Hydrotherapy With Hydrogen-rich Water vs. RICE Protocol Following Acute Ankle Sprain

NCT ID: NCT04167202

Last Updated: 2020-02-10

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

COMPLETED

Clinical Phase

NA

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-01

Study Completion Date

2020-01-01

Brief Summary

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The traditional treatment of soft tissue injuries consists of the RICE protocol - rest, ice, compression, and elevation, followed for up to 72 hours after a trauma. Although designed as an immediate therapy to reduce inflammation that occurs after an acute injury, the RICE might not be the best way to promote healing due to limiting blood flow. Molecular hydrogen (H2) has recently been put forward as a possible adjuvant treatment in musculoskeletal medicine, yet limited data are available concerning its effectiveness as a first-aid intervention.

Detailed Description

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Experimental protocol

* Randomized controlled parallel-group trial
* Acute (24 h) post-injury intervention:

* Hydrogen-rich water hydrotherapy
* RICE protocol
* First sessions given immediately after an initial examination (\~ 60 min after the injury).
* Source of hydrogen-rich water = HRW Natural Health Products Inc. (New Westminster, BC, Canada)

o Formulation (7g/ tablets, 800mg Magnesium) dissolved into a 3-L stationary whirlpool with water (20°C)
* No other interventions during the period of evaluation

Outcomes assessed at baseline (pre-intervention) and at 24-h follow up:

* Figure-of-eight method of measuring ankle joint swelling
* Visual analogue score (VAS) score for pain at rest and during movement
* Weight-bearing lunge test (WBLT)
* Single leg balance test (SLBT) with eyes open and closed
* Serum inflammatory biomarkers (IL-1ß, TNF-α, CRP) • Early termination criteria: serious subjective side effects (e.g. tingling, discoloration of skin, burning, itching, rash)

Conditions

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Ankle Injuries

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Hydrogen-rich water

Six 30-min ankle baths with hydrogen-rich water (one hydrotherapy every 4 hours)

Group Type EXPERIMENTAL

Hydrogen-rich water

Intervention Type PROCEDURE

Hydrogen-rich water (one hydrotherapy every 4 hours)

RICE protocol for acute injury

RICE protocol include: (1) rest, (2) ice packs every 20 min every 3 hours (total of 8 sessions), (3) compression with elastic bandage for 24 h, and (4) leg elevation at all possible times of the injured area above the level of the heart

Group Type ACTIVE_COMPARATOR

RICE

Intervention Type PROCEDURE

RICE protocol

Interventions

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Hydrogen-rich water

Hydrogen-rich water (one hydrotherapy every 4 hours)

Intervention Type PROCEDURE

RICE

RICE protocol

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age 18 - 35 years
* Body mass index 19 - 25 kg/m2
* Free of major chronic diseases or acute disorders
* Acute ankle sprain incurred during sport-related activity

Exclusion Criteria

* History of a previous ankle sprain during the past 6 months
* Unwillingness to return for follow-up analysis
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Novi Sad, Faculty of Sport and Physical Education

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nebojsa Maksimovic, PhD

Role: STUDY_CHAIR

Faculty of Sport and PE

Locations

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Applied Bioenergetics Lab at Faculty of Sport and PE

Novi Sad, Vojvodina, Serbia

Site Status

Countries

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Serbia

References

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Ostojic SM, Vukomanovic B, Calleja-Gonzalez J, Hoffman JR. Effectiveness of oral and topical hydrogen for sports-related soft tissue injuries. Postgrad Med. 2014 Sep;126(5):187-95. doi: 10.3810/pgm.2014.09.2813.

Reference Type BACKGROUND
PMID: 25295663 (View on PubMed)

Cole AR, Perry DA, Raza A, Nedder AP, Pollack E, Regan WL, van den Bosch SJ, Polizzotti BD, Yang E, Davila D, Afacan O, Warfield SK, Ou Y, Sefton B, Everett AD, Neil JJ, Lidov HGW, Mayer JE, Kheir JN. Perioperatively Inhaled Hydrogen Gas Diminishes Neurologic Injury Following Experimental Circulatory Arrest in Swine. JACC Basic Transl Sci. 2019 Mar 27;4(2):176-187. doi: 10.1016/j.jacbts.2018.11.006. eCollection 2019 Apr.

Reference Type BACKGROUND
PMID: 31061920 (View on PubMed)

Ostojic SM. Should hydrogen therapy be included in a musculoskeletal medicine routine? F1000Res. 2016 Nov 10;5:2659. doi: 10.12688/f1000research.9758.1. eCollection 2016.

Reference Type BACKGROUND
PMID: 28003879 (View on PubMed)

Other Identifiers

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1-HRW/2019

Identifier Type: -

Identifier Source: org_study_id

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