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Trial registered on ANZCTR
Registration number
ACTRN12610000171011
Ethics application status
Not yet submitted
Date submitted
9/02/2010
Date registered
22/02/2010
Date last updated
22/02/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
Transcutaneous Pulse Radiofrequency (PRF) Treatment For Shoulder Pain
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Scientific title
Transcutaneous Pulse Radiofrequency (PRF)Treatment For Shoulder Pain in Waiting list patients for non-stabilisation shoulder surgery
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Secondary ID [1]
1425
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nil
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Universal Trial Number (UTN)
U1111-1113-5982
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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:
Shoulder pain
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Condition category
Condition code
Musculoskeletal
256937
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0
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Other muscular and skeletal disorders
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Anaesthesiology
257003
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Double Blind Randomised Control Trial of a single Active (6x two-minute 10ms 5pps 80V in one treatment session) and a single Inactive (6x two-minute 0V in one treatment session) Transcutaneous Pulse Radiofrequency Treatment For Shoulder Pain in patients awaiting non-stabilisation shoulder surgery that takes about 15 minutes to perform. There is a gap of about 30 seconds between the 6 treatments which is the time to reposition the two topical self-adhesive electrodes. Transcutaneous PRF is a non-invasive, non-destructive, needle-free treatment that applies a precisely targeted pulsing electrical field around the target nerve that ‘stuns’ rather than destroys the nerve and making the nerve incapable of transmitting pain signals. Although it is not known how transcutaneous PRF works, 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 was a good response to the first transcutaneous PRF.
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Intervention code [1]
255995
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Treatment: Devices
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Comparator / control treatment
Placebo
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Visual analogue pain score 0-100
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Assessment method [1]
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Timepoint [1]
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Baseline, 1, 3 and 6 months.
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Secondary outcome [1]
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Oxford Shoulder Score
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Assessment method [1]
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Timepoint [1]
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Baseline, 1, 3 and 6 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]
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Timepoint [2]
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Baseline, 1, 3 and 6 months.
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Secondary outcome [3]
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Medication usage will be assessed by number of tablets per day for pain and medication quantification scale. Perceived need for more treatment is asked a yes/no question do you need more pain relief to do your normal activties.
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Assessment method [3]
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Timepoint [3]
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Baseline, 1, 3 and 6 months.
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Eligibility
Key inclusion criteria
Waiting list patients for non-stabilisation shoulder surgery with primary complaint of shoulder pain.
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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 stabilisation shoulder surgery or complaints of ipsilateral neck, arm or hand pain. 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 using a computerised randomisation table
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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
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
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/04/2010
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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
50
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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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Recruitment postcode(s) [1]
2572
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3199
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Recruitment postcode(s) [2]
2573
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3930
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Recruitment postcode(s) [3]
2574
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3931
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Recruitment postcode(s) [4]
2575
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3910
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Recruitment postcode(s) [5]
2576
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3200
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Recruitment postcode(s) [6]
2577
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3915
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Recruitment postcode(s) [7]
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3939
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Frankston Hospital
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Address [1]
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PO Box 52
Frankston, Vic 3199
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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
PO Box 52
Frankston, Vic 3199
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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A/Prof Terence Loughnan
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Address [1]
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PO Box 52
Frankston, Vic 3199
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Country [1]
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Frankston Hospital
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Ethics committee address [1]
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PO Box 52 Frankston, Vic 3199
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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05/02/2010
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Approval date [1]
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Ethics approval number [1]
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tba
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Summary
Brief summary
The aim of this follow-on study is to determine if transcutaneous pulsed radiofrequency treatment (PRFT) can reduce shoulder pain and if multiple treatments are better than one. Shoulder pain is third most common musculoskeletal problem in the general population and accounts for 5% of general practitioner musculoskeletal consults. The incidence of shoulder pain is 6.6 to 25 cases per 1000 patients, with a peak incidence in the fourth through sixth decades. Favourable outcomes have been reported from case series of transcutaneous PRFT described in conference proceedings and the literature. Our earlier double blind “active” versus “sham” study of 2 Hz 20ms 80V transcutaneous PRFT(ACTRN12609000146291) reduced knee pain by 30% at 1 month. Transcutaneous PRFT is a painless, non-invasive, non-destructive, needle-free treatment that applies a pulsing electrical field around the target nerve using surface mounted electrodes to ‘stun’ rather than destroy the nerves, rendering the nerve incapable of transmitting pain signals. It is not known how transcutaneous PRFT 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 PRFT. 50 patients referred to Frankston Hospital for non-stabilisation surgery for shoulder pain will be invited to participate in a double blind randomised placebo controlled (DBRPC) trial of transcutaneous PRFT. Patients with an unstable shoulder or 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 PRFT self-report of pain intensity, global satisfaction, medication use and Oxford Shoulder Score questionnaire.
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Trial website
n/a
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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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Dr Murray Taverner
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Address
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Frankston Hospital
PO Box 52
Frankston, Victoria, 3199
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Country
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Australia
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Phone
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+61 3 9874 7250
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Fax
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+61 3 9784 7567
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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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Frankston Hospital
PO Box 52
Frankston, Victoria, 3199
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Country
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Australia
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Phone
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+61 3 9874 7250
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Fax
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+61 3 9784 7567
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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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