Exercise and Pain Sensitivity

NCT ID: NCT01351558

Last Updated: 2012-10-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2012-03-31

Brief Summary

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There is ample evidence that exercise therapy is beneficial with respect to pain in patients with osteoarthritis of the knee. However, the pain relieving mechanisms are unknown. To enhance the efficacy of exercise therapy a deeper understanding of the involved mechanisms is needed.

Different exercise types may affect the pain sensitivity differently. It is hypothesized that non-specific exercises (i.e. exercises that does not involve the knee) reduces the processing of pain in the central nervous system (central sensitivity) to knee joint pain in healthy subjects. It is also hypothesized that exercises that involve the knee (i.e. specific knee exercises) reduce the sensitivity of pain receptors in the knee (peripheral sensitivity) in healthy subjects.

Healthy volunteers are recruited and randomised to one of four interventions: 1: Muscle strengthening exercises involving the thigh muscles; 2: Muscle strengthening exercises involving the shoulder muscles; 3: Cardio-vascular fitness exercises; or 4: Control (no exercises). The active interventions include exercises three times per week for 12 weeks. Pain sensitivity and a range of explanatory variables is measured before the interventions, after 4 weeks and after 12 weeks.

Detailed Description

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Conditions

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Knee Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Control

No intervention for 12 weeks

Group Type NO_INTERVENTION

No interventions assigned to this group

Knee muscle strengthening exercises

Group Type ACTIVE_COMPARATOR

Knee muscle strengthening exercises

Intervention Type OTHER

Muscle strengthening exercises of the quadriceps and hamstring muscles will be performed based on a standard muscle strengthening exercise paradigm: 3 sets with 6-8 repetitions (corresponding to approximately 80% repetition maximum (RM)) will be performed. The training load will be progressed by means of weekly estimates of muscle strength to ensure a constant load of 80% RM. The exercises will be supervised

Upper extremity strengthening exercises

Group Type ACTIVE_COMPARATOR

Upper extremity strengthening exercises

Intervention Type OTHER

Muscle strengthening exercises of the upper amrs and shoulder girdle will be performed based on a standard muscle strengthening exercise paradigm: 3 sets with 6-8 repetitions (corresponding to approximately 80% repetition maximum (RM)) will be performed. The training load will be progressed by means of weekly estimates of muscle strength to ensure a constant load of 80% RM. The exercises will be supervised

Cardiovascular fitness exercises

Group Type ACTIVE_COMPARATOR

Cardiovascular fitness exercises

Intervention Type OTHER

Cardiovascular fitness exercises encompass circuit training including exercises on (but not limited to): ergometer cycles, treadmills (running), and cross-trainers. The exercise intensity is aiming at exercises within 60-85% of maximum heart rate (defined as 220 - age). The heart rate is monitored using a standard heart rate monitor. The exercises will be supervised

Interventions

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Knee muscle strengthening exercises

Muscle strengthening exercises of the quadriceps and hamstring muscles will be performed based on a standard muscle strengthening exercise paradigm: 3 sets with 6-8 repetitions (corresponding to approximately 80% repetition maximum (RM)) will be performed. The training load will be progressed by means of weekly estimates of muscle strength to ensure a constant load of 80% RM. The exercises will be supervised

Intervention Type OTHER

Upper extremity strengthening exercises

Muscle strengthening exercises of the upper amrs and shoulder girdle will be performed based on a standard muscle strengthening exercise paradigm: 3 sets with 6-8 repetitions (corresponding to approximately 80% repetition maximum (RM)) will be performed. The training load will be progressed by means of weekly estimates of muscle strength to ensure a constant load of 80% RM. The exercises will be supervised

Intervention Type OTHER

Cardiovascular fitness exercises

Cardiovascular fitness exercises encompass circuit training including exercises on (but not limited to): ergometer cycles, treadmills (running), and cross-trainers. The exercise intensity is aiming at exercises within 60-85% of maximum heart rate (defined as 220 - age). The heart rate is monitored using a standard heart rate monitor. The exercises will be supervised

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age between 18 and 35 years
* Untrained (i.e. less than 2 hours of organised exercise per week in the last 6 months - physical activity related to transportation (e.g. bicycling) is not included)
* Generally healthy according a medical exam at screening, history
* Willing and able to participate in all measurements
* Willing and able to attend all training sessions
* Willing to keep the habitual activity and amount of training constant (ie screening activity and training volume).
* 20 ≤ body mass index (BMI) ≤ 28 kg/m2
* Speak, read and write Danish

Exclusion Criteria

* Pregnant or breastfeeding
* Current or previous symptoms of autoimmune disease (eg, inflammatory bowel disease, multiple sclerosis, lupus, rheumatoid arthritis)
* Planned surgery during the study period
* Current or former musculoskeletal injuries or illnesses, including but not confined to:
* Ligament Injuries
* Meniscus Injuries
* Osteoarthritis
* Patellofemoral Pain Syndrome
* Backache
* Neck pain
* tendinopathy
* Current or past diagnosis, signs or symptoms of significant cardiovascular disease, including but not limited to:
* Ischemic heart disease
* Arteriosclerosis
* Medical conditions that contraindicate exercise, including but not limited to:
* Chronic or congenital heart disease
* Asthma
* Chronic Obstructive Pulmonary Disease
* Past or current diagnosis, signs or symptoms of significant neurological disease, in-incl. but not limited to:
* Blood clot in brain
* Stroke
* Clinically significant head trauma within the last year
* Peripheral neuropathy
* Epilepsy or seizures
* Impaired balance
* Alcohol or drug abuse within the past 5 years
* Past or current diagnosis, signs or symptoms of major psychiatric disorder
* Regional pain syndromes like fibromyalgia
* Regional pain caused by lumbar nerve root or cervical radiculopathy with or at risk for developing it
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Henning Bliddal

OTHER

Sponsor Role lead

Responsible Party

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Henning Bliddal

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Marius Henriksen, PT,PhD

Role: PRINCIPAL_INVESTIGATOR

Senior Researcher

Locations

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The Parker Institute, Frederiksberg University Hospital

Copenhagen, , Denmark

Site Status

Countries

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Denmark

References

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Henriksen M, Klokker L, Bartholdy C, Graven-Nielsen T, Bliddal H. The Associations between Pain Sensitivity and Knee Muscle Strength in Healthy Volunteers: A Cross-Sectional Study. Pain Res Treat. 2013;2013:787054. doi: 10.1155/2013/787054. Epub 2013 Sep 17.

Reference Type DERIVED
PMID: 24167727 (View on PubMed)

Other Identifiers

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10-093704

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

101.01

Identifier Type: -

Identifier Source: org_study_id