NCT04796103

Brief Summary

Dextrose prolotherapy is a form of treatment in which hypertonic dextrose solution is used as a stimulant solution and regeneration is increased by stimulating the body's natural healing mechanisms after injection. The aim of this study is to compare the dextrose prolotherapy applied with home exercise program and saline injections as a control group in patients who applied to our clinic with knee pain and diagnosed with chondromalacia patella, and to investigate the effectiveness of dextrose and saline on the job to determine the superiority of the injections to each other.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
52

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2020

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 19, 2020

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

December 19, 2020

Completed
3 months until next milestone

First Posted

Study publicly available on registry

March 12, 2021

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2021

Completed
Last Updated

October 20, 2021

Status Verified

October 1, 2021

Enrollment Period

1 year

First QC Date

December 19, 2020

Last Update Submit

October 19, 2021

Conditions

Keywords

prolotherapyknee painultrasoundexercise

Outcome Measures

Primary Outcomes (1)

  • Knee Pain

    Severity of pain was assessed using the standard 10 cm VAS with 0 meant "no pain" at one end, and 10 meant "unbearable pain" at the other end

    initial, 4th week 7th week 24th week pain change

Secondary Outcomes (1)

  • Patello Femoral Pain Intensity Scale

    initial, 4th week 7th week 24th week pain change

Other Outcomes (2)

  • Kuala Patellofemoral Scoring System

    initial, 4th week 7th week 24th week changes

  • Short Form-36 (SF-36)

    initial, 4th week 7th week 24th week changes

Study Arms (2)

Dextrose Prolotherapy Group

ACTIVE COMPARATOR

Patients diagnosed with chondromalacia patella

Procedure: Dextrose ProlotherapyProcedure: Serum Physiological Group (placebo control group)

Serum Physiological Group

PLACEBO COMPARATOR

Patients diagnosed with chondromalacia patella

Procedure: Dextrose ProlotherapyProcedure: Serum Physiological Group (placebo control group)

Interventions

In the patients in the prolotherapy injection group, at the 1st, 4th and 7th weeks, the insertion points of the ligaments and tendons that are sensitive with pressure around the knee (medial collateral ligament (2), lateral collateral ligament (2), quadriceps tendon (1) and patellar tendon (1)) A total of 6 ml of 5% dextrose, 1 ml each, will be applied periarticularly. In addition, home exercise program will be given to this group.

Dextrose Prolotherapy GroupSerum Physiological Group

In the patients in serum physiological injection group, at the 1st, 4th and 7th weeks, the insertion points of the ligaments and tendons that are sensitive with pressure around the knee (medial collateral ligament (2), lateral collateral ligament (2), quadriceps tendon (1) and patellar tendon (1)) A total of 6 ml of saline will be applied periarticularly. In addition, home exercise program will be given to this group.

Dextrose Prolotherapy GroupSerum Physiological Group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Female / male aged\> 18 years
  • Diagnosis of chondromalacia patella after physical examination and imaging (direct radiography, MRI)
  • Those whose symptoms persist\> 3 months
  • Does not have a disease that will prevent him from exercising
  • Participation in the study voluntarily and regularly

You may not qualify if:

  • Pregnant patients
  • History of previous knee surgery
  • Having received physical therapy from the knee area in the last 3 months
  • Drug allergy
  • Previous prolotherapy or any injection up to 3 months ago
  • Those with pain reflected from waist or hip
  • Patients with neuropathic pain
  • Tumor, infectious, psychiatric illness, history of bleeding diathesis
  • Having a trauma history in the last 6 months
  • Those with systemic diseases such as diabetes, hepatitis, coagulopathy
  • Those with cerebrovascular event disease in which bleeding continues actively
  • Those who received NSAID treatment within the last week
  • Patients with a BMI\> 40
  • Finding leg length difference

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Gaziler Physical Medicine and Rehabilitation Education and Research Hospital

Ankara, 06800, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Chondromalacia PatellaeMotor Activity

Condition Hierarchy (Ancestors)

Cartilage DiseasesMusculoskeletal DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesBehavior

Study Officials

  • Özlem KÖROĞLU, MD

    SBU,Gaziler Physical Medicine and Rehabilitation Education and Research Hospital

    STUDY DIRECTOR
  • Burak BAYIR, MD

    SBU,Gaziler Physical Medicine and Rehabilitation Education and Research Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Physical Medicine and Rehabilitation Specialist

Study Record Dates

First Submitted

December 19, 2020

First Posted

March 12, 2021

Study Start

September 19, 2020

Primary Completion

September 30, 2021

Study Completion

September 30, 2021

Last Updated

October 20, 2021

Record last verified: 2021-10

Data Sharing

IPD Sharing
Will not share

Locations