Effects of Sand Treatment on Osteoarthritis

University Vila Velha

Status: Terminated

Conditions: Osteo Arthritis Knee

Treatments: Radiation: Natural gamma radiation from the monazite sands; Radiation: Normal sands exposure patients

Study type: Interventional

Funder types: Other

Identifiers

NCT03943303

T015-M02-2019AF002

TO#617/2018 (Other Grant/Funding Number)

Details and patient eligibility

About

2528/5000 Historically the city of Guarapari / ES is known as the city health by the popular therapeutic effect of its sands in diverse diseases. The articular diseases are among the list of the aggravations that popularly the monazitic sands exert some therapeutic effect, emphasizing. Rheumatic diseases include osteoarthritis of the knee. It is a disease with a high prevalence and in recent years have presented an increase in the incidence supposedly caused by the aging population and due to the epidemic of obesity. Osteoarthrosis is proven to be a disease that leads to the incapacity and restriction of the individual's ability to come and go with high monetary costs for the patient and the government. In view of these facts presented, the objective is to investigate the therapeutic potential of monazite sands in elderly patients submitted to serial, controlled and standardized exposure, compared to patients exposed to beach sand without radiation.

Full description

A sample of 150 patients with primary knee osteoarthrosis will be selected for the study, divided into two random groups that will be exposed to sand (one monazite sand group and another beach sand group without radiation) for 12 months. The groups will be evaluated at time 0 (at the patient's arrival in the group) and at 1, 2, 3, 6, 9 and 12 months of exposure following the literature criteria for evaluation of knee osteoarthrosis (Visual Analogue Scale (EVA) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)) and non-specific and specific biomarkers (C-reactive protein, erythrocyte sedimentation rate, IL-1β, IL-6, IL-8, TGF-β, and TNF-α). In addition, the groups will undergo an initial interview and monitoring of the pharmacological therapies used prior to the study and during the months of follow-up using the Dáder methodology of pharmaceutical care adapted to the study. As a result, the scientific evidence of the efficacy of monazitic sands in knee osteoarthrosis is expected not only by clinical criteria but also by laboratory evidence on the markers of the inflammatory and degenerative process that allow us to document the real value of the monazitic sands for health of the population, to establish a great line of research for the state of Espírito Santo and to value the State of Espírito Santo and the municipality of Guarapari as potential itineraries for SPA tourism (aiming to improve health).

Enrollment: 150 patients

Sex: All

Ages: 30 to 95 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Joint pain related to daily activities;
• No morning joint stiffness greater than 30 minutes;
• Age between 30 and 95 years.

Exclusion criteria

• History of previous knee surgery.
• History of fracture in the knee region.
• History of any secondary OA associated with any cystic arthropathy.
• Any treatment for the knee with methotrexate.
• History of hemorrhagic disorders.
• History of any infiltration of the knee during the previous 6 months (eg corticosteroids and hyaluronic acid).
• Morbid obesity.
• History of severe psychiatric disorders.
• History of skin cancer.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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150 participants in 2 patient groups, including a placebo group

Natural gamma radiation from the monazite sands

Experimental group

Description:

Patients selected for the study will have their knee (s) affected by osteoarthrose fully submerged in the monazite beach sand 2 (two) times per week for 30 (thirty) minutes each session at the same location and at the same time of day. The natural gamma radiation doses of the monazite sands will be monitored, the radiation measurements gamma will be associated with the atmospheric and climatic measurements of each group. It is understood here as atmospheric measurements, level of solar radiation, spectrum of sunlight at the time of exposure, humidity, wind speed, ultraviolet radiation level, amount of ions present in the air and measurements of the magnetic field in the place.

Treatment:

Radiation: Natural gamma radiation from the monazite sands

Normal sands exposure patients

Placebo Comparator group

Description:

Patients selected for the study will have their knee (s) affected by osteoarthrose fully submerged in the no-monazite beach sand 2 (two) times per week for 30 (thirty) minutes each session at the same location and at the same time of day. To ensure the absence of radiation, mesuaraments of possible radiation will be monitored.

Treatment:

Radiation: Normal sands exposure patients