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CompletedNCT01544647NancythermalUpdated Aug 15, 2014

Spa Therapy in Knee Osteoarthritis (OA): Nancy-thermal

An interventional study of Usual spa protocol and Active spa protocol in Knee Osteoarthritis, sponsored by Central Hospital, Nancy, France. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-08-15.

Sponsored by Central Hospital, Nancy, France · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
283
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Non-pharmacological treatments are recommended for the management of knee osteoarthritis (EULAR or OARSI recommendations) and some thermal modalities may be effective for relieving symptoms in knee Osteoarthritis. However supporting evidence is limited and nothing is known about the advantage of one modality of thermal therapy over another.

The main objective of the study is to compare the number of patients achieving a composite response criteria associating the minimal clinically important improvement at 6 months, defined as ≥ 19.9 mm on the visual analogue pain scale and/or ≥ 9.1 points in a normalised Western Ontario and McMaster Universities osteoarthritis index function score and no knee surgery in 2 spa therapy protocols (a "usual protocol" and an "active protocol") in knee osteoarthritis.

The secondary objectives are:

  1. To compare the efficacy of the 2 protocols at 3 months.
  2. To determine the evolution of quality of life and medical care consumption
  3. To describe postural abnormalities
  4. To determine predictive factors to a favourable response at 3 and 6 months
Read the detailed description

This is a monocentric randomised non inferiority trial comparing 2 spa therapy protocols in symptomatic knee OA.

In the first group, 4 treatments (massages, showers, mud and pool sessions) are provided 6 days a week during 3 weeks. In the second group, the same 4 treatments are provided 3 days a week during 3 weeks then patients will follow an exercise program 3 days a week during 3 week.

Data will be collected at inclusion, 3 and 6 weeks and 3 and 6 months.

02

Conditions studied

  • Knee Osteoarthritis

Keywords

  • Knee osteoarthritis
  • spa therapy
  • spa modalities
03

In context

Osteoarthritis

4,399 studies on the registry are indexed under Osteoarthritis; 583 are open to participants now.

This study's enrollment of 283 is above the median of 70 across 3,440 interventional studies indexed under Osteoarthritis.

Browse Osteoarthritis studies →

Lead sponsor

Central Hospital, Nancy, France is the lead sponsor of 778 studies on the registry; 183 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion criteria are:

  • both gender
  • uni or bilateral symptomatic knee OA
  • pain VAS > 3 on a 0-10 scale)
  • fulfilling ACR criteria for knee OA
  • Kellgren and Lawrence stage 2 or over on standard radiograph

Non inclusion criteria are:

  • severe comorbidity
  • isolated femoro-patellar knee OA
  • total knee replacement surgery expected during the next year
  • other joint disease
  • a contraindication or intolerance to any aspect of spa treatment (immune deficiency, evolving cardiovascular conditions, cancer, infection),
  • spa treatment within the previous 12 months
  • knee injection within the past month for corticosteroids and within the past 3 months for hyaluronic acids
  • osteoarthritis (SYSADOA) change in the past 3 months
  • massages, physiotherapy or acupuncture in the past month
  • Patients will not be allowed to modify their non-steroidal antiinflammatory drug (NSAID) or their analgesic drug within the past 5 days and in the previous 12 h respectively.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
283 participants (actual)

Study arms

  • Active comparator
    Usual spa protocol

    4 treatments (massages, showers, mud and pool sessions) are provided 6 days a week during 3 weeks.

    Other: Usual spa protocol

  • Active comparator
    Active spa protocol

    4 treatments (massages, showers, mud and pool sessions) are provided 3 days a week during 3 weeks then patients will follow an exercise program 3 days a week during 3 week.

    Other: Active spa protocol

Interventions

  • OtherUsual spa protocol

    In the first group, 4 treatments (massages, showers, mud and pool sessions) are provided 6 days a week during 3 weeks.

  • OtherActive spa protocol

    4 treatments (massages, showers, mud and pool sessions) are provided 3 days a week during 3 weeks then patients will follow an exercise program 3 days a week during 3 week.

06

What researchers measure

Primary outcomes

  1. Composite response criteria: achievement of the minimal clinically important improvement of pain VAS and/or the WOMAC score and no knee surgery

    The main outcome endpoint is the number of patients achieving minimal clinically important improvement (MCII) at 6 months, defined as ≥19.9 mm on the visual analogue pain scale and/or ≥9.1 points in a normalised Western Ontario and McMaster Universities osteoarthritis index function score and no knee surgery.

    Time frame: 6 months

Secondary outcomes

  1. Achievement of the patient acceptable symptom state

    Time frame: 3 and 6 months

  2. evolution of quality of life scores

    Time frame: 3 and 6 months

  3. medical care consumption

    particularly NSAIDs, pain killers

    Time frame: 3 and 6 months

  4. postural abnormalities

    The method used aimed at evaluating two modalities of postural regulation - quiet stance and during movement - and their related neurosensory organization. Postural control during quiet stance will be evaluated with and without sensory conflict by a static posturographic test and by a sensory organization test; postural control during movement will be evaluated by a dynamic posturographic test with slow sinusoidal oscillations.

    Time frame: 3 and 6 months

  5. adverse events

    Time frame: 3 and 6 months

07

Study locations

1 site
  • Nancy university hospital center
    Nancy, 54000, France
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 15, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01544647
Lead sponsor
Central Hospital, Nancy, France
Responsible party
Sponsor
First posted
Mar 6, 2012
Start date
Feb 2012
Primary completion
May 2013
Completion
Jan 2014
Last update
Aug 15, 2014

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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