine
Frankston Hospital
PO Box 52
Frankston VIC 3199
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Country
1936
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Australia
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Phone
1936
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+61 3 97847777
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Fax
1936
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+61 3 97847441
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Email
1936
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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
No additional documents have been identified.
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