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CompletedNCT05907200Updated Jun 22, 2023

Ultrasound Therapy and Manual Therapy in Digital Ischemic Ulcers

An interventional study of combination ultrasound therapy and manual therapy and manual therapy in Systemic Sclerosis, sponsored by University of Palermo. Completed at 1 site in Italy. Open to participants aged 30 Years to 60 Years. Per ClinicalTrials.gov, last updated 2023-06-22.

Sponsored by University of Palermo · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 2 months after the study started (first participant enrolled Apr 2022, registered Jun 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
45
Allocation
Non-randomized
Ages
30 Years to 60 Years
Sex
All
01

Study summary

The objective of this before-after non-randomized trial study is to evaluate the efficacy of ultrasound therapy in combination with manual therapy in the management of systemic sclerosis patients with IDU. The main questions it intends to answer are:

  • Is this combination of treatments effective in these patients in terms of improvement in hand functional ability, pain relief, injury healing, and quality of life?

Participants will receive rehabilitation treatment consisting of a combination of manual therapy (McMennel joint manipulation, pumping, and connective tissue massage) and US water immersion. The researchers will compare the group of participants, called the treatment group, with a control group to see if:

  • Is the combined treatment of ultrasound therapy and manual therapy more effective in these patients than manual therapy alone?
02

Conditions studied

  • Systemic Sclerosis

Keywords

  • rehabilitation
  • skin ulcer
  • ultrasound therapy
  • disability
03

In context

Scleroderma, Systemic

688 studies on the registry are indexed under Scleroderma, Systemic; 223 are open to participants now.

This study's enrollment of 45 is above the median of 34 across 493 interventional studies indexed under Scleroderma, Systemic.

Browse Scleroderma, Systemic studies →

Lead sponsor

University of Palermo is the lead sponsor of 142 studies on the registry; 28 are open to participants now.

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

04

Who can participate

Ages eligible
30 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • diagnosis of SSc according to the ACR and EULAR criteria
  • presence of IDU in active phase
  • naïve to rehabilitation treatment for their hands and upper limbs
  • written in-formed consent to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • presence of skin lesions due to other conditions (e.g., trauma);
  • pregnancy;
  • infectious diseases (e.g. HIV, HBV, HCV);
  • myositis;
  • arthritis;
  • other rheumatological diseases and immunodepression.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
45 participants (actual)

Study arms

  • Experimental
    Treatment Group

    It received rehabilitation treatment consisting of a combination of manual therapy (McMennel joint manipulation, pumping and connective tissue massage) and US water immersion.

    Other: combination ultrasound therapy and manual therapy

  • Placebo comparator
    Control Group

    It received rehabilitation treatment consisting of manual therapy alone

    Other: manual therapy

Interventions

  • Othercombination ultrasound therapy and manual therapy

    The proposed manual therapy lasted 90 minutes and involved a combination of three different techniques: McMennel manipulation, connective tissue massage and mobilization technique of pumping. Patients in the treatment group also received a treatment with US (I-Tech medical device certified UT2 CE0476) in combination with manual therapy. Dipping technique was applied with a frequency of 1 MHz, intensity of 1W/cm2, duty cycle of 60% and a duration of 15 minutes per session.

  • Othermanual therapy

    manual treatment lasting 90 minutes which involved a combination of three different techniques: McMennel manipulation, connective tissue massage and pumping mobilization technique.

06

What researchers measure

Primary outcomes

  1. functional capacity

    Duruoz's hand index. The total score ranges from 0-90 with higher scores indicating poorer hand functioning.

    Time frame: after 4 weeks of treatment

Secondary outcomes

  1. pain intensity

    numerical rating scale; the total score ranges from 0 to 10, with higher scores indicating more pain.

    Time frame: after 4 weeks of treatment

  2. ulcer assessment

    Pressure Sore Status Tool; The score is between 13 and 65. Higher total scores indicated more severe wound status.

    Time frame: after 4 weeks of treatment

  3. disease-related quality of life

    The 36-Item Short Form Health Survey; The score ranges from 0 to 100, where higher scores indicate improved health.

    Time frame: after 4 weeks of treatment

07

Study locations

1 site
  • Functional Recovery and Rehabilitation Unit of the A.O.U.P. Paolo Giaccone
    Palermo, 90127, Italy
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 22, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05907200
Lead sponsor
University of Palermo
Responsible party
Prof.ssa Giulia Letizia Mauro (Professor, University of Palermo) — Principal investigator
First posted
Jun 18, 2023
Start date
Apr 1, 2022
Primary completion
Nov 30, 2022
Completion
Dec 15, 2022
Last update
Jun 22, 2023

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

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