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Trial registered on ANZCTR
Registration number
ACTRN12607000643471
Ethics application status
Approved
Date submitted
12/12/2007
Date registered
19/12/2007
Date last updated
6/08/2019
Date data sharing statement initially provided
6/08/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
A study to evaluate the effectiveness of exercise in the treatment of cervical dystonia.
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Scientific title
A randomized controlled trial to determine the effectiveness of a programme of active and passive exercies in the treatment of idiopathic cervical dystonia.
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Secondary ID [1]
298955
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
CD_EXS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Idiopathic Cervical Dystonia
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Condition category
Condition code
Neurological
2763
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Active exercise group. This group will attend 8 treatment sessions (of approximately 30 minutes duration) over 12 weeks with a physiotherapist. During these sessions participants will perform initially some passive exercises, and then mostly active exercises including cervical spine retraction, flexion, rotation and lateral flexion. Participants will be trained to perform these exercises in a variety of positions for example in lying, sitting, standing and walking. Relaxation will also be taught to participants, and advice will be given on managing their dystonic neck movements. Participants will continue these exercises at home, and will record their practice in a diary.
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Intervention code [1]
2317
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Rehabilitation
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Comparator / control treatment
Passive exercise group. This group will attend 8 treatment sessions (of approximately 30 minutes duration) over 12 weeks with a physiotherapist. During these sessions participants will perform relaxation only. Participants will continue this relaxation at home, and will record their practice in a diary.
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Control group
Active
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Outcomes
Primary outcome [1]
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Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS).
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Assessment method [1]
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Timepoint [1]
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At baseline, at 6, 12 and 16 weeks after commencement of treatment.
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Secondary outcome [1]
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Cervical Dystonia Questionnaire (CDQ-24)
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Assessment method [1]
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Timepoint [1]
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At baseline, at 6, 12 and 16 weeks after commencement of treatment.
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Secondary outcome [2]
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Beck depression inventory
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Assessment method [2]
6018
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Timepoint [2]
6018
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At baseline, at 6, 12 and 16 weeks after commencement of treatment.
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Secondary outcome [3]
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Cervical spine active range of motion in the directions of flexion, extension, left and right rotation and lateral flexion, and suboccipital flexion and extension.
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Assessment method [3]
6078
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Timepoint [3]
6078
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At baseline, at 6, 12 and 16 weeks after commencement of treatment.
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Eligibility
Key inclusion criteria
Diagnosis of cervical dystonia for at least 6 months, committment to maintain any other medications for cervical dystonia at the same dose for the duration of the study.
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Minimum age
18
Years
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Maximum age
75
Years
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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
Any concurrent severe cervical spine condition (eg. severe arthritis).
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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 will be done by someone not involved in recruitment or assessment and will occur offsite. Therefore, recruitment staff will be unable to predict any participant's group allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer will be used to generate randomisation tables. Block randomisation will be used to allocate participants to treatment groups.
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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
Phase 1 / Phase 2
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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
6/10/2006
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Actual
6/10/2006
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Date of last participant enrolment
Anticipated
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Actual
8/11/2010
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Date of last data collection
Anticipated
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Actual
9/03/2011
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Sample size
Target
40
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Accrual to date
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Final
20
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
329
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2145
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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NSW Physiotherapy Registration Board
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Address [1]
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Foveaux St Haymarket, NSW
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Westmead Hospital
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Address
Hawkesbury Rd, Westmead, NSW, 2145
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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The University of Sydney
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Address [1]
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Faculty of Health Sciences
PO Box 170, Lidcombe, NSW, 1825
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Country [1]
2538
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
4733
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Sydney West Area Health Service Human Research Ethics Committee
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Ethics committee address [1]
4733
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Westmead Hospital, Hawkesbury Rd, Westmead, NSW, 2145.
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Ethics committee country [1]
4733
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Australia
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Date submitted for ethics approval [1]
4733
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01/10/2005
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Approval date [1]
4733
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18/11/2005
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Ethics approval number [1]
4733
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HREC2005/11/4.11(2233)
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Ethics committee name [2]
4763
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The University of Sydney Human Reseach Ethics Committee
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Ethics committee address [2]
4763
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The University of Sydney, NSW, 2006
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Ethics committee country [2]
4763
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Australia
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Date submitted for ethics approval [2]
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24/02/2006
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Approval date [2]
4763
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02/03/2006
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Ethics approval number [2]
4763
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8991
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Summary
Brief summary
This study will assess the effects of an active and passive exercise programme for participants with idiopathic cervical dystonia. Participants will be randomly allocated into either the active or passive exercise group, and will receive 8 treatment sessions with a physiotherapist over 12 weeks. Participants in the active exercise group will also receive advice on controlling their dystonia. The primary outcome measure is the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) which includes assessment of active neck movements, neck control, pain and disability. Secondary outcome measures include active range of motion of all neck movements, quality of life and depression questionnaires. All measures will be conducted prior to commencement of treatment, half way through treatment, at the end of treatment and 1 month after the completion of treatment. The study aims to determine if active exercises are more beneficial in improving neck control, reducing pain, range of movement, quality of life, and than passive exercises. Participants will be given a home exercise programme to be continued throughout the study.
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Trial website
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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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Melani Boyce
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Address
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Physiotherapy Department Westmead Hospital Hawkesbury Rd, Westmead, NSW, 2145
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Country
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Australia
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Phone
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+61 2 9845 6500
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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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Dr Colleen Canning
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Address
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School of Physiotherapy Faculty of health Sciences, The University of Sydney, PO Box 170, Lidcombe, 1825
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Country
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Australia
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Phone
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+61 2 93519263
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Fax
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Email
2273
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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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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