柔筋调膝手法干预膝骨关节炎的多中心临床研究

注册号:

Registration number:

ChiCTR-INR-17011916 

最近更新日期:

Date of Last Refreshed on:

2017-07-09 09:45:49 

注册时间:

Date of Registration:

2017-07-09 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

柔筋调膝手法干预膝骨关节炎的多中心临床研究

Public title:

A multicentre clinical study on the treatment of knee osteoarthritis with the technique of adjusting and kneading knee

注册题目简写:

English Acronym:

研究课题的正式科学名称:

柔筋调膝手法干预膝骨关节炎的多中心临床研究

Scientific title:

A multicentre clinical study on the treatment of knee osteoarthritis with the technique of adjusting and kneading knee

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

李建华 

研究负责人:

龚利 

Applicant:

Li Jianhua 

Study leader:

Gong Li 

申请注册联系人电话:

Applicant telephone:

+86 13381503626

研究负责人电话:

Study leader's
telephone:

+86 18930560282

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

lijianhua317@163.com

研究负责人电子邮件:

Study leader's E-mail:

drgongli@126.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

上海市虹口区甘河路110号岳阳医院推拿科

研究负责人通讯地址:

上海市虹口区甘河路110号岳阳医院推拿科

Applicant address:

Department of Tuina, Yueyang Hospital, 110 Ganhe Road, Hongkou District, Shanghai

Study leader's address:

Department of Tuina, Yueyang Hospital, 110 Ganhe Road, Hongkou District, Shanghai

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

上海中医药大学附属岳阳中西医结合医院

Applicant's institution:

Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine

研究负责人所在单位:

上海中医药大学附属岳阳中西医结合医院

Affiliation of the Leader:

Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2017041

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

上海中医药大学附属岳阳中西医结合医院伦理委员会

Name of the ethic committee:

Ethics Committee of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2017-07-06 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

上海中医药大学附属岳阳中西医结合医院

Primary sponsor:

Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

上海市虹口区甘河路110号岳阳医院

Primary sponsor's address:

Department of Tuina, Yueyang Hospital, 110 Ganhe Road, Hongkou District, Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海中医药大学附属岳阳中西医结合医院

具体地址:

上海市虹口区甘河路110号岳阳医院推拿科

Institution
hospital:

Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine

Address:

Department of Tuina, Yueyang Hospital, 110 Ganhe Road, Hongkou District, Shanghai

经费或物资来源:

上海申康医院发展中心

Source(s) of funding:

Clinical Research Plan of SHDC

研究疾病:

膝骨关节炎  

Target disease:

Knee osteoarthritis

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

治疗新技术临床试验 

Study phase:

New Treatment Measure Clinical Study

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

通过临床大样本多中心随机对照研究观察,为柔筋调膝的临床疗效提供证据支持。通过卫生经济学指标和患者满意度评价结果,为柔筋调膝手法治疗膝骨关节炎的临床决策提供证据支持。通过随访检查步态分析观察患者行走功能的改善,为临床疗效提供客观证据。将中医治疗膝骨关节炎的方案优化,提高上海市膝骨关节炎中医诊疗水平。  

Objectives of Study:

Through the clinical large sample of multi-center randomized controlled study observation, for the clinical effect of the technique of adjusting and kneading knee to provide evidence to support. Through the evaluation of health economics and patient satisfaction, it provides evidence for the clinical decision-making of knee osteoarthritis. The follow-up examination gait analysis was used to observe the improvement of walking function of patients, providing objective evidence for clinical efficacy. The Chinese medicine treatment of knee osteoarthritis program optimization, improve the level of Shanghai knee osteoarthritis diagnosis and treatment of Chinese medicine.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

(1)膝部有外伤和手术史者
(2)膝部有肿瘤、结核、骨髓炎等疾患者
(3)牛皮癣、梅毒性神经病、褐黄病、代谢性骨病、急性创伤等
(4)严重肝肾功能不全、严重心血管疾病、糖尿病及精神疾病者

Exclusion criteria:

(1) a history of trauma and surgery on the knee;
(2) the knee with cancer, tuberculosis, osteomyelitis and other diseases;
(3) psoriasis, syphilitic neuropathy, brown yellow disease, metabolic bone disease, acute trauma;
(4) severe liver and kidney dysfunction, severe cardiovascular disease, diabetes and mental illness.

研究实施时间:

Study execute time:

From 2017-09-30 00:00:00 To 2020-09-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2017-09-30 00:00:00 To 2020-08-31 00:00:00

干预措施:

Interventions:

组别:

柔筋调膝组

样本量:

135

Group:

Adjusting and kneading knee group

Sample size:

干预措施:

手法包括软组织手法和坐位调膝手法。软组织推拿手法干预同传统手法组;坐位调膝法:患者取坐位,医者与其相对而坐。医者将患肢的踝关节适当旋转,两手拇指置于髌骨下缘向上顶推,余四指环抱腘窝松动胫股关节,嘱患者缓慢站立后再缓缓坐下,如此重复三次。 此疗法每周予以3次治疗。

干预措施代码:

Intervention:

Techniques include soft tissue practices and sitting-tone tactics. Soft tissue massage manipulation with the traditional method group; sitting knee surgery: the patient to take the seat, the doctor and its relative to sit. The doctor will be the limb of the ankle appropriate rotation, his hands thumb placed

Intervention code:

组别:

传统手法组

样本量:

135

Group:

Traditional method group

Sample size:

干预措施:

(1) 舒经通络,活血化瘀:患者先仰卧位,先以用?法施术于大腿股四头肌,重点在于髌骨上操作,并按揉鹤顶、血海、梁丘、伏兔等穴。患者俯卧位,以?法施于大腿后侧、腘窝及小腿后侧,并提拿委中、承山穴。 (2) 松解粘连,滑利关节:患者仰卧位,屈髋屈膝,术者一手扶按患侧髌骨,一手握持小腿远端,作屈膝腰法,配合膝关节屈伸、旋转等被动活动。续则以按揉与弹拨法交替作用在髌韧带、内外侧副韧带,重点在鹤顶、内外膝眼、阳陵泉、血海、梁丘等穴周围进行治疗,并提拿髌骨。最后于患者患膝周围施以檫法,以透热为度。每周2次,疗程4周。 此疗法每周予以3次治疗。

干预措施代码:

Intervention:

(1) Shu Jing Tongluo, blood circulation: the patient first supine position, first with the method of operation in the thigh quadriceps, focusing on the operation of the patella, and press rubbed crane, blood sea, Liang Qiu, volts Rabbit and other points. Patients prone position, to the law applied to th

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海中医药大学附属岳阳中西医结合医院 

单位级别:

三级甲等 

Institution
hospital:

Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine

Level of the institution:

Tertiary A hospita

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海上海交通大学附属第一人民医院 

单位级别:

三级甲等 

Institution
hospital:

Shanghai First People 's Hospital Affiliated to Shanghai Jiaotong University

Level of the institution:

Tertiary A hospita

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海上海交通大学附属第六人民医院 

单位级别:

三级甲等 

Institution
hospital:

Shanghai Sixth People 's Hospital Affiliated to Shanghai Jiaotong University

Level of the institution:

Tertiary A hospita

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市中医医院 

单位级别:

三级甲等 

Institution
hospital:

Shanghai Traditional Chinese Medicine Hospital

Level of the institution:

Tertiary A hospita

测量指标:

Outcomes:

指标中文名:

量表:WOMAC(西安大略和曼彻斯特大学)骨性关节炎指数

指标类型:

主要指标

Outcome:

Scale: WOMAC (University of Western Ontario and Manchester) Bone arthritis index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

疼痛指标:VAS、M-Tone压痛值

指标类型:

主要指标

Outcome:

Pain index: VAS, M-Tone tenderness value

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

X线:治疗前后分别拍患膝正侧位X线,并进行K&L分级

指标类型:

主要指标

Outcome:

X-ray: before and after treatment were taken knee positive lateral X-ray, and K & L grading

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

步态分析指标

指标类型:

主要指标

Outcome:

Gait analysis

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

NA

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 38 years
最大 Max age 80 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

通过网络平台:ResMan Research Manage 进行随机入组分配。

Randomization Procedure (please state who generates the random number sequence and by what method):

Through the network platform: ResMan Research Manage random group allocation

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

课题进行时,即时录入数据并公开。通过网络平台:ResMan Research Manager 。网址:http://www.medresman.org/login.aspx

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

When the subject is in progress, timely data entry and public.Through the network platform:ResMan Research Manager .网址:http://www.medresman.org/login.aspx

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

电子化数据管理 1.病例报告表(CRF)的填写与移交:完成的病例报告表由课题负责人和研究助理审查后,交数据管理人员,进行数据录入与管理工作。 2.数据的录入与修改:数据录入与管理由数据管理员负责。采用Excel数据库,进行数据录入与管理。为保证数据的准确性,由两个数据管理员独立进行双份录入并校对。 3.对病例报告表中存在的疑问。数据管理员将填写疑问解答表(DRO),并通过研究助理向课题负责人发出询问,课题负责人应尽快解答并返回,数据管理员根据课题负责人的回答进行数据修改,确认与录入。 4.数据库锁定:在确认所建的数据库无误后,由课题负责人、数据管理人员、统计分析人员对数据库进行锁定。 5.本次试验采用电子化数据管理系统(DAS for eCDM)。该系统集成了电子病例报告表(eCRF)构建 、数据录入、数据锁定及导出及EDC系统应急计划,能够科学的对试验数据进行跟踪管理和实时监控。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Electronic data management: 1.Completion and Transfer of Case Report Form (CRF): Completed case report forms are reviewed by the project leader and research assistant, and submitted to the data management personnel for data entry and management. 2.Data entry and modification: data entry and management by the data administrator. Using Excel database, data entry and management. In order to ensure the accuracy of the data, by the two data administrators for independent entry and proofreading. 3.On the case report form the existence of questions. The data manager will fill out a question-answering form (DRO) and ask questions to the project leader through the research assistant. The data manager will answer and return the data as soon as possible. The data manager will modify, confirm and enter the data. 4.Database lock: After confirming the correctness of the database, the project leader, data management, statistical analysis of the database lock. 5.This experiment uses electronic data management system (DAS for eCDM). The system integrates electronic case report form (eCRF) construction, data entry, data locking and exporting and EDC system contingency plan, and can track and manage the experimental data in real time.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2017-07-09 09:45:49