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Trial registered on ANZCTR
Registration number
ACTRN12605000116628
Ethics application status
Approved
Date submitted
5/08/2005
Date registered
9/08/2005
Date last updated
20/08/2007
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of progressive resistance training on knee articular cartilage morphology in osteoarthritic patients
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Scientific title
The effect of 6 month high intensity progressive resistance training on knee articular cartilage morphology in female osteoarthritic patients
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Universal Trial Number (UTN)
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Trial acronym
REACH
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthritis
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Condition category
Condition code
Musculoskeletal
228
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Subjects will be randomised into a progressive resistance training (PRT) or sham-exercise group. The PRT group will train at 80% of their peak strength, using Keiser pneumatic resistance machines, and progress approximately 3% per session. Strength will be re-assessed fortnightly. Exercises will target muscles around the hip and knee. The sham-exercise group will train on the same equipment as the PRT group except hip adduction, but without added resistance or progression. Both groups will train 3 days per week for roughly 45 minutes for 6 months.
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Intervention code [1]
132
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Treatment: Other
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Comparator / control treatment
Sham-exercise group.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Articular cartilage morphology following 6 months high intensity progressive resistance training.
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Assessment method [1]
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Timepoint [1]
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Following 6 months high intensity progressive resistance training.
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Secondary outcome [1]
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Muscle and fat cross-sectional area (CSA)
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Assessment method [1]
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Timepoint [1]
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Pre and post
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Secondary outcome [2]
615
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Muscle strength, power, endurance, and contraction velocity
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Assessment method [2]
615
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Timepoint [2]
615
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Pre, 3 months, & post
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Secondary outcome [3]
616
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Medications
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Assessment method [3]
616
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Timepoint [3]
616
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Pre, 3 months, & post
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Secondary outcome [4]
617
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Body composition
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Assessment method [4]
617
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Timepoint [4]
617
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Pre, 3 months, & post
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Secondary outcome [5]
618
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Balance; Physical function
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Assessment method [5]
618
0
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Timepoint [5]
618
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Pre, 3 months, & post
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Secondary outcome [6]
619
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Questionnaires
-Habitual exercise (PASE) -WOMAC index (pain, stiffness and functional ability)
-Depressive symptoms (Depression Scale) -Quality of life (SF36)
-Confidence performing physical activity (Ewart) -Demographics
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Assessment method [6]
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Timepoint [6]
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Pre, 3 months, & post
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Eligibility
Key inclusion criteria
Primary Osteoarthritis in at least one knee using standard criteria of the American College of Rheumatology (ACR) criteria for classification of clinical osteoarthritis -Ambulatory without human assistance-Willingness to be randomised to experiential or control group-Ability to attend scheduled exercise and testing sessions
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Minimum age
40
Years
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Maximum age
Not stated
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Regular exercise of any kind over the past 3 months (>1dpw). -Secondary osteoarthritis (traumatic or post-surgical), rheumatic disease, gouty or septic arthritis, Paget's disease, pseudogout, major congenital abnormalities, hemochromatosis, Wilson's disease and other rare forms of arthritis -Joint injury, injection or surgery within the past 6 months or knee joint replacement.
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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)
Randomisation of subjects will be carried out using opaque envelopes with their exercise group assignment inside. The label in the envelope will only state Group A or Group B. Researchers will not disclose to subjects which group is hypothesized to be the preferential group.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Using randomisation software from www.randomization.com. Subjects will be stratified according to WOMAC scores (cut-off WOMAC difficulty score of 53) and whether or not they are currently taking and/or have taken (last 6 months) either glucosamine or chondroitin at any dosage (yes/no)
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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
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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
Active, not recruiting
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Date of first participant enrolment
Anticipated
2/04/2005
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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
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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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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Cumberland Grant Category B. University of Sydney
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Address [1]
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Faculty of Health Science University of Sydney PO Box 170 Lidcombe NSW 1825
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Country [1]
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Australia
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Funding source category [2]
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University
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Name [2]
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University of Sydney R & D Grant (S4201 U3301)
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Address [2]
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Faculty of Health Science University of Sydney PO Box 170 Lidcombe NSW 1825
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Country [2]
2485
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Australia
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Primary sponsor type
University
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Name
University of Sydney, Faculty of Health Sciences, School of Exercise and Sport Science
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Address
Faculty of Health Science University of Sydney PO Box 170 Lidcombe NSW 1825
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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no
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Address [1]
220
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Country [1]
220
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Sydney Human Research Ethics Committee.
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Ethics committee address [1]
1142
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Ethics committee country [1]
1142
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Australia
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Date submitted for ethics approval [1]
1142
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Approval date [1]
1142
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Ethics approval number [1]
1142
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Ethics committee name [2]
1143
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Prince of Wales Medical Research Institute
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Ethics committee address [2]
1143
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
1143
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Approval date [2]
1143
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Ethics approval number [2]
1143
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Summary
Brief summary
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Trial website
http://www2.fhs.usyd.edu.au/ess/vanwanseele/reach.htm
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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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Ms. Angela Lange
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Address
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School of Exercise and Sport Science
Faculty of Health Science
University of Sydney
PO Box 170
Lidcombe NSW 1825
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Country
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Australia
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Phone
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+61 2 93519279
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Fax
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+61 2 93519204
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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. Benedicte Vanwanseele
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Address
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School of Exercise and Sport Science
Faculty of Health Science
University of Sydney
PO Box 170
Lidcombe NSW 1825
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Country
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Australia
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Phone
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+61 2 93519328
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Fax
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+61 2 93519204
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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
Source
Title
Year of Publication
DOI
Embase
Resistive Exercise for Arthritic Cartilage Health (REACH): a randomized double-blind, sham-exercise controlled trial.
2009
https://dx.doi.org/10.1186/1471-2318-9-1
N.B. These documents automatically identified may not have been verified by the study sponsor.
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