- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04050137
Therapeutic Exercise to Treat Neuropathic Pain (Aps)
Therapeutic Exercise to Treat Neuropathic Pain in Patients With Chronic Lisosomal Injuries: Learning and Service Project
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Zaragoza, Spain
- FEETEG
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Female or male patients between 18 years and 65 years.
- Patients diagnosed by a doctor specializing in Fabry disease with FabryScan.
- Fabry's disease must have a stable evolution, with a disease severity scoring system (DS3) that must be less than 8 points per year in the last 2-3 years.
- Presence of neuropathic pain with a score greater than or equal to 4 in the "Douleur neuropathique (DN4)" questionnaire.
Exclusion criteria:
- Patients with an acute cardiovascular disease or with a heart or kidney transplant.
- Subjects with acute orthopedic problems that limit their participation in the study.
- Subjects with cognitive impairments that prevent them from filling in the questionnaires or understanding the exercises to be performed.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Exercise group
Exercise programme 3 times/week.
|
Patients who meet the inclusion criteria and who want to carry out the workshops, fill out an informed consent explaining the procedure to be followed and accepting the cessation of data to carry out the study. Patients will be divided into 2 working groups (approximately 10 patients in total, in a Gaucher disease group and in another Fabry disease). The workshops will be held at the foundation twice a month in sessions of 45 minutes of work for 3 months (May, June, July 2019). In these sessions the physiotherapists will show the new exercises to the patients. The exercises that are taught in that session should be done at home 3 times a week. In addition, a document will be delivered with the exercises to be carried out and the frequency and intensity of execution. The workshops will be guided at all times by a physiotherapist specialized in therapeutic exercise and EDL. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Neurophatic pain
Time Frame: 8 weeks
|
DN4.
This tool allows to estimate the probability of neuropathic pain of the patient in a valid and reliable way.
It consists of 4 questions with 10 items to fill out.
The researcher directly asks the patient and it is the investigator who completes the questionnaire.
To each item, you must provide a "yes" or "no" answer; the "yes" is worth 1 point and the "no" is worth 0 point.
At the end of the questionnaire, the investigator counts the patient's score on 10.
If the patient's score is equal to or greater than 4 out of 10, the test is positive.
|
8 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Functionality
Time Frame: 8 weeks
|
Arm Functionality DASH.
The DASH questionnaire is a tool for assessing and measuring the functionality of the upper limb that the patient perceives during daily activities.
This questionnaire is used in several studies with patients with disabilities in the hand, elbow and shoulder.
It is valid, reliable and capable of detecting changes.
|
8 weeks
|
Legs' strenght
Time Frame: 8 weeks
|
Test of rising and sitting of the chair during 30 seconds as many times as possible.
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8 weeks
|
Strenght of the extensor muscless of the trunk
Time Frame: 8 weeks
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BST. Biering-Sorensen test.The test is to keep the trunk in prone position as long as possible to assess the resistance of the trunk extensor musculature.
|
8 weeks
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Strenght of the inclination muscless of the trunk
Time Frame: 8 weeks
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TSB. Test Side-Bridge assesses the resistance of the inclination muscles or lateral flexors of the trunk.
In it the participants are placed in lateral recumbency on their dominant side in a mat.
In this position, the participants support themselves with the elbow and the forearm of their dominant side and raise the pelvis until the trunk is aligned with the lower extremities.
The test consists of maintaining the referred position as long as possible.
|
8 weeks
|
Strenght of the flexor muscless of the trunk
Time Frame: 8 weeks
|
ITo.
To assess the resistance of the flexor muscles of the trunk, the participants are placed supine with the hips and knees bent at 90º.
The participants flex the upper part of the trunk until they touch the thighs with the elbows, keeping the cervical spine in a neutral position.
|
8 weeks
|
Visual Analogue Scale
Time Frame: 8 weeks
|
VAS. The analog visual pain scale is a tool that is used to assess the pain perceived by the patient in a valid and reliable way. It is an instrument for measuring the intensity of pain that represents a horizontal line of 10 cm with a score of 0 to 10, where 0 represents non-pain and 10 unbearable pain. The patient should place a vertical line on the horizontal line of the scale where he places his pain intensity. |
8 weeks
|
Hospital, anxiety and depression questionnaire
Time Frame: 8 weeks
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HADS.
This questionnaire allows to evaluate the psychosocial factors of the patient, through 14 questions with two subscales of 7 questions (one subscale on anxiety and the other on depression); The patient must answer one of the 4 items of each question without much reflection to have a real answer of how he was during the past week.
The intensity or frequency of symptoms is evaluated with a Likert scale ranging from 0 to 3. In each subscale (anxiety and depression) the points are added and interpreted as such: 0-7 points: normal; 8-10 points: doubtful and higher than 11: clinical problem.
This tool is validly and reliably used in clinical practice.
|
8 weeks
|
SF-36
Time Frame: 8 weeks
|
This questionnaire assesses the quality of life perceived by the patient.
It is widely used in clinical practice and is approved as valid and reliable.
There are 36 questions with 2,3,5 or 6 items in each question and with an assessment between 0 and 100.
The questions assess physical function, function limitations due to physical health problems, body aches, general health, vitality, social functioning and emotional and mental health problems
|
8 weeks
|
Semmes Weinstein monofilament test
Time Frame: 8 weeks
|
The Semmes Weinstein monofilament test is a tool that evaluates tactile and pressure sensitivity in a valid and reliable way. A nylon filament attached to a handle is used which, when folded, applies a constant pressure of 10g. The investigator applies the monofilament perpendicular to the skin with increased pressure until the monofilament bends and without supporting it for more than 1 or 2 seconds. The test will be performed on the sole of the foot in 4 points: the first toe, the base of the first, third and fifth metatarsals. When the patient notices something, he puts a 1 and a 0 if he does not notice something. The sensitivity index is obtained with the sum of the values and is considered a sensitive patient only when it has a score of 8/8. |
8 weeks
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Royo, Universidad San Jorge
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Metabolic Diseases
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Pain
- Neurologic Manifestations
- Genetic Diseases, Inborn
- Genetic Diseases, X-Linked
- Neuromuscular Diseases
- Peripheral Nervous System Diseases
- Metabolism, Inborn Errors
- Lysosomal Storage Diseases
- Lipid Metabolism Disorders
- Brain Diseases, Metabolic
- Brain Diseases, Metabolic, Inborn
- Sphingolipidoses
- Lysosomal Storage Diseases, Nervous System
- Cerebral Small Vessel Diseases
- Lipidoses
- Lipid Metabolism, Inborn Errors
- Neuralgia
- Fabry Disease
- Gaucher Disease
Other Study ID Numbers
- PI19/205
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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