Physiotherapy in Hematopoietic Stem Cell Transplantation (TRAS)
28 de agosto de 2014 actualizado por: RUBÉN CUESTA-BARRIUSO, Universidad Católica San Antonio de Murcia
Effectiveness of Physiotherapy in the Prevention of Physical Sequelae in Patients Treated With Hematopoietic Stem Cell Transplantation. A Pilot Study.
Research project with patients undergoing allogeneic hematopoietic transplantation in the hematology and hemotherapy Clinical Hospital Universitario Virgen de la Arrixaca.
The main objective is to assess the differences in skeletal muscle and functional variables in the experimental group underwent a physiotherapy treatment that takes place during the pre-and post-transplant period, compared to a control group.
Descripción general del estudio
Estado
Desconocido
Condiciones
Intervención / Tratamiento
Descripción detallada
The main characteristics of the study are:
- Randomized, prospective and longitudinal in patients receiving allogeneic hematopoietic stem cell transplantation clinical trial.
- A descriptive study of skeletal muscle characteristics of patients undergoing allogeneic hematopoietic transplantation for hematologic malignancies before and after carrying out a treatment with stem cells.
- Clinical study of the variables of strength, mobility, proprioception and upper and lower pain in patients with hematologic malignancy member before and after cancer treatment.
- Clinical study of the effectiveness of physiotherapy treatment in clinical characteristics (strength, mobility, proprioception and pain) in patients undergoing allogeneic stem cell transplantation.
- Clinical study of psychosocial variables that are affected by hematological treatment, and the influence on them of a physiotherapy treatment.
The data obtained in this project to identify and treat those functional deficits that appear as a result of cancer treatment and influencing patients, regarding the evolution of the disease and its treatment. They will use different psychosocial questionnaires and functional tests based on scientific evidence and the reliability of these, as well as its specific design for patients with hematologic cancer.
Tipo de estudio
Intervencionista
Inscripción (Anticipado)
30
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Murcia, España, 30120
- Hospital Clinico Universitario Virgen de la Arrixaca
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años a 70 años (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- Patients aged between 18 and 70 years.
- Patients with a diagnosis of hematologic malignancy that will be subjected to hematopoietic transplantation.
- Patients offer sufficient guarantee adherence to protocol.
- Patients who have previously signed informed consent.
Exclusion Criteria:
- Patients with inability to walk, before treatment.
- Patients whose medical judgment contraindicated inclusion in a physiotherapy intervention.
- Patients with psychotic traits, brain damage or senility prevention of the correct understanding of physical therapy.
- Patients with inability to sign informed consent or understanding.
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: Physiotherapy exercises
Strength exercises for the muscles proximal upper limbs and lower limbs and proprioception exercises
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The exercises are repeated in both upper limbs and both lower limbs. All exercises are performed with specific respiratory exercises simultaneously the movement that takes place each year form. The exercises are carried out by the physiotherapist applying in a passive way (ascending or descending) progressive strength and degree of difficulty and variables depending on the clinical condition of the patient. |
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Sin intervención: Control group
Patients undergoing allogeneic transplantation without treatment of physiotherapy
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Changes in joint range of motion
Periodo de tiempo: Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days)
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Will be evaluated with a universal goniometer following validated protocols of measurement
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Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days)
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Changes in muscle strength of quadriceps, the gastrocnemius and biceps
Periodo de tiempo: Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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It is measured with the scale of Daniels and a dynamometer.
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Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Changes in proprioception
Periodo de tiempo: Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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It is measured with a balance platform and supports uni and bipodal
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Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Changes in pain perception
Periodo de tiempo: Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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It will be evaluated with the visual analogue scale and algometer
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Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Changes in the perception of fatigue
Periodo de tiempo: Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Using the Spanish version of the Brief Fatigue Inventory
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Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Changes in body mass
Periodo de tiempo: Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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By using the measurement tool TANITA calculate bone, muscle and fat mass, as well as the amount of fluid of patients at each evaluation.
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Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Changes in the perception of quality of life
Periodo de tiempo: Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Using the self-questionnaire SF-36 health
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Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Changes in the profile of disease consequences
Periodo de tiempo: Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Using the questionnaire Sickness Impact Profile (SIP)
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Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Changes in coping with the disease
Periodo de tiempo: Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Using the scale questionnaire Mental Adjustment to Cancer
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Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Change in perception of anxiety
Periodo de tiempo: Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Using the STAI questionnaire
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Screening visit (one month before hospital admission); at the time of admission (±3 days); ±2 days before transplantation; after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Hematopoietic recovery
Periodo de tiempo: After hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Measuring the rate of graft failure and the transfusion dependence
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After hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Response to the transplantation
Periodo de tiempo: After hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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By analyzing the rate and type of response
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After hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Infectious complications
Periodo de tiempo: After hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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By measuring the rate, type and severity of infections
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After hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Noninfectious complications
Periodo de tiempo: After hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Measuring the rate of EVOH (number and percentage)
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After hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Immunological recovery
Periodo de tiempo: after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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By measuring the number and percentage of B lymphocytes, T lymphocytes and NK lymphocytes.
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after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Hospitalisations of the patient after transplantation
Periodo de tiempo: after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Measuring the number of hospitalizations, the number of days in hospital and the cause of same
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after hospital discharge (± 3 days); and at 3 and 6 months after transplantation (± 3 days).
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Socio-demographic variables
Periodo de tiempo: Screening visit (one month before hospital admission)
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Gender (male, female), academic education (university education, basic education, vocational training), marital status (single, married, divorced, widowed), employment status (self-employed, employed as an employee, unemployed) and distance to hospital (km)
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Screening visit (one month before hospital admission)
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Clinical variables
Periodo de tiempo: Screening visit (one month before hospital admission)
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Medical diagnosis, age (years), height (cm), weight (kg)
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Screening visit (one month before hospital admission)
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Investigadores
- Investigador principal: JORGE MONTSERRAT COLL, MD, Hospital Clinico Universitario Virgen de la Arrixaca
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio
1 de septiembre de 2014
Finalización primaria (Anticipado)
1 de mayo de 2016
Finalización del estudio (Anticipado)
1 de septiembre de 2016
Fechas de registro del estudio
Enviado por primera vez
15 de julio de 2014
Primero enviado que cumplió con los criterios de control de calidad
16 de julio de 2014
Publicado por primera vez (Estimar)
17 de julio de 2014
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
29 de agosto de 2014
Última actualización enviada que cumplió con los criterios de control de calidad
28 de agosto de 2014
Última verificación
1 de junio de 2014
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- TRASFIS
- TRAS (Universidad Católica San Antonio)
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
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