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Trial registered on ANZCTR
Registration number
ACTRN12613000129785
Ethics application status
Approved
Date submitted
29/01/2013
Date registered
1/02/2013
Date last updated
25/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
To what extent does experimentally induced pain affect the mental rotation of body parts and non-body objects in healthy participants?
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Scientific title
To what extent does experimentally induced pain affect the mental rotation of body parts and non-body objects in healthy participants?
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Secondary ID [1]
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Nil
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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:
Experimentally induced acute pain (intramuscular hypertonic saline injections) and laterality recognition
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Condition category
Condition code
Physical Medicine / Rehabilitation
288580
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will undergo 4 separate intramuscular injections of 5% hypertonic saline solution into their upper limbs (no therapeutic benefit) over 2 sessions.
There will be 2 injections per session, and the sessions will seperated by at least 1 week. The first injection in a session will be followed by the second injection by approximately 35 minutes (this time frame includes a laterality task during pain, a washout period of 10 mins, a post-pain laterality task, and a pre-pain laterality task).
Injection sites are bilateral thenar eminences and bilateral common extensor origin (CEO) on the lateral upper forearm area. Each site will be injected once. The same bilateral locations will be injection during 1 session - eg R and L thenar eminences or R and L CEO.
Participants complete a laterality recognition task before, during and after the painful stimulus. The laterality task is a computer based time response measurement programme which displays pictures of hands, feet and cars of different laterality (handedness) which have been rotated around different axes. Participants judge the laterality of each picture and input their response using the arrow keys on a keyboard. The task takes 7.5 minutes to complete when all pictures are displayed twice. The programme is also designed to ask participants to rate their pain levels (VAS) at 20 second intervals. This is also inputted using the arrow keys.
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Intervention code [1]
286411
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Other interventions
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Comparator / control treatment
All participants are healthy and receive the same intervention (no therapeutic benefit). Participants used as own controls - pre, during, post painful stimulus.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To investigate the effects of experimentally induced hand and elbow pain on the mental rotation of body parts and non-body objects in healthy participants, and assess the reliability of these response patterns.
The tool used to measure this outcome is the laterality task which is a response time measurement programme. The response times during the different pain states (pre, during, post) will be analysed to assess how the average response times change.
The pain ratings are measured using a Visual Analogue Scale measurement, and the pain perceptual characteristics are measured using the McGill pain questionnaire.
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Assessment method [1]
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Timepoint [1]
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There are 4 types of data to be collected: demographic data will be collected at least 1 week prior to the first injection. The pain rating and perceptual characteristics and laterality data is collected at the time of injections (detailed below):
- immediately before the injection - the pre-pain laterality and pain rating data is collected.
- immediately after the needle is withdrawn - the during-pain laterality and pain rating data is collected.
- the perceptual characteristics data is collected when the experimentally induced pain has reached 0 (approx. 6-7 mins post needle withdrawl).
- the post-pain and pain rating data is collected following a washout period of 10 mins after the during-pain data collection has finished (at least 17.5mins after the needle has been withdrawn)
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Secondary outcome [1]
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To compare laterality data between exposures (changes in injections sites and sides), and differences in handedness, gender, ethnicity, age (demographic data) and perceptual characteristics of pain.
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Assessment method [1]
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Timepoint [1]
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There are 4 types of data to be collected: demographic data will be collected at least 1 week prior to the first injection. The pain rating and perceptual characteristics and laterality data is collected at the time of injections (detailed below):
- immediately before the injection - the pre-pain laterality and pain rating data is collected.
- immediately after the needle is withdrawn - the during-pain laterality and pain rating data is collected.
- the perceptual characteristics data is collected when the experimentally induced pain has reached 0 (approx. 6-7 mins post needle withdrawl).
- the post-pain and pain rating data is collected following a washout period of 10 mins after the during-pain data collection has finished (at least 17.5mins after the needle has been withdrawn)
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Eligibility
Key inclusion criteria
Aged 18-50
Ability to speak and write English
Ability to give written, informed consent
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Minimum age
18
Years
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Maximum age
50
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
Orthopaedic or neurological disorders of the upper limb or neck
Significant visual impairment
Diagnosis of dyslexia
Pain on the day of testing (chronic or acute)
Use of pain medications on day of testing
Trauma to upper limb
Fracture/dislocation
Open wounds or skin conditions
Pain related conditions: Pain catastrophising (>24 on pain catatrophising scale (PCS) (Pedler, 2010)), Somatic hypervigilance (>7 on modified somatic pain questionnaire (MSPQ) (Donaldson et al., 2011))
History of fainting or seizures
Diagnosis of haemophilia or other clotting disease
Allergy to latex products
Non-New Zealand citizens or residents
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be recruited via notices and volunteers will be initially emailed an information sheet about the experimental pain and the study, and the inclusion/exclusion criteria. If they are still interested they will be be emailed a link to complete the pain conditions questionnaires (exclusion criteria). If suitable and willing, they will meet with NP to discuss the study, ask questions and enroll. From there a time will be arranged to receive the intervention (all participants receive the same intervention).
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
All participants will receive the same intervention.
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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
Single group
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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
Completed
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Date of first participant enrolment
Anticipated
20/02/2013
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Actual
8/04/2013
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Date of last participant enrolment
Anticipated
18/03/2013
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Actual
7/05/2013
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Date of last data collection
Anticipated
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Actual
16/05/2013
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Sample size
Target
20
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Accrual to date
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Final
22
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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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Charities/Societies/Foundations
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Name [1]
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Todd Foundation
2012 Awards for Excellence (Polytechs)
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Address [1]
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Postal Address: PO Box 3142
Street Address: L14, Todd Building, 95 Customhouse Quay
Wellington
New Zealand
6011
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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
Unitec, NZ
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Address
139 Carrington Rd, Mt Albert, Auckland 1025
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Health and Disability Ethics Committees - Northern A
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Ethics committee address [1]
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Ministry of Health No 1 The Terrace PO Box 5013 Wellington 6011
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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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17/09/2012
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Ethics approval number [1]
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12/NTA/37
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Summary
Brief summary
This study is intended to investigate how experimentally induced pain in the hand and elbow causes changes in the way people recognise pictures of hands/feet/cars as left or right handed. If these findings are shown to be reliable, we propose that measuring the way people recognise left and right could be used to determine what sort of pain they are feeling at that time.
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Trial website
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Trial related presentations / publications
Phillips, N. (2017, September). Interesting implications for the use of mental motor imagery in clinical practice. Paper presented at Osteopathy New Zealand Conference 2017, Auckland. Phillips, N., McLaren, S., Mannion, J., & Moran, R. (2017, March). Pain and left-right discrimination; more complicated than we thought?. Poster presented at Annual Scientific Meeting of the New Zealand Pain Society Inc. 2017, Nelson.
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Public notes
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Contacts
Principal investigator
Name
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Ms Nichole Phillips
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Address
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c/o Clinic 41
Unitec Institute of Technology
Carrington Rd, Mt Albert
Private Bag 92025
Victoria Street West
Auckland 1142
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Country
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New Zealand
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Phone
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+64 9 815 6794
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Nichole Phillips
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Address
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c/o Clinic 41
Unitec Institute of Technology
Carrington Rd, Mt Albert
Private Bag 92025
Victoria Street West
Auckland 1142
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Country
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New Zealand
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Phone
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+64 9 815 6794
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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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Nichole Phillips
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Address
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c/o Clinic 41
Unitec Institute of Technology
Carrington Rd, Mt Albert
Private Bag 92025
Victoria Street West
Auckland 1142
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Country
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New Zealand
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Phone
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+64 9 815 6794
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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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