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Trial registered on ANZCTR
Registration number
ACTRN12608000134325
Ethics application status
Approved
Date submitted
10/03/2008
Date registered
14/03/2008
Date last updated
14/03/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effects of icing a swollen knee joint on quadriceps muscle activation.
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Scientific title
The effects of cryotherapy on arthrogenic muscle inhibition using an experimental model of knee swelling.
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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 injury
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Knee surgery
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Knee arthritis
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Condition category
Condition code
Injuries and Accidents
3050
3050
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0
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Other injuries and accidents
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Surgery
3051
3051
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0
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Other surgery
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Musculoskeletal
3052
3052
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
15 subjects with no previous history of knee joint pathology had their knee joint infused with dextrose saline to a standardised intra-articular pressure of 50mmHg to mimic the swelling associated with knee injury, surgey and arthritis.
Subjects were randomly assigned to a cryotherapy (n=8) or control (n=7) group.
The cryotherapy group had crushed ice wrapped around their knee joint on a single occasion for a 20 minute duration.
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Intervention code [1]
2647
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Treatment: Other
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Comparator / control treatment
The control group did not receive an intervention but remained in a seated position for the 20 minute intervention period.
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Control group
Active
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Outcomes
Primary outcome [1]
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Quadriceps peak torque during maximum voluntary isometric contractions performed at 60 degrees of knee joint flexion.
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Assessment method [1]
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Timepoint [1]
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Baseline, pre knee joint infusion (10 minutes later), post knee joint infusion, post intervention
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Secondary outcome [1]
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Quadriceps electromyography amplitude (root mean square)
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Assessment method [1]
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Timepoint [1]
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Baseline, pre knee joint infusion (10 minutes later), post knee joint infusion, post intervention
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Secondary outcome [2]
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Quadriceps muscle fibre conduction velocity (estimated using custom designed surface electrode)
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Assessment method [2]
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Timepoint [2]
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Baseline, pre knee joint infusion (10 minutes later), post knee joint infusion, post intervention
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Eligibility
Key inclusion criteria
Healthy volunteers
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
A previous history of knee joint pathology to both knee joints.
A history of spinal surgery or lower limb surgery in the past 5 years.
Back pain in the last 6 months with associated neurological signs or symptoms
Any pathology that precluded the participation in maximum strength testing
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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)
Interested volunteers were instructed to contact an administrative assistant at the Health and Rehabilitation Research Centre, AUT University. Once recruited, subjects were randomly allocated to either the control or cryotherapy group.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerized sequence generation
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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
22/11/2006
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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
15
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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AUT University
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Address [1]
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55 Wellesly Street East
Auckland 1010
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
AUT University
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Address
55 Wellesly Street East
Auckland 1010
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Country
New Zealand
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Secondary sponsor category [1]
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University
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Name [1]
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University of Auckland
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Address [1]
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Park Road
Grafton Auckland 1023
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern X Regional Ethics Committee
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Ethics committee address [1]
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650 Great South Road Penrose Auckland
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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Approval date [1]
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12/09/2006
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Ethics approval number [1]
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NTX06/07/075
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Summary
Brief summary
Objective: Arthrogenic muscle inhibition (AMI) contributes to quadriceps weakness and atrophy in knee arthritis and following joint injury. This laboratory based study examined the efficacy of cryotherapy in reducing quadriceps AMI caused by intra-articular swelling. Methods: Fifteen subjects without knee pathology participated, and were randomly assigned to a cryotherapy (n=8) or control (n=7) group. Electromyographic signals (EMG) from vastus medialis and quadriceps torque measurements were recorded during maximum effort isometric contractions. All subjects then received an experimental joint infusion, whereby dextrose saline was injected into the knee to an intra-articular pressure of 50 mmHg. EMG and torque measures were repeated. Thereafter, the cryotherapy group had ice applied to the knee for 20 minutes while the control group did not receive an intervention. EMG and torque measures were then collected again. Quadriceps peak torque, muscle fibre conduction velocity (MFCV) and the root mean square (RMS) of EMG signals from vastus medialis were analysed. Results: Quadriceps peak torque, MFCV and RMS declined significantly following joint infusion (p = 0.001). Cryotherapy led to a significant increase in quadriceps torque and MFCV compared to control subjects (p < 0.05). There was a trend for RMS to increase more in the cryotherapy group relative to the control group (p = 0.09). Conclusions: The study demonstrated that cryotherapy is effective in reducing AMI induced by swelling. Cryotherapy may allow earlier and more effective quadriceps strengthening to take place in patients with knee joint pathology.
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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
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jane Galle
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Address
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Health and Rehabilitation Research Centre
AUT University
90 Akoranga Drive
Northcote Auckland 0627
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Country
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New Zealand
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Phone
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+64 9 9219999 ext. 7194
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Fax
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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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David Rice
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Address
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Health and Rehabilitation Research Centre
AUT University
90 Akoranga Drive
Northcote Auckland 0627
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Country
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New Zealand
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Phone
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+64 9 9219999 ext. 7032
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Fax
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Email
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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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