运动干预对骨性关节炎影响的多模态研究:从孟德尔随机化到中医临床实证探索

注册号:

Registration number:

ITMCTR2025000409

最近更新日期:

Date of Last Refreshed on:

2025-02-25

注册时间:

Date of Registration:

2025-02-25

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

运动干预对骨性关节炎影响的多模态研究:从孟德尔随机化到中医临床实证探索

Public title:

A multimodal study of the effect of exercise intervention on osteoarthritis: from Mendelian randomization to clinical empirical exploration in traditional Chinese medicine

注册题目简写:

English Acronym:

研究课题的正式科学名称:

运动干预对骨性关节炎影响的多模态研究:从孟德尔随机化到中医临床实证探索

Scientific title:

A multimodal study of the effect of exercise intervention on osteoarthritis: from Mendelian randomization to clinical empirical exploration in traditional Chinese medicine

研究课题的正式科学名称简写:

Scientific title acronym:

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

曾焘

研究负责人:

曾焘

Applicant:

Zengtao

Study leader:

Zengtao

申请注册联系人电话:

Applicant telephone:

+86 18826415548

研究负责人电话:

Study leader's telephone:

+86 18826415548

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

649204970@qq.com

研究负责人电子邮件:

Study leader's E-mail:

649204970@qq.com

申请单位网址(自愿提供):

Study leader's website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website
(voluntary supply):

申请注册联系人通讯地址:

广东省中山市西区水悦馨园4-1-502

研究负责人通讯地址:

广东省中山市西区水悦馨园4-1-502

Applicant address:

4-1-502 Shuiyue Xinyuan West District Zhongshan City Guangdong Province

Study leader's address:

4-1-502 Shuiyue Xinyuan West District Zhongshan City Guangdong Province

申请注册联系人邮政编码:

Applicant postcode:

528400

研究负责人邮政编码:

Study leader's postcode:

528400

申请人所在单位:

广州中医药大学附属中山中医院

Applicant's institution:

Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese Medicine

是否获伦理委员会批准:

Approved by ethic committee:

伦理委员会批件文号:

Approved No. of ethic committee:

2024ZSZY-LL-KY-289(00)

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件

批准本研究的伦理委员会名称:

中山市中医院伦理委员会

Name of the ethic committee:

Zhongshan Hospital of Traditional Chinese Medicine Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2024/11/27 0:00:00

伦理委员会联系人:

张利钰

Contact Name of the ethic committee:

Zhangliyu

伦理委员会联系地址:

中山市西区康欣路3号中山市中医院

Contact Address of the ethic committee:

Zhongshan Hospital of Traditional Chinese Medicine No. 3 Kangxin Road West District Zhongshan City

伦理委员会联系人电话:

Contact phone of the ethic committee:

0760-89980301

伦理委员会联系人邮箱:

Contact email of the ethic committee:

zsszyyllwyh@163.com

研究实施负责(组长)单位:

广州中医药大学附属中山中医院(中山市中医院)

Primary sponsor:

Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

中山市西区康欣路3号中山市中医院

Primary sponsor's address:

Zhongshan Hospital of Traditional Chinese Medicine No. 3 Kangxin Road West District Zhongshan City

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东

市(区县):

中山

Country:

China

Province:

Guangdong

City:

Zhongshan

单位(医院):

广州中医药大学附属中山中医院(中山市中医院)

具体地址:

中山市西区康欣路3号中山市中医院

Institution
hospital:

Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese Medicine

Address:

Zhongshan Hospital of Traditional Chinese Medicine No. 3 Kangxin Road West District Zhongshan City

经费或物资来源:

2024年度中山市中医药传承创新发展科研专项资助

Source(s) of funding:

2024 Zhongshan Traditional Chinese Medicine inheritance and innovation development research special support

研究疾病:

骨性关节炎

研究疾病代码:

Target disease:

osteoarthritis

Target disease code:

研究类型:

Study type:

干预性研究

Interventional study

研究设计:

Study design:

随机平行对照

randomized controlled trial(parallel group design)

研究所处阶段:

Study phase:

其它

Others

研究目的:

骨性关节炎是一种慢性退行性骨关节疾病,其致残率高。各类治疗指南推荐中,非药物治疗具有重要作用。研究表明,运动疗法是骨性关节炎患者重要的非药物干预手段。太极拳和八段锦是我国传统运动功法,其运动以关节为核心,能外练筋骨、内养心神、行气活血、通畅经络。为此,本研究主要目的探讨传统运动疗法在骨性关节炎炎治疗中的作用。

Objectives of Study:

Osteoarthritis is a chronic degenerative bone and joint disease with a high disability rate. Non-drug therapy plays an important role in the recommendation of various treatment guidelines. Studies have shown that exercise therapy is an important non-drug intervention for patients with osteoarthritis. Taijiquan and Baduanjin are traditional sports exercises in China. Their movement takes joints as the core which can train muscles and bones outside nourish mind inside promote qi and blood circulation and smooth meridians. Therefore the main purpose of this study was to explore the role of traditional exercise therapy in the treatment of osteoarthritis.

药物成份或治疗方案详述:

Description for medicine or protocol of treatment in detail:

纳入标准:

(1)年龄≥60 岁;(2)符合中华医学会骨科学分会《中国骨关节炎诊治指南(2024 版)》中骨关节炎诊断标准的膝骨性关节炎患者;(3)疼痛症状出现三个月以上,膝痛评分 0 分<VAS 疼痛评分<7 分;西部安大略大学和麦克马斯特大学骨关节炎指数评分(Western Ontario and McMaster Universities Osteoarthritis Index,WOMAC)评分(0~240 分)≤120 分的轻中度患者;(4)意识清楚,认知功能正常,能够用文字或者语言进行正常沟通交流;(5)无需借助工具能够独立行走,能够自己完成适量的锻炼;(6)自愿参加本研究,并签署知情同意书。

Inclusion criteria

(1) Age ≥60 years old; (2) Patients with knee osteoarthritis who meet the diagnostic criteria of osteoarthritis in the "Chinese Guidelines for the Diagnosis and Treatment of Osteoarthritis (2024 edition)" of the Chinese Academy of Osteology; (3) The pain symptoms appeared for more than three months and the knee pain score was 0 < VAS pain score < 7; Mild to moderate patients with Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores (0-240) ≤120; (4) clear consciousness normal cognitive function able to communicate normally in writing or language; (5) can walk independently without the aid of tools and can complete the appropriate amount of exercise by themselves; (6) Voluntarily participate in this study and sign the informed consent.

排除标准:

(1)患有心功能衰竭、恶性肿瘤等严重基础疾病;(2)有严重抑郁等精神疾病、肿瘤患者及不能合作者;(3)曾有外伤史或韧带损伤及 6 个月以内有关节置换术患者;(4)关节严重畸形患者及急性期无法运动患者;(5)一个月内进行过膝 OA 的药物或物理治疗;(6)目前正在接受其他规律性运动锻炼(即每天至少 30min/周,每周至少 3 天)治疗的患者。

Exclusion criteria:

(1) suffering from serious underlying diseases such as heart failure and malignant tumors; (2) severe depression and other mental diseases cancer patients and can not cooperate; (3) Patients with a history of trauma or ligament injury and relevant joint replacement within 6 months; (4) Patients with severe joint deformity and patients with acute inability to exercise; (5) Drugs or physical therapy for over-the-knee OA within one month; (6) Patients who are currently receiving other regular exercise (i.e. at least 30 minutes per day/week at least 3 days per week).

研究实施时间:

Study execute time:

From 2025-06-01

To      2026-06-30

征募观察对象时间:

Recruiting time:

From 2025-06-01

To      2026-06-30

干预措施:

Interventions:

组别:

八段锦组

样本量:

40

Group:

baduanjin group

Sample size:

干预措施:

八段锦练习

干预措施代码:

Intervention:

baduanjin exercise

Intervention code:

组别:

健康教育组

样本量:

40

Group:

Health education group

Sample size:

干预措施:

健康教育

干预措施代码:

Intervention:

Health education

Intervention code:

组别:

太极拳组

样本量:

40

Group:

Tai chi group

Sample size:

干预措施:

太极拳练习

干预措施代码:

Intervention:

tai chi exercise

Intervention code:

样本总量 Total sample size : 120

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

广东

市(区县):

中山

Country:

China

Province:

Guangdong

City:

Zhongshan

单位(医院):

广州中医药大学附属中山中医院(中山市中医院)

单位级别:

三甲

Institution/hospital:

Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

WOMAC(Western Ontario and McMaster Universities Arthritis Index)膝骨关节炎评分

指标类型:

主要指标

Outcome:

WOMAC (Western Ontario and McMaster Universities Arthritis Index (knee osteoarthritis index)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Berg 平衡量表

指标类型:

次要指标

Outcome:

Berg balance scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

6 分钟步行能力测试

指标类型:

次要指标

Outcome:

six minutes walking ability test

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

健康调查简表(Health Survey Short Form, SF-36)

指标类型:

次要指标

Outcome:

Health Survey Short Form (SF-36)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

征募研究对象情况:

尚未开始

Not yet recruiting

年龄范围:

最小 60
Min age years
最大 85
Max age years

Recruiting status:

Participant age:

性别:

Gender:

男女均可

Both

随机方法(请说明由何人用什么方法产生随机序列):

区组随机 。曾焘医生采用随机数列表分为太极拳组、八段锦组和健康教育组。

Randomization Procedure (please state who generates the random number sequence and by what method):

Block group random. Doctor Zengtao were divided into Taijiquan group baduanjin group and control group by random number list.

盲法:

Blinding:

是否共享原始数据:

IPD sharing:

No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

None

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

病例记录表

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case Record Form

数据管理委员会:

Data Managemen Committee:

暂未确定

Not yet

研究计划书或研究结果报告发表信息
(杂志名称、期、卷、页,时间;或网址):

Publication information of the protocol/research results report
(name of the journal, volume, issue, pages, time; or website):

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