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Study of the effect of resistance training and nano curcumin supplementation on synovial fluid biomarkers in patients with knee osteoarthritis.

Protocol summary

Study aim
study of the effect of resistance training and nano-curcumin use on synovial fluid biomarkers in patients with knee osteoarthritis.
Design
Because of the importance of group homogeneity, the stratified randomization method is used In which the removal of possible heterogeneity is done by classifying the variables of the disease grade prior to random assignment. Double Blind Clinical Trial,calculate the sample size based on the formula and by conducting pilot studies.
Settings and conduct
Initial measurements and pre-test at the Center for Physiotherapy at the site of the protocol implementation,performing resistance training 3 days a week for 2 months. Nanocurcumin supplement daily 1 and placebo daily1(soft gelatin capsule with a completely similar appearance of nano-curcumin) will be provided randomly, without the knowledge of participants, clinical care, evaluator and analyst.
Participants/Inclusion and exclusion criteria
Inclusion criteria:Infection with osteoarthritis grade1-4,Low activity,age 60-45, non-acute illness , fracture , ,joint infections, Exclusion criteria: Unwillingness of patients to continue cooperation , lack of synovial fluid, Knee joint movement restriction, Injury when exercising , drug use other than diclofenac for the treatment of Osteoarthritis , Cardiovascular, liver, diabetes, kidney failure,age less than 45 and over 60,addiction and alcohol and smoking.
Intervention groups
Patients with knee Osteoarthritis who:1- perform resistance training with nano-Curcumin supplementation2- perform resistance training with placebo 3- take nano-curcumin supplement4- only take placebo(control group)
Main outcome variables
Levels of synovial fluid biomarkers in patients with knee osteoarthritis

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20161208031300N1
Registration date: 2018-05-11, 1397/02/21
Registration timing: retrospective

Last update: 2018-05-11, 1397/02/21
Update count: 0
Registration date
2018-05-11, 1397/02/21
Registrant information
Name
Reza Ganji
Name of organization / entity
North Khorasan University Of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 58 3229 7010
Email address
r.ganji@nkums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2017-12-11, 1396/09/20
Expected recruitment end date
2018-02-09, 1396/11/20
Actual recruitment start date
2017-12-11, 1396/09/20
Actual recruitment end date
2018-02-20, 1396/12/01
Trial completion date
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Scientific title
Study of the effect of resistance training and nano curcumin supplementation on synovial fluid biomarkers in patients with knee osteoarthritis.
Public title
The effect of resistance training and nano curcumin supplementation on synovial fluid biomarkers
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
Having an OA (primary) knee with a grade of 1 to 4 Low mobility (Participate in sports activities less than three times a week for less than 20 minutes during the past six months and lack of participation in organized activities over the past year) The age range is between 45-60 years Non-acute illness like cardiovascular disease and lack of fracture and injury In the lower extremity or a joint infection Lack of endocrine and metabolic diseases (diabetes, thyroid, kidney, liver), cardiovascular disease (high blood pressure, coronary artery disease and atherosclerosis, peripheral vascular diseases and myocardial infarction), mental illness (depression, Schizophrenia and mania), epilepsy, anemia, cancer and any infectious disease. No history of alcohol and smoking and any addiction
Exclusion criteria:
Unwillingness of patients to continue cooperation in research No synovial fluid during aspiration Knee joint limitation and inability to perform sports exercises Any injuries when doing exercises Taking medications other than diclofenac for the treatment of osteoarthritis Suffering from cardiovascular, liver, diabetes, kidney failure Age range less than 45 and more than 60 years Addiction and alcohol and smoking Joint infection
Age
From 45 years old to 60 years old
Gender
Female
Phase
3
Groups that have been masked
  • Participant
  • Care provider
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 60
Actual sample size reached: 48
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization is done with random numbers.
Blinding (investigator's opinion)
Double blinded
Blinding description
The medication and placebo are coded by the investigator and distributed randomly among the patients.Researchers, clinical caregivers, evaluators, and analysts do not know what type of supplement they are using.
Placebo
Used
Assignment
Factorial
Other design features
According to our knowledge, to date, there have been very limited studies in the field of resistance training with the use of nanocurcumin supplementation in patients with knee osteoarthritis.Investigating changes in the level of inflammatory and cartilage factors in synovial fluid , we will show a more accurate comparison of the effects of resistance training and the effect of supplementation of nano-corcomin alone and simultaneously.

Secondary Ids

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Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Bojnourd University of Medical Sciences
Street address
Shahid Mohagher Alley,Shahid Beheshti St, Research and Technology Dept. of North Khorasan University of Medical Sciences
City
Bojnurd
Province
North Khorasan
Postal code
94176914735
Approval date
2018-03-13, 1396/12/22
Ethics committee reference number
ir.nkums.rec.1396.77

Health conditions studied

1

Description of health condition studied
Knee Osteoarthritis
ICD-10 code
M17.0
ICD-10 code description
Primary gonarthrosis, bilateral

Primary outcomes

1

Description
Levels of synovial fluid biomarkers of the knee
Timepoint
24 hours before the intervention and 48 hours after the end of the intervention
Method of measurement
Enzyme-Linked Immunosorbent Assay test

Secondary outcomes

1

Description
Knee pain
Timepoint
24 hours before the intervention and 24 hours after the intervention
Method of measurement
Western Ontario and McMaster Universities Osteoarthritis Index,Visual Analogue Scale

2

Description
improving the quality of life
Timepoint
24 hours before the intervention and 24 hours after the intervention
Method of measurement
Health Assessment Questionnaire

Intervention groups

1

Description
Intervention group:Patients with Knee Osteoarthritis who use nano-curcumin supplementation with resistance training.Exercise groups for 2 months, 3 days a week, knee and hip exercises, including knee extension, pelvic abduction, pelvic edema and plantar flexion, and quadrice chairs, then with a intensity of 50-75% 1RM, will last until the endurance.nano-curcumin supplement of the company Sinacurcumin with a dose of 1000 mg (equivalent to 80 mg of nanosilver), and daily 1, and placebo daily 1(soft gelatin capsule).
Category
Treatment - Drugs

2

Description
Second intervention group : Patients with Knee Osteoarthritis who take a placebo with their resistance training .The training groups will perform for 2 months, 3 days a week, knee and hip exercises, including knee extension, pelvic abduction, pelvic edema and plantar flexion, and quadrice chairs, then with a intensity of 50-75% 1RM until the pressure is tolerated. Placebo
Category
Rehabilitation

3

Description
Third intervention group:Patients with Knee Osteoarthritis that use supplement nano-curcumin.Nanocorcinol supplements are produced by the company Sinacurcumin at a dose of 1000 mg (equivalent to 80 mg Nanosciences) and daily 1 tablet.
Category
Treatment - Drugs

4

Description
Control group: Patients with Knee Osteoarthritis who use one placebo per day.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Imam Ali Specialized Clinic
Full name of responsible person
Reza Ganji
Street address
Shahriar Avenue - next to Imam Ali Hospital
City
Bojnurd
Province
North Khorasan
Postal code
94176914735
Phone
+98 58 3229 6966
Email
r.ganji@nkums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Bojnourd University of Medical Sciences
Full name of responsible person
Reza Ganji
Street address
Shahid Mohagher Alley,Shahid Beheshti St, Research and Technology Dept. of North Khorasan University of Medical Sciences
City
Bojnurd
Province
North Khorasan
Postal code
9414974877
Phone
+98 58 3222 1910
Fax
Email
r.ganji@nkums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Bojnourd University of Medical Sciences
Proportion provided by this source
60
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Bojnourd University of Medical Sciences
Full name of responsible person
Farideh Haghighi
Position
Nurse
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
Street of the Uprising, No. 322, opposite the Guardian Council
City
Bojnurd
Province
North Khorasan
Postal code
9414974877
Phone
+98 58 3222 8105
Email
farideh.haghighi.1351@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Bojnourd University of Medical Sciences
Full name of responsible person
Reza ganji
Position
Assistant Professor, Assistant Professor of North Khorasan University of Medical Sciences
Latest degree
Specialist
Other areas of specialty/work
Orthopedics
Street address
Shahid Mohagher Alley,Shahid Beheshti St, , Research and Technology Dept. of North Khorasan University of Medical Sciences
City
Bojnurd
Province
North Khorasan
Postal code
9414974877
Phone
+98 58 3229 6966
Email
r.ganji@nkums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Bojnourd University of Medical Sciences
Full name of responsible person
Reza ganji
Position
Assistant Professor, Assistant Professor of North Khorasan University of Medical Sciences
Latest degree
Specialist
Other areas of specialty/work
Orthopedics
Street address
Shahid Mohagher Alley,Shahid Beheshti St, Research and Technology Dept. of North Khorasan University of Medical Sciences
City
Bojnurd
Province
North Khorasan
Postal code
9414974877
Phone
+98 58 3229 6966
Email
r.ganji@nkums.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
Information about the main outcome of this study will be shared through the article.
When the data will become available and for how long
The start of the access period will be 3 month after the results are printed.
To whom data/document is available
Researchers working in academia and academics and industry professionals
Under which criteria data/document could be used
Terms of use of data or documentation:1. Having specialized knowledge and academic competence in the research subject 2. Present actual research results 3. Failure to remove or modify the original address of the authors of scientific articles 4. Observe the interests of stakeholders at all stages 5. No publication of the results of the plan without coordination and obtaining a license
From where data/document is obtainable
1- Dr. Reza Ganji: r.ganji@nkums.ac.ir 2. Dr. Sadegh Cheragh Birjand: s_birjandi2001@yahoo.com
What processes are involved for a request to access data/document
Applicants for documentation and data files can apply to the announced email addresses by sending a valid academic and academic application.After verifying the documents submitted, the documents and data files will be provided to the applicants.
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