Efficacy of Leg Casts With Heel Off-loaded in Children
Efficacy of Leg Casts With Heel Off-loaded in Children: Open Randomized Controlled Trial
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Bologna, Italien, 40136
- Istituto Ortopedico Rizzoli
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Treated by operations to the lower limbs which require immediate plaster casts that include the foot
- Treated by osteotomy, joint fusion, patella repositioning and fracture fixation
- Children with intact skin at the heel
Exclusion Criteria:
- Caregivers who cannot speak Italian
- Those who refuse to give their consent to take part in the study
- Patients with lower limb casts that are allowed to load the limb
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: splint
Splint is placed under the cast of children affected by spasticity who have to keep the heel unloaded.
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Splints have been made by wrapping synthetic bandages around a leg-foot manufactured splint padded at the heel to off-load the heel.
When the desired shape has been obtained, the splint is opened and the manufactured device is removed, thus obtaining a device that is used under the casts of lower limbs.
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Aktiv komparator: standard care
To avoid pressure at the heel placing and maintaining the limb with the cast on cushions or folded sheets so that the heel is not resting on the bed plane
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To avoid pressure at the heel placing and maintaining the limb with the cast on cushions or folded sheets so that the heel is not resting on the bed plane
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Pain Score on the "Numeric Rating Scale" or "Visual Rating Scale" or "Face, Legs Activity Cry Consolability" According to Age Group
Tidsramme: up to the first 2 days during hospitalization and at cast removal (maximum 30 days).
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All scales had values from 0 to 10 where zero represented no pain and 10 the worst possible pain
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up to the first 2 days during hospitalization and at cast removal (maximum 30 days).
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Numbers of Participants With Heel Pressure Sores Detected According to the Classification of the Scale of the National Pressure Ulcer Advisory Panel -N.P.U.A.P.
Tidsramme: one time at cast removal (expected average of 30 days).
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one time at cast removal (expected average of 30 days).
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Health Staff/Caregiver Interventions
Tidsramme: up to the first 2 days during hospitalization
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daily number of interventions by health staff /caregiver to maintain the cast in an off-loaded position, marked on a form given daily to the family/caregiver
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up to the first 2 days during hospitalization
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Comfort Perceived by the Patient and by the Caregiver Using a Scale of 0 to 10
Tidsramme: one time at cast removal (expected average of 30 days).
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The scales had values from 0 to 10 where zero represented no comfort perceived and 10 the best comfort perceived
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one time at cast removal (expected average of 30 days).
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Luisa Veronesi, RN, Istituto Ortopedico Rizzoli
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 79/14
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