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The Effect of Pomegranate (Punica Granatum L.) Peel Compress Application on Pain and Physical Function Status

Not Applicable
Conditions
Pomegranate (P. Granatum) Peel Compress
Interventions
Behavioral: Pomegranate (Punica granatum) peel compress
Behavioral: Hot compress
Registration Number
NCT06034106
Lead Sponsor
TC Erciyes University
Brief Summary

Osteoarthritis is the most common type of arthritis among rheumatologic diseases. Complementary therapies are one of the effective methods for pain control. This study was planned as a randomized controlled experimental study. For this purpose, patients diagnosed with knee osteoarthritis who applied to the Orthopedics Outpatient Clinic will be included. It was calculated that the study would include at least 67 patients. The study will be collected using patient information form, descriptive characteristics form, Visual Analog Scale (VAS) and WOMAC osteoarthritis application scale. It was planned as a randomized controlled experimental study to evaluate the effect of pomegranate peel (P. granatum) compress application on pain and function status. The study was divided into 3 groups as Pomegranate (Punica granatum) peel compress, hot compress and control group. Pomegranate (Punica granatum) peel compress was applied 3 days a week for 3 weeks by turning the powder into porridge check.

Detailed Description

This randomized controlled experimental study was conducted to evaluate the effect of pomegranate (Punica granatum) peel compress application on pain, stiffness and physical function in individuals with knee osteoarthritis.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
67
Inclusion Criteria
  • Visual analog scale score of 3 and above,
  • those aged 45 and over,
  • Diagnosed with knee OA by a physician according to the criteria of the American - Rheumatology Association (ARD),
  • pain lasting at least 1 month or longer,
  • not included in any physical therapy program during the research period, a
  • capable of answering research questions,
  • agreeing to participate in the research by giving verbal and written consent
Exclusion Criteria
  • with a defined psychiatric illness,
  • having vision and hearing problems,
  • diagnosed with complex disease such as malignant,
  • having a wound in the application area,
  • with a diagnosed vascular disease,
  • the patient's other inflammatory disease such as rheumatoid arthritis, gout, fibromyalgia
  • who have had serious trauma or surgery in the last 6 months,
  • who have received DMARDS or intra-articular steroid injection therapy in the last 3 months

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Hot compressPomegranate (Punica granatum) peel compressIn the hot compress group, the knee was wrapped with a bandage and the hot thermophor (approximately 40-45 °C) was placed on the knee. The hot thermoform was applied to the patient 3 days a week by keeping it for 20 minutes.
Hot compressHot compressIn the hot compress group, the knee was wrapped with a bandage and the hot thermophor (approximately 40-45 °C) was placed on the knee. The hot thermoform was applied to the patient 3 days a week by keeping it for 20 minutes.
Pomegranate (P. granatum) peel compress groupPomegranate (Punica granatum) peel compress36 g of pomegranate peel powder was given to the patient in a closed container. A teaspoon (approximately 2-3 g) of powder was mixed with water from the storage container and applied to the patient's knee by making a paste, and then the knee was wrapped with a bandage. It was kept for 20 minutes by placing a hot thermophore (approximately 40-45 C) on it. This application was carried out 3 days a week.
Primary Outcome Measures
NameTimeMethod
WOMAC Osteoarthritis IndexThe scale was filled in the baseline

The WOMAC index is composed of 24 items and 3 subdimensions (pain, stiffness, and physical function). The participants are asked to rate pain (5 questions), stiffness (2 questions), and difficulties encountered in physical functioning (17 questions) during the day (24 hours). The index is a 5-point Likert-type scale, where 0 is none, 1 mild, 2 moderate, 3 severe, and 4 very severe. Pain scores range from 0e20 points, stiffness scores from 0e8 points, and difficulties in physical function scores from 0e68 points. Higher scores indicate increased pain and stiffness, impairment in physical functioning, and higher levels of physical limitation.

Visual Analog ScaleThe scale was filled in the baseline

A VAS consisting of a 10-centimeter horizontal line, anchored evenly by numbers from 0 to 10, was used to assess the patient's pain and willingness to repeat the procedure. The number 0 was identical to having no pain while the number 10 corresponded to maximal pain that can be experienced by the patient

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Dilek Efe Arslan

🇹🇷

Kayseri, Melikgazi, Turkey

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