History
# Registration date Revision Id
2 2022-03-17, 1400/12/26 220494
1 2022-02-05, 1400/11/16 215641
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  • Protocol summary

    This study is performed on patients who are candidates for laparoscopic cholecystectomy in Imam Reza (AS) Hospital in Kermanshah. Massage and TENS techniques are performed after cholecystectomy (4, 8 and 12 hours after Surgery) in three steps. pain intensity 20 minutes after each intervention period are assessed using the Visual Analogue Scale (VAS)
    This study is performed on patients who are candidates for laparoscopic cholecystectomy in Imam Reza (AS) Hospital in Kermanshah. Massage and TENS techniques are performed after cholecystectomy (4, 8 and 12 hours after Surgery) in three steps. pain intensity 20 minutes before and after each intervention period are assessed using the Visual Analogue Scale (VAS)
    این مطالعه بر روی بیماران کاندید کوله سیستکتومی لاپاراسکوپیک در بیمارستان امام رضا(ع) کرمانشاه انجام می شود. تکنیک های ماساژ و TENS پس از کوله سیستکتومی (4، 8و 12 ساعت پس از جراحی) سه مرحله انجام می شود. شدت درد 20 دقیقه بعد از هر دوره مداخله با استفاده از مقیاس آنالوگ بصری (VAS) مورد بررسی قرار می گیرد.
    این مطالعه بر روی بیماران کاندید کوله سیستکتومی لاپاراسکوپیک در بیمارستان امام رضا(ع) کرمانشاه انجام می شود. تکنیک های ماساژ و TENS پس از کوله سیستکتومی (4، 8و 12 ساعت پس از جراحی) سه مرحله انجام می شود. شدت درد 20 دقیقه قبل و بعد از هر دوره مداخله با استفاده از مقیاس آنالوگ بصری (VAS) مورد بررسی قرار می گیرد.
    Inclusion criteria: VAS shoulder pain intensity score at baseline (within 3 hours after surgery) According to the American Society of Anesthesiology (ASA) classification, the patient is in grade 1 or 2 Satisfaction to participate in research orally and in writing Exclusion criteria: Having wounds, phlebitis, trauma arthritis in the massage area Having a cognitive psychomotor disorder Opioid addiction
    Inclusion criteria: VAS shoulder pain intensity score at baseline (within 3 hours after surgery) According to the American Society of Anesthesiology (ASA) classification, the patient is in grade 1 or 2 Satisfaction to participate in research orally and in writing Exclusion criteria: Having wounds, phlebitis, trauma arthritis in the massage area Having a cognitive psychomotor disorder Opioid addiction Having shoulder pain before surgery
    ورود:نمره شدت درد شانه VAS در ابتدا (در عرض 3 ساعت پس از جراحی) بر اساس تقسیم بندی انجمن بیهوشی آمریکا (ASA ) بیمار در کلاس 1 یا 2 باشد رضایت شرکت در پژوهش به صورت شفاهی و کتبی خروج: داشتن زخم، فلبيت، تروما آرتریت در ناحيه ماساژ داشتن اختلال روان حرکتی شناختی اعتیاد به مواد افیونی
    ورود:نمره شدت درد شانه VAS در ابتدا (در عرض 3 ساعت پس از جراحی) بر اساس تقسیم بندی انجمن بیهوشی آمریکا (ASA ) بیمار در کلاس 1 یا 2 باشد رضایت شرکت در پژوهش به صورت شفاهی و کتبی خروج: داشتن زخم، فلبيت، تروما آرتریت در ناحيه ماساژ داشتن اختلال روان حرکتی شناختی اعتیاد به مواد افیونی داشتن شانه درد قبل از جراحی
  • General information

    empty
    By updating the study, we try to complete the research process, and for this reason, we made the necessary corrections to achieve more explicit results.
    empty
    با بروز رسانی مطالعه سعی در تکمیل فرایند تحقیق داریم و از این جهت اصلاحات لازم را جهت دستیابی به نتایج صریح تر انجام دادیم
    A VAS Shoulder pain intensity score at baseline (within 3 hours after consciousness) of greater than or equal to 30 mm on a 100 mm VAS scale with 0 = no pain and 100 = worst pain imaginable.
    According to the American Society of Anesthesiology (ASA) classification, the patient is in grade l or ll
    consent to participate in oral and written research
    Not to have internal cardiac pacemaker
    Not pregnancy
    A VAS Shoulder pain intensity score at baseline (within 3 hours after surgery) of greater than or equal to 30 mm on a 100 mm VAS scale with 0 = no pain and 100 = worst pain imaginable.
    According to the American Society of Anesthesiology (ASA) classification, the patient is in grade l or ll
    consent to participate in oral and written research
    Not to have internal cardiac pacemaker
    Not pregnancy
    نمره شدت درد شانه VAS در ابتدا (در عرض 3 ساعت پس ازهوشیاری) بیشتر یا مساوی 30 میلی متر در مقیاس 100 میلی متر VAS با 0 = بدون درد و 100 = بدترین درد قابل تصور.
    بر اساس تقسیم بندی انجمن بیهوشی آمریکا (ASA ) بیمار در کلاس 1 یا 2 باشد
    رضایت شرکت در پژوهش به صورت شفاهی و کتبی
    دستگاه پيس‌ميكر داخلي نداشته باشد
    عدم بارداری
    نمره شدت درد شانه VAS در ابتدا (در عرض 3 ساعت پس از جراحی) بیشتر یا مساوی 30 میلی متر در مقیاس 100 میلی متر VAS با 0 = بدون درد و 100 = بدترین درد قابل تصور.
    بر اساس تقسیم بندی انجمن بیهوشی آمریکا (ASA ) بیمار در کلاس 1 یا 2 باشد
    رضایت شرکت در پژوهش به صورت شفاهی و کتبی
    دستگاه پيس‌ميكر داخلي نداشته باشد
    عدم بارداری
    having wounds, phlebitis, trauma arthritis in the massage area
    Having a cognitive psychomotor disorder
    Addiction to painkillers and opiates
    Cardiovascular disease
    having wounds, phlebitis, trauma arthritis in the massage area
    Having a cognitive psychomotor disorder
    Addiction to painkillers and opiates
    Cardiovascular disease
    Having shoulder pain before surgery
    داشتن زخم، فلبيت، تروما، آرتریت در ناحيه ماساژ
    داشتن اختلال روان، حرکتی، شناختی
    اعتیاد به مسکن ها و مواد افیونی
    ابتلا به بیماری های قلبی تنفسی عروقی
    داشتن زخم، فلبيت، تروما، آرتریت در ناحيه ماساژ
    داشتن اختلال روان، حرکتی، شناختی
    اعتیاد به مسکن ها و مواد افیونی
    ابتلا به بیماری های قلبی تنفسی عروقی
    داشتن شانه درد قبل از جراحی
  • Primary outcomes

    #1
    baseline (within 3 hours after consciousness).4, 8 and 12 hours after surgery
    Before intervention,baseline (within 3 hours after surgery).4, 8 and 12 hours after surgery
    در ابتدا(در عرض 3 ساعت پس از هوشیاری)، 4 ، 8 و 12 ساعت بعد از جراحی
    قبل از مداخله، در ابتدا(در عرض 3 ساعت پس از جراحی)، 4 ، 8 و 12 ساعت بعد از جراحی
  • Secondary outcomes

    #1
    empty
    Taking analgesic drugs
    empty
    مصرف داروهای ضد درد
    empty
    end of surgery
    empty
    بعد از جراحی
    empty
    check list
    empty
    چک لیست
    #2
    empty
    Time of the first dose of analgesic
    empty
    زمان اولین دوز داروی ضد درد
    empty
    end of surgery
    empty
    بعد از جراحی
    empty
    check list
    empty
    چک لیست
  • Intervention groups

    #1
    Intervention group: Massage - Massage therapy group 30 minutes with three massage methods Petrisag-Kneading-Friction in the hand area. This technique is performed three times after cholecystectomy (4, 8 and 12 hours after consciousness). Patients' pain intensity is measured and recorded 20 minutes after each massage with the Visual Pain Scale (VAS).
    Intervention group: Massage - Massage therapy group 30 minutes with three massage methods Petrisag-Kneading-Friction in the hand area. This technique is performed three times after cholecystectomy (4, 8 and 12 hours after surgery). Patients' pain intensity is measured and recorded 20 minutes before and after each massage with the Visual Pain Scale (VAS).
    گروه مداخله: ماساژ-گروه ماساژ درمانی 30 دقیقه با سه روش ماساژ Petrisag- Kneading- Frictionدر ناحیه دست ها مورد ماساژ قرار می گیرند. این تکنیک در سه نوبت پس از کوله سیستکتومی (4، 8 و 12 ساعت پس از هوشیاری) انجام می شود. شدت درد بیماران 20 دقیقه بعد از هر نوبت ماساژ با مقیاس دیداری سنجش درد (VAS) اندازه گیری و ثبت می شود
    گروه مداخله: ماساژ-گروه ماساژ درمانی 30 دقیقه با سه روش ماساژ Petrisag- Kneading- Frictionدر ناحیه دست ها مورد ماساژ قرار می گیرند. این تکنیک در سه نوبت پس از کوله سیستکتومی (4، 8 و 12 ساعت پس از جراحی) انجام می شود. شدت درد بیماران 20 دقیقه قبل و بعد از هر نوبت ماساژ با مقیاس دیداری سنجش درد (VAS) اندازه گیری و ثبت می شود
    #2
    Intervention group: TENS In the TENS method, electrodes are placed near or on the shoulder pain site and send the stimuli created by the device to the skin to stimulate the sensory-nerve terminals. Also, in order to achieve effective and rapid pain relief, the TENS current (frequency of 150 Hz and a pulse width of 75 μs) Used for 30 minutes. This technique is performed three times after cholecystectomy (4, 8 and 12 hours after surgery). Patients' pain intensity is measured and recorded 20 minutes after each TENS with a Visual Analogue Scale (VAS).
    Intervention group: TENS In the TENS method, electrodes are placed near or on the shoulder pain site and send the stimuli created by the device to the skin to stimulate the sensory-nerve terminals. Also, in order to achieve effective and rapid pain relief, the TENS current (frequency of 150 Hz and a pulse width of 75 μs) Used for 30 minutes. the intensity of each channel was increased until the participant was able to feel a maximal tolerable tingling sensation without causing discomfort, pain, or muscle contraction.This technique is performed three times after cholecystectomy (4, 8 and 12 hours after surgery). Patients' pain intensity is measured and recorded 20 minutes before and after each TENS with a Visual Analogue Scale (VAS).
    گروه مداخله:TENS،در روش TENS، الکترودها نزدیک محل درد شانه یا روی آن قرار گرفته و تحریکات ایجاد شده توسط دستگاه را،جهت تحریک پایانه های حسی-عصبی به پوست می فرستد .همچنین به منظور دستیابی به تسکین موثر و سریع درد ، از جریان TENS (فرکانس 150 هرتز و زمان پالس کوتاه 75 میلی ثانیه) به مدت 30 دقیقه استفاده می شود. این تکنیک در سه نوبت پس از کوله سیستکتومی (4، 8 و 12 ساعت پس از جراحی) انجام می شود. شدت درد بیماران 20 دقیقه بعد از هر نوبت TENS با مقیاس دیداری سنجش درد (VAS) اندازه گیری و ثبت می شود
    گروه مداخله:TENS،در روش TENS، الکترودها نزدیک محل درد شانه یا روی آن قرار گرفته و تحریکات ایجاد شده توسط دستگاه را،جهت تحریک پایانه های حسی-عصبی به پوست می فرستد .همچنین به منظور دستیابی به تسکین موثر و سریع درد ، از جریان TENS (فرکانس 150 هرتز و زمان پالس کوتاه 75 میلی ثانیه) به مدت 30 دقیقه استفاده می شود. شدت هر کانال افزایش می‌یابد تا زمانی که شرکت‌کننده بتواند حداکثر احساس سوزن سوزن شدن قابل تحمل را بدون ایجاد ناراحتی، درد یا انقباض عضلانی احساس کند.این تکنیک در سه نوبت پس از کوله سیستکتومی (4، 8 و 12 ساعت پس از جراحی) انجام می شود. شدت درد بیماران 20 دقیقه قبل و بعد از هر نوبت TENS با مقیاس دیداری سنجش درد (VAS) اندازه گیری و ثبت می شود

Protocol summary

Study aim
Determining and comparing the effect of massage therapy and Transcutaneous electrical nerve stimulation (TENS) on shoulder pain in patients after laparoscopic cholecystectomy
Design
Clinical trial on 180 patients who were candidates for laparoscopic cholecystectomy with a control group, based on the target population, double-blind and randomized by block method with a volume of 6
Settings and conduct
This study is performed on patients who are candidates for laparoscopic cholecystectomy in Imam Reza (AS) Hospital in Kermanshah. Massage and TENS techniques are performed after cholecystectomy (4, 8 and 12 hours after Surgery) in three steps. pain intensity 20 minutes before and after each intervention period are assessed using the Visual Analogue Scale (VAS)
Participants/Inclusion and exclusion criteria
Inclusion criteria: VAS shoulder pain intensity score at baseline (within 3 hours after surgery) According to the American Society of Anesthesiology (ASA) classification, the patient is in grade 1 or 2 Satisfaction to participate in research orally and in writing Exclusion criteria: Having wounds, phlebitis, trauma arthritis in the massage area Having a cognitive psychomotor disorder Opioid addiction Having shoulder pain before surgery
Intervention groups
Examples include three groups: massage therapy, Transcutaneous electrical nerve stimulation (TENS), and control. The control group will include patients who have not had an intervention and will receive routine care. The massage therapy group massages the hand area for 30 minutes. In the TENS method, the electrodes are placed near or on the pain site and send the stimuli created by the device to the skin to stimulate the sensory-nerve terminals.
Main outcome variables
Patients's shoulder pain score based on the VAS scale

General information

Reason for update
By updating the study, we try to complete the research process, and for this reason, we made the necessary corrections to achieve more explicit results.
Acronym
IRCT registration information
IRCT registration number: IRCT20200206046395N1
Registration date: 2022-02-05, 1400/11/16
Registration timing: prospective

Last update: 2022-03-19, 1400/12/28
Update count: 1
Registration date
2022-02-05, 1400/11/16
Registrant information
Name
Mobin Mottahedi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 23 3233 8090
Email address
mobinmottahedi1372@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-02-20, 1400/12/01
Expected recruitment end date
2022-04-21, 1401/02/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the effect of massage therapy and Transcutaneous Electric Nerve Stimulation (TENS) on shoulder pain in patients after laparoscopic cholecystectomy
Public title
Comparison of the effect of massage therapy and Transcutaneous Electric Nerve Stimulation (TENS) on shoulder pain in patients after laparoscopic cholecystectomy
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
A VAS Shoulder pain intensity score at baseline (within 3 hours after surgery) of greater than or equal to 30 mm on a 100 mm VAS scale with 0 = no pain and 100 = worst pain imaginable. According to the American Society of Anesthesiology (ASA) classification, the patient is in grade l or ll consent to participate in oral and written research Not to have internal cardiac pacemaker Not pregnancy
Exclusion criteria:
having wounds, phlebitis, trauma arthritis in the massage area Having a cognitive psychomotor disorder Addiction to painkillers and opiates Cardiovascular disease Having shoulder pain before surgery
Age
From 18 years old to 60 years old
Gender
Both
Phase
N/A
Groups that have been masked
  • Care provider
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 180
Randomization (investigator's opinion)
Randomized
Randomization description
Pre-sampling of the type will be available. Then, the samples studied in this study will be placed in the study groups (control, TENS intervention and massage intervention) using random allocation of patients. The random allocation sequence is determined using the block method with a volume of 6 using the software.
Blinding (investigator's opinion)
Double blinded
Blinding description
The present study is double-blind because participants receiving the intervention are aware of the intervention. The data collector will not be aware of the patient group. The data analyzer will not be aware of the patient group
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Kermanshah University of Medical Sciences
Street address
Building No. 2 of Kermanshah University of Medical Sciences,Shahid beheshti Blvd
City
Kermanshah
Province
Kermanshah
Postal code
6714673159
Approval date
2022-01-11, 1400/10/21
Ethics committee reference number
IR.KUMS.REC.1400.757

Health conditions studied

1

Description of health condition studied
Laparoscopic cholecystectomy
ICD-10 code
K91.86
ICD-10 code description
Retained cholelithiasis following cholecystectomy

Primary outcomes

1

Description
Shoulder pain score in Visual Pain Scale Questionnaire
Timepoint
Before intervention,baseline (within 3 hours after surgery).4, 8 and 12 hours after surgery
Method of measurement
VAS Visual Analog Scale

Secondary outcomes

1

Description
Taking analgesic drugs
Timepoint
end of surgery
Method of measurement
check list

2

Description
Time of the first dose of analgesic
Timepoint
end of surgery
Method of measurement
check list

Intervention groups

1

Description
Intervention group: Massage - Massage therapy group 30 minutes with three massage methods Petrisag-Kneading-Friction in the hand area. This technique is performed three times after cholecystectomy (4, 8 and 12 hours after surgery). Patients' pain intensity is measured and recorded 20 minutes before and after each massage with the Visual Pain Scale (VAS).
Category
Treatment - Devices

2

Description
Intervention group: TENS In the TENS method, electrodes are placed near or on the shoulder pain site and send the stimuli created by the device to the skin to stimulate the sensory-nerve terminals. Also, in order to achieve effective and rapid pain relief, the TENS current (frequency of 150 Hz and a pulse width of 75 μs) Used for 30 minutes. the intensity of each channel was increased until the participant was able to feel a maximal tolerable tingling sensation without causing discomfort, pain, or muscle contraction.This technique is performed three times after cholecystectomy (4, 8 and 12 hours after surgery). Patients' pain intensity is measured and recorded 20 minutes before and after each TENS with a Visual Analogue Scale (VAS).
Category
Treatment - Devices

3

Description
Control group: Get routine care
Category
N/A

Recruitment centers

1

Recruitment center
Name of recruitment center
Imam Reza Hospital in Kermanshah
Full name of responsible person
MOBIN MOTTAHEDI
Street address
Kermanshah-Nurse Boulevard
City
kermanshah
Province
Kermanshah
Postal code
6718743161
Phone
+98 83 3427 6300
Email
info@irhk.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Kermanshah University of Medical Sciences
Full name of responsible person
Dr. Farid Najafi
Street address
Building No.2, Shahid Beheshti, Vice Chancellor for Research Affairs, Kermanshah University of Medical Sciences
City
Kermanshah
Province
Kermanshah
Postal code
6715847141
Phone
+98 83 3836 0014
Email
fnajafi@kums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Kermanshah University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Kermanshah University of Medical Sciences
Full name of responsible person
MOBIN MOTTAHEDI
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Operating room
Street address
Square of kargar_navvab
City
shahrood
Province
Semnan
Postal code
3618675313
Phone
009832338090
Email
Mobinmottahedi1372@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Kermanshah University of Medical Sciences
Full name of responsible person
MOBIN MOTTAHEDI
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
operating room
Street address
Square kargar-navvab
City
shahrood
Province
Semnan
Postal code
3618675313
Phone
009832338090
Email
mobinmottahedi1372@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Kermanshah University of Medical Sciences
Full name of responsible person
MOBIN MOTTAHEDI
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
operating room
Street address
Square kargar-navvab
City
shahrood
Province
Semnan
Postal code
3618675313
Phone
009832338090
Email
mobinmottahedi1372@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
Individual participant data collected for the primary outcome measures
When the data will become available and for how long
After publication for one year
To whom data/document is available
For all people who request for data
Under which criteria data/document could be used
It is allowed to perform any analysis on the data, but use of data for publication is not allowed.
From where data/document is obtainable
Corresponding author of article
What processes are involved for a request to access data/document
After requesting the data by email to corresponding author , the data will be sent after a maximum period of one week
Comments
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