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Trial registered on ANZCTR
Registration number
ACTRN12617001557325
Ethics application status
Approved
Date submitted
5/11/2017
Date registered
15/11/2017
Date last updated
5/10/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Scalp Itch Study - Treatment of Scalp Itch with Simple Exercises and Stretches
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Scientific title
Treatment of Scalp Dysesthesia Utilising Simple Exercises And Stretches: A Pilot Study
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Secondary ID [1]
293285
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Scalp dysesthesia
305362
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Condition category
Condition code
Skin
304645
304645
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0
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Dermatological conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Study participants will be provided with access to an online questionnaire. Baseline patient characteristics and the severity of pruritus, measured through a validated VAS of 0 to 10, will be collected. At the conclusion of the questionnaire study participants will be provided with a Physiotherapist designed exercise protocol, with accompanying clear instructions and photographs detailing how to effectively complete them. Study participants will be instructed to complete these exercises twice a day for 4 weeks independently. The exercise protocol consists of 4 stretches and 2 cervical ranging exercises with strict instructions on how to perform the exercises and accompanying instructional photos. The exercise program should take approximately 10 minutes to complete each time. The exercise protocol is based on empirical knowledge and specifically designed to lengthen muscles which restrict cervical movement and restore segmental cervical range. Compliance and VAS will be self assessed through weekly questionnaires. No strategies will be used to maintain or improve fidelity
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Intervention code [1]
299539
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Treatment: Other
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Visual analogue scale for pruritus severity
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Assessment method [1]
303869
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Timepoint [1]
303869
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Changes in the primary outcome from Baseline, 1, 2, 3, and 4 weeks (5 time-points) post commencement of intervention
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Secondary outcome [1]
340322
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Nil
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Assessment method [1]
340322
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Timepoint [1]
340322
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Nil
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Eligibility
Key inclusion criteria
Age between 18-70+
Diagnosis of scalp dysesthesia
Possess sufficient English language skills to give consent complete all questionnaires.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Inability to provide informed consent
A whiplash injury within the past 6 weeks
History of spinal tumours, spinal infection, cervical spine fracture, vertebrobasilar insufficiency or previous neck surgery
Any pending legal action regarding neck pain
A diagnosis of central cervical spinal stenosis
Bilateral upper extremity neurological symptoms
Two positive neurologic findings at the same nerve root level
Musculoskeletal deformity such as severe spondylolysis or spondylolithesis
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Not applicable
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Baseline characteristics will be described with frequency and percentage (categorical variables) and measures of central tendency (continuous variables). The Primary Study outcome (Visual Analogue Scale for pruritus) will be described based on the normality of the data distribution.
Pending the assessment of normality; the VAS-pruritus will be described with paired (repeated/related) tests, i.e. paired t-test or paired Mann-Whitney U-test, across Baseline (T0 and 4 weeks (T5)
Changes in the primary outcome VAS-pruritus score from Baseline, 1, 2, 3, and 4 weeks (5 time-points) will be assessed with Linear Mixed Effect Modelling to determine the changes within participant levels within and between the 5 time-points and adjusted for selected clinical characteristics, such as, age and gender.
The sample size was determined according to the desired precision of the primary outcome, intensity of dysesthesia at week 4.
The initial (crude) paired t-test comparison of VAS-pruritus from Baseline to week 4 would require a sample size of 31 participants to detect a 50% reduction in VAS-pruritus scores between those timepoints.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
30/11/2017
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Actual
14/12/2017
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Date of last participant enrolment
Anticipated
28/02/2018
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Actual
13/02/2018
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Date of last data collection
Anticipated
28/03/2018
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Actual
20/03/2018
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Sample size
Target
31
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Accrual to date
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Final
16
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
9344
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment postcode(s) [1]
18018
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6009 - Nedlands
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Funding & Sponsors
Funding source category [1]
297988
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Self funded/Unfunded
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Name [1]
297988
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Unfunded
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Address [1]
297988
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Unfunded
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Country [1]
297988
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Primary sponsor type
Hospital
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Name
Sir Charles Gairdner Hospital
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Address
Hospital Ave
Nedlands 6009
Western Australia
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Country
Australia
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Secondary sponsor category [1]
297007
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None
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Name [1]
297007
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Address [1]
297007
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Country [1]
297007
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298960
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Sir Charles Gairdner and Osborne Park Health Care Group Human Research Ethics Committee
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Ethics committee address [1]
298960
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Sir Charles Gairdner Hospital 2nd Floor A Block Hospital Avenue NEDLANDS WA 6009
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Ethics committee country [1]
298960
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Australia
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Date submitted for ethics approval [1]
298960
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27/07/2017
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Approval date [1]
298960
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30/10/2017
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Ethics approval number [1]
298960
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RGS0000000535
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Summary
Brief summary
Scalp dysesthesia is characterised by abnormal cutaneous sensations such as burning, stinging or itching of the scalp in the absence of objective dermatological findings. Scalp dysesthesia has been associated with cervical spine dysfunction, however there is no unified pathogenesis or agreed upon effective treatment. We hypothesise that the unpleasant sensations of scalp dysesthesia are the result of a sensory neuropathy secondary to cervical spine dysfunction. The aim of this pilot study is to evaluate the use of an exercise protocol consisting of cervical spine range of movement exercises, gentle mobilisation and muscle stretches over 4 weeks.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
78798
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Dr Nicholas Laidler
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Address
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Sir Charles Gairdner Hospital
Hospital Ave
Nedlands, WA, 6009
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Country
78798
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Australia
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Phone
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+61 08 6457 3333
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Fax
78798
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Email
78798
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[email protected]
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Contact person for public queries
Name
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Nicholas Laidler
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Address
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Sir Charles Gairdner Hospital
Hospital Ave
Nedlands, WA, 6009
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Country
78799
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Australia
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Phone
78799
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+61 08 6457 3333
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Fax
78799
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Email
78799
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[email protected]
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Contact person for scientific queries
Name
78800
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Nicholas Laidler
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Address
78800
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Sir Charles Gairdner Hospital
Hospital Ave
Nedlands, WA, 6009
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Country
78800
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Australia
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Phone
78800
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+61 08 6457 3333
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Fax
78800
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Email
78800
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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