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The Effect of Exercise on Wound Healing While Off-loading

15. oktober 2021 opdateret af: Deborah M. Wendland, Ph.D., Mercer University

The Effect of Exercise on Wound Healing in People With Diabetes Undergoing Off-loading Treatment

This study seeks to establish the effect of adding exercise to off-loading interventions on the healing time for people with diabetes mellitus and a foot ulcer. Hypothesis: Consistent with the literature, results are expected to resemble the accelerated healing seen when older adults exercised in the presence of wounds.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The purpose of this project is to establish the effect of the addition of exercise to an off-loading intervention on the healing time for people with diabetes mellitus and a foot ulcer.

While benefits of physical activity and exercise are clear, the benefit of exercise on wound healing in individuals with diabetes has not been elucidated. It is critical to better understand how prescribed exercise effects the healing speed in patients receiving wound care with appropriate off-loading. If exercise does decrease healing time, the benefit to the patient may include lower cost, decreased risk of infection, decreased burden on a caregiver, and improved quality of life.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

15

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Have diabetes
  • Have an active plantar ulceration
  • With or without peripheral neuropathy
  • Able to safely exercise
  • Receiving care for their plantar ulceration, including off-loading

Exclusion Criteria:

- Presence of an untreated infection, osteomyelitis, or gangrene

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Exercise Added to Off-loading
Participants in this arm will participate in exercise at the healthcare facility one time a week (away from where wound care is provided) and be instructed in a home exercise program that they will be encouraged to perform at least three days per week with no more than two days between sessions. Wound care will continue at the facility as is standard, utilizing off-loading.
Adfærdsmæssigt: Exercise
Participants will participate in an exercise session with non-weight-bearing exercise that the participant is able to perform with off-loading (e.g. total contact cast) intact. They will also be instructed in a home exercise program so that exercise can be performed three days per week with no more than two days between sessions. These participants will also receive standard wound care with off-loading.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Wound measurement size
Tidsramme: Measurements of wound will be taken up to 12 weeks or until wound closure occurs, whichever is first.
Charts will be reviewed for normal wound measurements as is part of standard care. Measurements are expected to be reported as surface area (cm^2) and/or volume (cm^3). Wound closure will be defined as epithelialization across the entire wound bed and would be expected to correlate to no surface area or volume of wound being reported.
Measurements of wound will be taken up to 12 weeks or until wound closure occurs, whichever is first.

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Summary of Diabetes Self-Care Activities Scale
Tidsramme: Measurement will be taken at baseline and at end of study (at 12 weeks or at wound closure, whichever occurs first).
Participation in exercise. Using two questions, this scale measures the number of days that an individual reports doing physical activity (question 1) or specific exercise (question 2). Scores on each question could range from 0 to 7 days. The higher the number, the more days the individual participates in the activity or exercise.
Measurement will be taken at baseline and at end of study (at 12 weeks or at wound closure, whichever occurs first).
Body Mass Index
Tidsramme: Measurement will be taken at baseline and at end of study (at 12 weeks or at wound closure, whichever occurs first).
Height and weight measurements will be combined and reported as BMI and measured in kg/m^2.
Measurement will be taken at baseline and at end of study (at 12 weeks or at wound closure, whichever occurs first).
Physical activity data using an activity monitor (e.g. StepWatch).
Tidsramme: Measured at baseline for one week.
A week-long measurement of strides will be taken at the begin of the study.
Measured at baseline for one week.
Vibration sense
Tidsramme: Measurement will be taken at baseline and at end of study (at 12 weeks or at wound closure, whichever occurs first).
Vibration sense will be measured using a Bio-Thesiometer to assess for degree of peripheral neuropathy. A higher score would indicate decreased sensory perception of vibration.
Measurement will be taken at baseline and at end of study (at 12 weeks or at wound closure, whichever occurs first).
Waist circumference
Tidsramme: Measurement will be taken at baseline and at end of study (at 12 weeks or at wound closure, whichever occurs first).
Waist circumference will be taken in cm as a marker of body composition.
Measurement will be taken at baseline and at end of study (at 12 weeks or at wound closure, whichever occurs first).

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Mercer University

Efterforskere

  • Ledende efterforsker: Deborah M. Wendland, Mercer University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

14. maj 2021

Primær færdiggørelse (Forventet)

1. maj 2023

Studieafslutning (Forventet)

1. maj 2023

Datoer for studieregistrering

Først indsendt

19. februar 2020

Først indsendt, der opfyldte QC-kriterier

19. februar 2020

Først opslået (Faktiske)

21. februar 2020

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

25. oktober 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

15. oktober 2021

Sidst verificeret

1. oktober 2021

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • H1908192

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

De-identified closure rate data will be made available through a repository upon conclusion of the study and its dissemination.

IPD-delingstidsramme

Data will be available following the study conclusion and its dissemination (6 months after publication).

IPD-delingsadgangskriterier

The information will be shared with researchers for meta-analyses through the data repository.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP
  • ICF

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