- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05457192
Correlation of HbA1c With Electrophysiological Studies and Gait Performance in Diabetic Polyneuropathy Patients
July 11, 2022 updated by: Shereen Saad Eldin Mohamed Ali
Glycosylated Hemoglobin and Its Correlations With Electrophysiological Studies and Gait Performance in Diabetic Polyneuropathy Patients
This study will be conducted to investigate the relationship between glycosylated hemoglobin (HbA1c) and nerve conduction studies (NCS) with gait performance in patients with DPN.
65 patients with type II DM with moderate polyneuropathy will participate in this study.
Glycosylated Hemoglobin (HbA1c) test will be done for each patient by using the Colorimeter device.
Nerve conduction studies (NCS) will be performed for each patient by using the electromyography device to confirm the diagnosis of DPN.
The neurophysiological functions of peripheral nerves including (The Common peroneal, Tibial, Sural, and Ulnar motor & sensory branches) will be measured.
Spatiotemporal gait parameters (stride length, cadence& velocity) for all the patients will be assessed by two-dimension video-based motion analysis (2D).
Study Overview
Status
Recruiting
Conditions
Detailed Description
The current study is to investigate the correlation between glycosylated haemoglobin (HbA1c) with nerve conduction studies (NCS) including amplitudes, conduction velocities &latency with spatiotemporal gait parameters including stride length, cadence& velocity in patients with diabetic polyneuropathy (DPN).
The patients will be recruited from the Out- patient clinic of Faculty of Physical Therapy, Cairo University.
All the patients suffering from moderate polyneuropathy according to Toronto Clinical Neuropathy Scoring System (TCSS), and Neuropathy Impairment Score in the lower limbs (NIS-LL).
Glycosylated Hemoglobin (HbA1c) test will be done for each patient by using the Colorimeter device.
Blood will be collected in a EDTA (3 cm) tube that's attached to the needle.
A nerve conduction study will be performed for each patient.
Five nerves will be examined in this study including (The common peroneal, tibial, sural and ulnar motor & sensory branches).
The Nerve conduction studies involve analysis of specific parameters including amplitude (mv), latency (msec.)
and conduction velocity(m/s).
The evaluation procedure will be explained to each patient before starting examination.
Gait parameters including (stride length, cadence & velocity) will be assessed using 2D video-based motion analysis.
The gait will be captured by a digital video camera; (Canon 10 mega pixel - 4x optical zoom, lens 4x15/6.2-24.8mm1:2.7-5.6).
The resultant captured film will then be processed using a special software computer program (Adobe premier ver.
6.0).
Study Type
Observational
Enrollment (Anticipated)
65
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Hamada Ahmed Hamada, assistant professor
- Phone Number: 002 01117893697
- Email: hamada.ahmed@pt.cu.edu.eg
Study Locations
-
-
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Giza, Egypt, 12625
- Recruiting
- Faculty of Physical Therapy-Cairo University
-
Contact:
- Hamada Ahmed Hamada, assistant professor
- Phone Number: 002 01117893697
- Email: hamada.ahmed@pt.cu.edu.eg
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
40 years to 60 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
This study will include 65 Egyptian patients with type II DM with moderate polyneuropathy.
Both sex (males & females) will be included.
The patients will be recruited from the Out- patient clinic of Faculty of Physical Therapy, Cairo University.
Their body mass index (BMI) will range from 20:30 kg/m2, age will range from 40-60 years, postprandial blood sugar more than 200 mg/dl, duration of diabetic illness five years ago or more and serum Hb1AC will be between 7% and 14%.
Description
Inclusion Criteria:
- The diagnosis will be confirmed by Nerve Conduction Studies "NCS".
- All the patients suffering from moderate polyneuropathy according to Toronto Clinical Neuropathy Scoring System (TCSS) and Neuropathy Impairment Score (NIS-LL).
- Body mass index (BMI) will range from 20:30 kg/m2.
- Age will range from 40-60 years.
- Postprandial blood sugar more than 200 mg/dl.
- Duration of diabetic illness five years ago or more and serum Hb1AC will be between 7% and 14%.
- Able to walk independently with or without walking aids.
Exclusion Criteria:
- Patients with type I DM.
- History of myopathy or neuromuscular diseases.
- Pregnant females.
- Alcoholics.
- History of major cardiac diseases, heavy metal.
- Other neurological problems as stroke.
- History of ulcers in the lower limbs, foot deformities or malunion fracture of the lower limbs, and acute nerve root compression or advanced arthritis affecting lower extremity.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
---|
Moderate diabetic polyneuropathy (DPN)
65 patients of both sexes (males & females) with type II DM with moderate polyneuropathy will be included.
Patients will be enrolled and assessed for their eligibility to participate in this study.
Their body mass index (BMI) will range from 20:30 kg/m2, age will range from 40-60 years, postprandial blood sugar more than 200 mg/dl, duration of diabetic illness five years ago or more and serum Hb1AC will be between 7% and 14%.
All the patients suffering from moderate polyneuropathy according to Toronto Clinical Neuropathy Scoring System (TCSS) (score nine to 11 points), and Neuropathy Impairment Score in the lower limbs (NIS-LL) (The muscle power of the lower limbs will be more than grade 2 and less than grade 4)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The neurophysiological parameters
Time Frame: At baseline for all patients
|
Five nerves will be examined in this study including (The common peroneal, tibial, sural and ulnar motor & sensory branches).
Nerve conduction studies (NCS) will be performed by using the electromyography device.
|
At baseline for all patients
|
Glycosylated Hemoglobin (HbA1c) level
Time Frame: At baseline for all patients
|
Glycosylated Hemoglobin (HbA1c) test will be done for each patient by using the Colorimeter device.
The Blood will be collected in a EDTA (3 cm) tube
|
At baseline for all patients
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Spatiotemporal gait parameters
Time Frame: At baseline for all patients
|
Spatiotemporal gait parameters for all the patients will be assessed by two-dimension video-based motion analysis (2D).
|
At baseline for all patients
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Shereen Saad Eldin Mohamed, Lecturer, lecturer of Neurology at faculty of physical therapy-Cairo university
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
July 1, 2022
Primary Completion (Anticipated)
October 1, 2022
Study Completion (Anticipated)
October 1, 2022
Study Registration Dates
First Submitted
July 5, 2022
First Submitted That Met QC Criteria
July 11, 2022
First Posted (Actual)
July 13, 2022
Study Record Updates
Last Update Posted (Actual)
July 13, 2022
Last Update Submitted That Met QC Criteria
July 11, 2022
Last Verified
July 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- P.T.REC/012/003777
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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