The Effect of Hot Compress in Patients With Knee Osteoarthritis
The Effect of Topical Hot Compress Applications With Black Seed (Nigella Sativa) and Ginger (Zingiber Officinale) Essential Oil on Pain and Patient Satisfaction in Patients With Knee Osteoarthritis: A Randomized Controlled Study
1 other identifier
interventional
120
1 country
1
Brief Summary
This study aims to examine the effect of hot compress applied with Nigella sativa (black cumin) and Zingiber officinale (ginger) essential oils on pain, morning stiffness, physical function, and patient satisfaction in individuals with knee osteoarthritis. The study is planned as a randomized controlled experimental study with 120 participants. Inclusion criteria: aged 18 and over, diagnosed with knee OA, Kellgren-Lawrence stage 3, VAS pain score ≥4, no known allergy to the essential oils, no open wound on the knee/foot, no knee surgery, not receiving any other alternative treatment during the study period, and not pregnant. Participants will be randomly assigned to four groups (30 each): 1) ginger oil + hot compress, 2) black cumin oil + hot compress, 3) sham (hot compress only), 4) control (routine treatment only). Data collection tools: Patient Information Form, WOMAC, VAS-pain, VAS-satisfaction. Applications will be performed once daily for 7 days (30 minutes per session). Assessments will be conducted at baseline and on day 7.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started May 2025
Shorter than P25 for not_applicable
1 active site
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
First Submitted
Initial submission to the registry
February 13, 2024
CompletedStudy Start
First participant enrolled
May 15, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 15, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
September 15, 2025
CompletedFirst Posted
Study publicly available on registry
May 6, 2026
CompletedMay 6, 2026
April 1, 2026
3 months
February 13, 2024
April 30, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Visual Analog Scale (VAS) - Pain
10 cm horizontal line ranging from 0 (no pain) to 10 (worst imaginable pain). Participants mark their current pain intensity.
Baseline and day 7
WOMAC Osteoarthritis Index
Validated 24-item questionnaire assessing pain, stiffness, and physical function in knee osteoarthritis. Each item scored 1-5 (none to extreme). Higher scores indicate worse symptoms.
Baseline and day 7
Secondary Outcomes (1)
Visual Analog Scale (VAS) - Satisfaction
Baseline and day 7
Study Arms (4)
Hot Compress Application Group with Black Cumin Oil
EXPERIMENTALExperimental group. Topical application of 15 drops of Nigella sativa (black cumin) essential oil to each knee with gentle massage, followed by hot compress (thermophore at 40-50°C wrapped in a towel) for 30 minutes. Applied once daily for 7 days. Patch test performed before first application to rule out allergy. Assessments at baseline and day 7: WOMAC, VAS-pain, VAS-satisfaction.
Hot Compress with Ginger Oil Application Group
EXPERIMENTALExperimental group. Topical application of 15 drops of Zingiber officinale (ginger) essential oil to each knee with gentle massage, followed by hot compress (thermophore at 40-50°C wrapped in a towel) for 30 minutes. Applied once daily for 7 days. Patch test performed before first application to rule out allergy. Assessments at baseline and day 7: WOMAC, VAS-pain, VAS-satisfaction.
Control Group
NO INTERVENTIONControl group. Participants receive routine medical treatment only. No hot compress and no essential oil application will be performed. Data collection (patient information form, Kellgren-Lawrence staging, WOMAC, VAS-pain, VAS-satisfaction) will be done at baseline and on day 7.
Sham Group
SHAM COMPARATORParticipants in this group receive only hot compress application (thermophore at 40-50°C for 30 minutes once daily for 7 days). No essential oil is applied.
Interventions
Black Cumin Oil was applied to both knees. This practice continued for 7 days. The final test was administered at the end of the 7th day. Ginger Oil was applied to both strings. This practice continued for 7 days. The final test was administered at the end of the 7th day. No intervention was made to the Control Group. He was provided with routine treatment.
Eligibility Criteria
You may qualify if:
- Age 18 years or older
- Physician-diagnosed knee osteoarthritis according to American College of Rheumatology (ACR) criteria
- Kellgren-Lawrence grade 3 (moderate) osteoarthritis
- Pain score of 4 or higher on Visual Analog Scale (VAS 0-10)
- No known allergy to Nigella sativa (black cumin) or Zingiber officinale (ginger) essential oils
- No open wounds on the knee or foot
- No previous knee surgery
- Not receiving any other alternative treatment (e.g., acupuncture, herbal therapy) during the study period
- Females must not be pregnant
You may not qualify if:
- Age under 18 years
- Kellgren-Lawrence grade 1, 2, or 4
- VAS pain score below 4
- Known allergy to the essential oils used
- Open wound on knee or foot
- Previous knee surgery
- Receiving other alternative treatment during the study period
- Pregnancy or breastfeeding
- Unwillingness to participate or inability to provide informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ercan Bakırlead
Study Sites (1)
Ercan Bakır
Erzurum, Yakutiye, Turkey (Türkiye)
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Ercan Bakır, PhD
erzurum tecnical university
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- PhD
Study Record Dates
First Submitted
February 13, 2024
First Posted
May 6, 2026
Study Start
May 15, 2025
Primary Completion
August 15, 2025
Study Completion
September 15, 2025
Last Updated
May 6, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share