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| Name | Class |
|---|---|
| University of Florida | OTHER |
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The purpose of this research is to study the effects of Transcranial Direct Current Stimulation (tDCS) on clinical pain, mobility disability, and pain sensitivity to gain a better understanding of the factors that cause pain and disability in people with knee osteoarthritis (OA). In particular, people from different ethnic and racial groups may experience OA pain differently which is why the focus will be on older Asian Americans and non-Hispanic whites. It is important to find a reason for such difference so that a better treatment can be found for all OA patients. In addition, the research study will examine if there is any ethnic differences in pain and mobility disability. The investigator hypothesize that Asian Americans will report greater pain and mobility disability than non-Hispanic whites, and that active tDCS will result in improvement in pain and disability compared to sham tDCS.
If you participate in the study, the following will happen:
Randomized into one of two groups. Which will either receive the full length session of brain stimulation or a much shorter session of brain stimulation. The shorter version of stimulation looks like and is performed in the same way as the longer electrical stimulation session, but stimulation is stopped before it can have much of an effect on the brain. You will not know which group you have been assigned to while participating in the research, but you may find out at the completion of the research study.
X-Rays will be done on both knees while standing up.
Questionnaires about arthritis pain you are having, your thoughts and feelings about it, and any stress that you may have experienced.
Walking Test will be performed on a flat surface for 6 minutes at a fast pace without help from an assistive device (cane or walker) or another person.
Assessment of Physical Performance requires walking at short distance (about 13 feet), stand up from a chair 5 times without using your arms, and stand in 3 different positions while keeping your balance.
Assessment of Sensitivity to Heat. Heat pain sensitivity will be tested using a commercially available thermal sensory testing machine (Medoc, Inc.) used widely in clinical settings. This machine has a small (about 1 inch by 1 inch) square piece that is used to apply heat to the skin. Heat will be applied to the knees and arms. The amount of heat is controlled by a computer. One or more of the following types of heat stimuli will be delivered: 1) a slowly increasing heat that can be stopped by pressing a button when it becomes warm, painful, or intolerable; 2) a series of 5-10 heat pulses that are brief (less than 2 seconds in duration), and rate how painful each heat pulse feels; and 3) a few longer heat pulses (15-30 seconds) at different temperatures to rate how painful each heat pulse feels. The procedures can be stop at any time.
Assessment of Sensitivity to Pressure will be done using a handheld device with a small rubber tip to apply pressure to the knee, thigh, and shoulder.
Assessment of Sensitivity to Mechanical Stimulation will be done using a handheld probe that has a small nylon tip to tap both the knee and hand.
Blood Draw: Blood will be taken at the baseline visit and at the last visit.
Brain Stimulation: The stimulation technique called transcranial direct current stimulation (tDCS) and it involves placing two sponge-like electrodes on your head and delivering a very weak electrical current to your scalp, which is generated by a 9 volt battery.
In addition, weekly phone calls will be done for the next 3 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active tDCS | Experimental | This group will receive five daily sessions of 2mA, 20 minutes of Transcranial Direct Current Stimulation (tDCS). The anode electrode will be placed over M1 (C3 or C4 according to the 10-20 system for EEG electrode placement) of the hemisphere contralateral to the affected knee, and the cathode electrode will be placed over the supraorbital region (SO) ipsilateral to the affected knee (M1-SO montage). In addition, the following test will performed: X-Rays, Walking Test, Assessment of Physical Performance, Assessment of Sensitivity to Heat, Assessment of Sensitivity to Pressure, Assessment of Sensitivity to Mechanical Stimulation, Assessment of balance, chair stand, and gait speed, Assessment of conditioned pain modulation, and Blood test. |
|
| Sham tDCS | Sham Comparator | This group will receive five daily sessions of 2mA, current for 30 seconds tDCS. The anode electrode will be placed over M1 (C3 or C4 according to the 10-20 system for EEG electrode placement) of the hemisphere contralateral to the affected knee, and the cathode electrode will be placed over the supraorbital region (SO) ipsilateral to the affected knee (M1-SO montage). In addition, the following test will performed: X-Rays, Walking Test, Assessment of Physical Performance, Assessment of Sensitivity to Heat, Assessment of Sensitivity to Pressure, Assessment of Sensitivity to Mechanical Stimulation, Assessment of balance, chair stand, Assessment of conditioned pain modulation, and gait speed and Blood test. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Active tDCS | Device | This group will receive tDCS with a constant current of 2 mA intensity will be applied for 20 minutes once a day for five consecutive days using a pair of thick (0.3 cm) rectangular surface sponge electrodes (5 cm x 7 cm) saturated with 10 mL of saline solution. The anode electrode will be placed over M1 (C3 or C4 according to the 10-20 system for EEG electrode placement) of the hemisphere contralateral to the affected knee, and the cathode electrode will be placed over the supraorbital region (SO) ipsilateral to the affected knee (M1-SO montage). |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Rating Scale (NRS) for Pain | Numeric Rating Scale for pain is an 101-point scale for patient self-reporting of pain on a scale of 0 to 100, with 0 being no pain at all and 100 being the worst pain imaginable. The higher the score the worse the pain. | baseline |
| Numeric Rating Scale (NRS) for Pain | Numeric Rating Scale for pain is an 101-point scale for patient self-reporting of pain on a scale of 0 to 100, with 0 being no pain at all and 100 being the worst pain imaginable. The higher the score the worse the pain. | day 5 |
| Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale | This is a index to rate the activity of pain, stiffness, and physical function based on a scale of difficulty: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe, 4 = Extreme; subscales are added up for a summation score. The higher the score, the worse the pain. | baseline |
| Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale | This is a index to rate the activity of pain, stiffness, and physical function based on a scale of difficulty: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe, 4 = Extreme; subscales are added up for a summation score. The higher the score, the worse the pain. | day 5 |
| Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Continuous Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | baseline |
| Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Continuous Pain Subscale |
| Measure | Description | Time Frame |
|---|---|---|
| Endorphin Level | baseline | |
| Endorphin Level | day 5 | |
| Cortisol Level |
| Measure | Description | Time Frame |
|---|---|---|
| NIH PROMIS-cognition Will be Compared Between the Two Groups for a Change Between Baseline and Day 5 | A score of 50 is the average and a score of 60 is better than average. A score of 40 is the worse score. | Change from baseline and day 5 |
| Safety Questionnaire Will be Compared Between the Two Groups for a Change Between Baseline, 1, 2, 3, 4, and 5 Days. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hyochol Ahn, PhD, ARNP | The University of Texas Health Science Center, Houston | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Texas Health Science Center at Houston | Houston | Texas | 77030 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28566193 | Derived | Ahn H, Woods AJ, Kunik ME, Bhattacharjee A, Chen Z, Choi E, Fillingim RB. Efficacy of transcranial direct current stimulation over primary motor cortex (anode) and contralateral supraorbital area (cathode) on clinical pain severity and mobility performance in persons with knee osteoarthritis: An experimenter- and participant-blinded, randomized, sham-controlled pilot clinical study. Brain Stimul. 2017 Sep-Oct;10(5):902-909. doi: 10.1016/j.brs.2017.05.007. Epub 2017 May 19. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Active tDCS | This group will receive five daily sessions of 2mA, 20 minutes of Transcranial Direct Current Stimulation (tDCS). The anode electrode will be placed over M1 (C3 or C4 according to the 10-20 system for EEG electrode placement) of the hemisphere contralateral to the affected knee, and the cathode electrode will be placed over the supraorbital region (SO) ipsilateral to the affected knee (M1-SO montage). |
| FG001 | Sham tDCS | This group will receive five daily sessions of 2mA, current for 30 seconds tDCS. The anode electrode will be placed over M1 (C3 or C4 according to the 10-20 system for EEG electrode placement) of the hemisphere contralateral to the affected knee, and the cathode electrode will be placed over the supraorbital region (SO) ipsilateral to the affected knee (M1-SO montage). |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Active tDCS | This group will receive five daily sessions of 2mA, 20 minutes of Transcranial Direct Current Stimulation (tDCS). The anode electrode will be placed over M1 (C3 or C4 according to the 10-20 system for EEG electrode placement) of the hemisphere contralateral to the affected knee, and the cathode electrode will be placed over the supraorbital region (SO) ipsilateral to the affected knee (M1-SO montage). |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Numeric Rating Scale (NRS) for Pain | Numeric Rating Scale for pain is an 101-point scale for patient self-reporting of pain on a scale of 0 to 100, with 0 being no pain at all and 100 being the worst pain imaginable. The higher the score the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | baseline |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Active tDCS | This group will receive five daily sessions of 2mA, 20 minutes of Transcranial Direct Current Stimulation (tDCS). The anode electrode will be placed over M1 (C3 or C4 according to the 10-20 system for EEG electrode placement) of the hemisphere contralateral to the affected knee, and the cathode electrode will be placed over the supraorbital region (SO) ipsilateral to the affected knee (M1-SO montage). |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Hyochol Ahn, PhD, ARNP | The University of Texas Health Science Center at Houston | 713-500-2179 | Hyochol.Ahn@uth.tmc.edu |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D065908 | Transcranial Direct Current Stimulation |
| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D003295 | Convulsive Therapy |
| D013000 | Psychiatric Somatic Therapies |
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|
|
| Sham tDCS | Device | This group will receive tDCS with a constant current of 2 mA intensity will be applied for 30 seconds once a day for five consecutive days using a pair of thick (0.3 cm) rectangular surface sponge electrodes (5 cm x 7 cm) saturated with 10 mL of saline solution. The anode electrode will be placed over M1 (C3 or C4 according to the 10-20 system for EEG electrode placement) of the hemisphere contralateral to the affected knee, and the cathode electrode will be placed over the supraorbital region (SO) ipsilateral to the affected knee (M1-SO montage). |
|
This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. |
| day 5 |
| Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Intermittent Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | baseline |
| Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Intermittent Pain Subscale | This is a index to rate the activity of pain based on a scale of difficulty: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe, 4 = Extreme. The higher the score, the worse the pain. | day 5 |
| Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Neuropathic Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | baseline |
| Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Neuropathic Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | day 5 |
| Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Affective Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | baseline |
| Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Affective Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | day 5 |
| Six-minute Walk Test | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. The goal is for the individual to walk as far as possible in six minutes. The individual is allowed to self-pace and rest as needed as they traverse back and forth along a marked walkway. The lower the score the worse the condition. | baseline |
| Six-minute Walk Test | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. The goal is for the individual to walk as far as possible in six minutes. The individual is allowed to self-pace and rest as needed as they traverse back and forth along a marked walkway. The lower the score the worse the condition. | day 5 |
| Short Physical Performance Battery (SPPB) | This is a group of measures that combines the results of the gait speed, chair stand, and balance tests. The score ranges from 0 (worst performance) to 12 (best performance). | baseline |
| Short Physical Performance Battery (SPPB) | This is a group of measures that combines the results of the gait speed, chair stand, and balance tests. The score ranges from 0 (worst performance) to 12 (best performance). | day 5 |
| Heat Pain Threshold | Quantitative Sensory Testing (QST) by using heat pain delivered by using thermal probe on the skin. | baseline |
| Heat Pain Threshold | Quantitative Sensory Testing (QST) by using heat pain delivered by using thermal probe on the skin. | day 5 |
| Heat Pain Tolerance | Quantitative Sensory Testing (QST) by using heat pain delivered by using thermal probe on the skin. | baseline |
| Heat Pain Tolerance | Quantitative Sensory Testing (QST) by using heat pain delivered by using thermal probe on the skin. | day 5 |
| Pressure Pain Threshold | Quantitative Sensory Testing (QST) by using pressure pain delivered by a hand-held algometer. | baseline |
| Pressure Pain Threshold | Quantitative Sensory Testing (QST) by using pressure pain delivered by a hand-held algometer. | day 5 |
| Punctate Mechanical Pain Sensitivity | Quantitative Sensory Testing (QST) by using punctate mechanical pain delivered by a calibrated nylon monofilament. | baseline |
| Punctate Mechanical Pain Sensitivity | Quantitative Sensory Testing (QST) by using punctate mechanical pain delivered by a calibrated nylon monofilament. | day 5 |
| Conditioned Pain Modulation (CPM) | Conditioned pain modulation (CPM) will be done by using a cold pressor procedure on the skin. The measure is scored on a scale, which ranges from zero to infinity. A higher CPM score indicates higher pain inhibition. | baseline |
| Conditioned Pain Modulation (CPM) | Conditioned pain modulation (CPM) will be done by using a cold pressor procedure on the skin. The measure is scored on a scale, which ranges from zero to infinity. A higher CPM score indicates higher pain inhibition. | day 5 |
| baseline |
| Cortisol Level | day 5 |
| C-reactive Protein (CRP) Level | baseline |
| C-reactive Protein (CRP) Level | day 5 |
| Tumor Necrosis Factor (TNF) Level | baseline |
| Tumor Necrosis Factor (TNF) Level | day 5 |
| Interleukin 6 (IL-6) Level | baseline |
| Interleukin 6 (IL-6) Level | day 5 |
| Interleukin 10 (IL-10) Level | baseline |
| Interleukin 10 (IL-10) Level | day 5 |
This is a questionnaire to assess the presence and severity of adverse events such as headache, tingling, itching, and fatigue, on a scale of 0 to 10, with 0 being not at all and 10 being a highest degree. |
| Change from baseline, 1, 2, 3, 4, and 5 days |
| Coping Strategies Questionnaire-Revised Will be Compared Between the Two Groups for a Change Between Baseline and Day 5 | This is a questionnaire to assess pain coping strategies, such as distancing from pain, using a 7-point scale that ranges from never do that to always do that. The higher the scale the greater use. | Change from baseline and day 5 |
| Positive and Negative Affect Scale Will be Compared Between the Two Groups for a Change Between Baseline and Day 5 | This is a questionnaire using a 5-point scale that ranges from very slightly or not at all to extremely. The lower the scale the negative the affect and the higher the scare the positive the affect. | Change from baseline and day 5 |
| Pain Attitudes Questionnaire-Revised Will be Compared Between the Two Groups for a Change Between Baseline and Day 5 | This is a questionnaire to assess pain attitudes, such as stoicism, using a 5-point scale that ranges from strongly disagree to strongly agree. The higher the scale the more stoic. | Change from baseline and day 5 |
| BG001 | Sham tDCS | This group will receive five daily sessions of 2mA, current for 30 seconds tDCS. The anode electrode will be placed over M1 (C3 or C4 according to the 10-20 system for EEG electrode placement) of the hemisphere contralateral to the affected knee, and the cathode electrode will be placed over the supraorbital region (SO) ipsilateral to the affected knee (M1-SO montage). |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
This group will receive five daily sessions of 2mA, current for 30 seconds tDCS. The anode electrode will be placed over M1 (C3 or C4 according to the 10-20 system for EEG electrode placement) of the hemisphere contralateral to the affected knee, and the cathode electrode will be placed over the supraorbital region (SO) ipsilateral to the affected knee (M1-SO montage). |
|
|
| Primary | Numeric Rating Scale (NRS) for Pain | Numeric Rating Scale for pain is an 101-point scale for patient self-reporting of pain on a scale of 0 to 100, with 0 being no pain at all and 100 being the worst pain imaginable. The higher the score the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | day 5 |
|
|
|
| Primary | Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale | This is a index to rate the activity of pain, stiffness, and physical function based on a scale of difficulty: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe, 4 = Extreme; subscales are added up for a summation score. The higher the score, the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | baseline |
|
|
|
| Primary | Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale | This is a index to rate the activity of pain, stiffness, and physical function based on a scale of difficulty: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe, 4 = Extreme; subscales are added up for a summation score. The higher the score, the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | day 5 |
|
|
|
| Primary | Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Continuous Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | baseline |
|
|
|
| Primary | Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Continuous Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | day 5 |
|
|
|
| Primary | Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Intermittent Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | baseline |
|
|
|
| Primary | Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Intermittent Pain Subscale | This is a index to rate the activity of pain based on a scale of difficulty: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe, 4 = Extreme. The higher the score, the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | day 5 |
|
|
|
| Primary | Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Neuropathic Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | baseline |
|
|
|
| Primary | Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Neuropathic Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | day 5 |
|
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| Primary | Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Affective Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | baseline |
|
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| Primary | Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) Affective Pain Subscale | This is a questionnaire to rate the pain intensity and related symptoms on a scale of 0 to 10, with 0 being none and 10 being the worst possible. The higher the score the worse the pain. | Posted | Mean | Standard Deviation | units on a scale | day 5 |
|
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| Primary | Six-minute Walk Test | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. The goal is for the individual to walk as far as possible in six minutes. The individual is allowed to self-pace and rest as needed as they traverse back and forth along a marked walkway. The lower the score the worse the condition. | Posted | Mean | Standard Deviation | meters | baseline |
|
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| Primary | Six-minute Walk Test | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. The goal is for the individual to walk as far as possible in six minutes. The individual is allowed to self-pace and rest as needed as they traverse back and forth along a marked walkway. The lower the score the worse the condition. | Posted | Mean | Standard Deviation | meters | day 5 |
|
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| Primary | Short Physical Performance Battery (SPPB) | This is a group of measures that combines the results of the gait speed, chair stand, and balance tests. The score ranges from 0 (worst performance) to 12 (best performance). | Posted | Mean | Standard Deviation | units on a scale | baseline |
|
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|
| Primary | Short Physical Performance Battery (SPPB) | This is a group of measures that combines the results of the gait speed, chair stand, and balance tests. The score ranges from 0 (worst performance) to 12 (best performance). | Posted | Mean | Standard Deviation | units on a scale | day 5 |
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| Primary | Heat Pain Threshold | Quantitative Sensory Testing (QST) by using heat pain delivered by using thermal probe on the skin. | Posted | Mean | Standard Deviation | Celsius | baseline |
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| Primary | Heat Pain Threshold | Quantitative Sensory Testing (QST) by using heat pain delivered by using thermal probe on the skin. | Posted | Mean | Standard Deviation | Celsius | day 5 |
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| Primary | Heat Pain Tolerance | Quantitative Sensory Testing (QST) by using heat pain delivered by using thermal probe on the skin. | Posted | Mean | Standard Deviation | Celsius | baseline |
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| Primary | Heat Pain Tolerance | Quantitative Sensory Testing (QST) by using heat pain delivered by using thermal probe on the skin. | Posted | Mean | Standard Deviation | Celsius | day 5 |
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| Primary | Pressure Pain Threshold | Quantitative Sensory Testing (QST) by using pressure pain delivered by a hand-held algometer. | Posted | Mean | Standard Deviation | kilopascal (kPa) | baseline |
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| Primary | Pressure Pain Threshold | Quantitative Sensory Testing (QST) by using pressure pain delivered by a hand-held algometer. | Posted | Mean | Standard Deviation | kilopascal (kPa) | day 5 |
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| Primary | Punctate Mechanical Pain Sensitivity | Quantitative Sensory Testing (QST) by using punctate mechanical pain delivered by a calibrated nylon monofilament. | Posted | Mean | Standard Deviation | kilopascal (kPa) | baseline |
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| Primary | Punctate Mechanical Pain Sensitivity | Quantitative Sensory Testing (QST) by using punctate mechanical pain delivered by a calibrated nylon monofilament. | Posted | Mean | Standard Deviation | kilopascal (kPa) | day 5 |
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| Primary | Conditioned Pain Modulation (CPM) | Conditioned pain modulation (CPM) will be done by using a cold pressor procedure on the skin. The measure is scored on a scale, which ranges from zero to infinity. A higher CPM score indicates higher pain inhibition. | Posted | Mean | Standard Deviation | units on a scale | baseline |
|
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| Primary | Conditioned Pain Modulation (CPM) | Conditioned pain modulation (CPM) will be done by using a cold pressor procedure on the skin. The measure is scored on a scale, which ranges from zero to infinity. A higher CPM score indicates higher pain inhibition. | Posted | Mean | Standard Deviation | units on a scale | day 5 |
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| Secondary | Endorphin Level | Posted | Mean | Standard Deviation | ng/mL | baseline |
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| Other Pre-specified | NIH PROMIS-cognition Will be Compared Between the Two Groups for a Change Between Baseline and Day 5 | A score of 50 is the average and a score of 60 is better than average. A score of 40 is the worse score. | Not Posted | Change from baseline and day 5 | Participants |
| Other Pre-specified | Safety Questionnaire Will be Compared Between the Two Groups for a Change Between Baseline, 1, 2, 3, 4, and 5 Days. | This is a questionnaire to assess the presence and severity of adverse events such as headache, tingling, itching, and fatigue, on a scale of 0 to 10, with 0 being not at all and 10 being a highest degree. | Not Posted | Change from baseline, 1, 2, 3, 4, and 5 days | Participants |
| Other Pre-specified | Coping Strategies Questionnaire-Revised Will be Compared Between the Two Groups for a Change Between Baseline and Day 5 | This is a questionnaire to assess pain coping strategies, such as distancing from pain, using a 7-point scale that ranges from never do that to always do that. The higher the scale the greater use. | Not Posted | Change from baseline and day 5 | Participants |
| Other Pre-specified | Positive and Negative Affect Scale Will be Compared Between the Two Groups for a Change Between Baseline and Day 5 | This is a questionnaire using a 5-point scale that ranges from very slightly or not at all to extremely. The lower the scale the negative the affect and the higher the scare the positive the affect. | Not Posted | Change from baseline and day 5 | Participants |
| Other Pre-specified | Pain Attitudes Questionnaire-Revised Will be Compared Between the Two Groups for a Change Between Baseline and Day 5 | This is a questionnaire to assess pain attitudes, such as stoicism, using a 5-point scale that ranges from strongly disagree to strongly agree. The higher the scale the more stoic. | Not Posted | Change from baseline and day 5 | Participants |
| Secondary | Endorphin Level | Posted | Mean | Standard Deviation | ng/mL | day 5 |
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| Secondary | Cortisol Level | Posted | Mean | Standard Deviation | pg/mL | baseline |
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| Secondary | Cortisol Level | Posted | Mean | Standard Deviation | pg/mL | day 5 |
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| Secondary | C-reactive Protein (CRP) Level | Posted | Mean | Standard Deviation | ng/mL | baseline |
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| Secondary | C-reactive Protein (CRP) Level | Posted | Mean | Standard Deviation | ng/mL | day 5 |
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| Secondary | Tumor Necrosis Factor (TNF) Level | Posted | Mean | Standard Deviation | pg/mL | baseline |
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|
| Secondary | Tumor Necrosis Factor (TNF) Level | Posted | Mean | Standard Deviation | pg/mL | day 5 |
|
|
|
| Secondary | Interleukin 6 (IL-6) Level | Posted | Mean | Standard Deviation | pg/mL | baseline |
|
|
|
| Secondary | Interleukin 6 (IL-6) Level | Posted | Mean | Standard Deviation | pg/mL | day 5 |
|
|
|
| Secondary | Interleukin 10 (IL-10) Level | Posted | Mean | Standard Deviation | pg/mL | baseline |
|
|
|
| Secondary | Interleukin 10 (IL-10) Level | Posted | Mean | Standard Deviation | pg/mL | day 5 |
|
|
|
| 0 |
| 20 |
| 0 |
| 20 |
| EG001 | Sham tDCS | This group will receive five daily sessions of 2mA, current for 30 seconds tDCS. The anode electrode will be placed over M1 (C3 or C4 according to the 10-20 system for EEG electrode placement) of the hemisphere contralateral to the affected knee, and the cathode electrode will be placed over the supraorbital region (SO) ipsilateral to the affected knee (M1-SO montage). | 0 | 20 | 0 | 20 |
Not provided
Not provided
Not provided
| D012216 |
| Rheumatic Diseases |
| D004191 | Behavioral Disciplines and Activities |
| D004597 | Electroshock |
| D011580 | Psychological Techniques |