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HF患者におけるNMESは入院後の機能回復を改善する (NeuHFRecover)

2026年5月13日 更新者:Sherrie Khadanga、University of Vermont Medical Center

入院後の機能回復を促進する心不全患者の神経筋電気刺激 (NeuHF-Recover)

この研究研究の目的は、HFpEFによる入院後に開始され、退院後4週間継続される在宅運動プログラムが身体機能を維持または改善できるかどうかを理解することです。

調査の概要

詳細な説明

心不全は米国の成人の入院の主な原因であり、その入院の半数を駆出率保存型(HFpEF)の患者が占めている。 多くの患者は慢性疲労、運動不耐症、日常生活活動の遂行不能を示しており、入院により悪化します。 この調査研究の目的は、入院直後に開始し、退院後4週間継続する在宅運動プログラムがHFpEF患者の機能回復を改善できるかどうかを理解することである。 ボランティアは、大腿四頭筋の神経筋電気刺激(NMES)を受けるか受けないか(対照群)にランダムに割り当てられます。 ボランティアは入院中と退院後 4 週間後に評価されます。 評価には、6 分間の歩行テストとショート フィジカル パフォーマンス バッテリーによる身体機能の測定のほか、医療結果ショート フォーム 36 とカンザスシティ心筋症アンケートを使用した主観的身体機能能力と生活の質の評価が含まれます。

研究の種類

介入

入学 (実際)

8

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

    • Vermont
      • Burlington、Vermont、アメリカ、05405
        • University of Vermont Medical Center

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

50年~90年 (大人、高齢者)

健康ボランティアの受け入れ

いいえ

説明

包含基準:

  • 50~90歳
  • HFpEFの臨床診断は入院中に積極的に管理されている
  • 医療センターから30マイル以内に住んでいる
  • インフォームドコンセントを実行できる

除外基準:

  • 関節リウマチまたはその他の炎症性/自己免疫疾患
  • がん(非黒色腫皮膚がんまたは低悪性度前立腺がんを除く)
  • 重度の認知症/アルツハイマー病
  • 運動による末梢血管疾患の制限
  • 脳血管イベントに関連する神経筋疾患または神経筋機能不全
  • BMI ≥40 kg/m2
  • 下肢の血栓または植込み型除細動器またはペースメーカー

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:支持療法
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:なし(オープンラベル)

武器と介入

参加者グループ / アーム
介入・治療
実験的:神経筋電気刺激
大腿四頭筋の神経筋電気刺激。 45 分、週 5 日
両側の大腿四頭筋刺激
介入なし:コントロール
治療管理がない

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
徒歩6分の距離 (6MW)
時間枠:退院(1日以内)から退院後4週間に変更
6 MW は、肺および心臓疾患を持つ患者の心肺機能を評価するために開発され、心不全患者で検証されています。 患者が標準コースを6分間で歩ける距離を評価します。
退院(1日以内)から退院後4週間に変更

二次結果の測定

結果測定
メジャーの説明
時間枠
物理的パフォーマンスが短いバッテリー
時間枠:退院(1日以内)から退院後4週間に変更
ショート フィジカル パフォーマンス バッテリーは、バランス、歩行速度、椅子から立つ能力を評価する 3 つのタスクで構成されています。 各領域のスケールの単位は 0 ~ 4 の範囲で、合計スコアは 0 ~ 12 であり、スコアが高いほど身体機能が良好であることを示します。
退院(1日以内)から退院後4週間に変更
医療結果の短いフォーム 36
時間枠:退院(1日以内)および退院後4週間
Medical Outcomes Short Form 36 は、自己申告による健康状態と身体機能の状態を評価するアンケートです。 このアンケートには、健康の 8 つのサブドメインを反映する 36 の質問が含まれています。 各ドメインのスコアは、各サブドメインの質問の加重合計を表します。 各スケールは、各質問の重みが等しいという仮定に基づいて、0 ~ 100 のスケールに直接変換されます。 この測定値は、すべてのサブドメインにわたって計算された合計スコアを表します。 スコアが低いほど全体的な健康状態が悪化していることを表し、スコアが高いほど健康状態が良好であることを表します。
退院(1日以内)および退院後4週間
Katz 日常生活活動における自立度指数
時間枠:退院(1日以内)および退院後4週間
一般にカッツ ADL と呼ばれる日常生活活動自立度のカッツ指数は、日常生活活動を自立して実行するクライアントの能力の尺度として機能状態を評価するのに最も適切な手段です。 臨床医は通常、日常生活活動を実行する上での問題を検出し、それに応じてケアを計画するためにこのツールを使用します。 この指数は、入浴、着替え、トイレ、移動、失禁、食事の 6 つの機能におけるパフォーマンスの適切さをランク付けします。 クライアントは、6 つの機能ごとに独立性について「はい」/「いいえ」でスコア付けされます。 スコア 6 は完全な機能障害を示し、4 は中程度の機能障害を示し、2 以下は重度の機能障害を示します。
退院(1日以内)および退院後4週間
Lawton Instrumental Activities of Daily Living (IADL) Scale
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

The Lawton Instrumental Activities of Daily Living Scale (IADL) is an appropriate instrument to assess independent living skills. These skills are considered more complex than the basic activities of daily living as measured by the Katz Index of ADLs. The instrument is most useful for identifying how a person is functioning at the present time, and to identify improvement or deterioration over time. There are eight domains of function measured with the Lawton IADL scale. Women are scored on all 8 areas of function; historically, for men, the areas of food preparation, housekeeping, laundering have been excluded. Since men regularly complete food preparation, housekeeping, and laundering tasks, they were scored in all 8 domains as well.

Clients are scored according to their highest level of functioning in that category. A summary score ranges from 0 (low function, dependent) to 8 (high function, independent) for women and men.

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 1
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
Responses to Q1. In general, would you say your health is:
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 2
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
Responses to Q2. Compared to one year ago, how would you rate your health in general now?
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 3a
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Responses to Q3a. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 3b
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Responses to Q3b. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 3c
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Responses to Q3c. Lifting or carrying groceries.
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 3d
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Responses to Q3d. Climbing several flights ofstairs
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 3e
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Responses to Q3e. Climbing one flight of stairs
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 3f
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Responses to Q3f. Bending, kneeling, or stooping
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 3g
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Responses to Q3g. Walking more than a mile
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 3h
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Responses to Q3h. Walking several blocks
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 3i
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Responses to Q3i. Walking one block
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 3j
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Responses to Q3j. Bathing or dressing yourself
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 4a
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Responses to Q4a. Cut down the amount of time you spent on work or other activities
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 4b
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Responses to Q4b. Accomplished less than you would like
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 4c
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Responses to Q4c. Were limited in the kind of work or other activities
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 4d
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Responses to Q4d. Had difficulty performing the work or other activities (for example, it took extra effort)
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 5a
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
During the past 4weeks, have you had any of he following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? Responses to Q5a. Cut down the amount of time you spent on work or other activities
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 5b
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
During the past 4weeks, have you had any of he following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? Responses to Q5b. Accomplished less than you would like
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 5c
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
During the past 4weeks, have you had any of he following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? Responses to Q5c. Didn't do work or other activities as carefully as usual
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 6
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
Responses to Q6. During the past 4weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors or groups?
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 7
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
Responses to Q7. How much bodily pain have you had during the past four weeks?
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 8
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge
Responses to Q8. During the past 4weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 9a
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

These questions are about how you feel and how things have been with you during the past 4weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4weeks...

Responses to Q9a. Did you feel full of pep?

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 9b
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

These questions are about how you feel and how things have been with you during the past 4weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4weeks...

Responses to Q9b. Have you been a very nervous person?

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 9c
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

These questions are about how you feel and how things have been with you during the past 4weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4weeks...

Responses to Q9c. Have you felt so down in the dumps that nothing could cheer you up?

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 9d
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

These questions are about how you feel and how things have been with you during the past 4weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4weeks...

Responses to Q9d. Have you felt calm and peaceful?

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 9e
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

These questions are about how you feel and how things have been with you during the past 4weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4weeks...

Responses to Q9e. Did you have a lot of energy?

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 9f
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

These questions are about how you feel and how things have been with you during the past 4weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4weeks...

Responses to Q9f. Have you felt down hearted and blue?

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 9g
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

These questions are about how you feel and how things have been with you during the past 4weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4weeks...

Responses to Q9g. Did you feel worn out?

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 9h
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

These questions are about how you feel and how things have been with you during the past 4weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4weeks...

Responses to Q9h. Have you been a happy person?

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 9i
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

These questions are about how you feel and how things have been with you during the past 4weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4weeks...

Responses to Q9i. Did you feel tired?

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 9j
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

These questions are about how you feel and how things have been with you during the past 4weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4weeks...

Responses to Q9j. During the past 4weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 10a
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

How TRUE or FALSE is each of the following statements for you:

Responses to Q10a. I seem to get sick a little easier than other people

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 10b
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

How TRUE or FALSE is each of the following statements for you:

Responses to Q10b. I am as healthy as anybody I know

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 10c
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

How TRUE or FALSE is each of the following statements for you:

Responses to Q10c. I expect my health to get worse

Hospital discharge (Within 1 day) and 4-weeks post-discharge
Medical Outcomes Short Form 36 Question 10d
時間枠:Hospital discharge (Within 1 day) and 4-weeks post-discharge

How TRUE or FALSE is each of the following statements for you:

Responses to Q10d. My health is excellent

Hospital discharge (Within 1 day) and 4-weeks post-discharge

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2022年2月7日

一次修了 (実際)

2023年9月30日

研究の完了 (実際)

2023年9月30日

試験登録日

最初に提出

2022年3月21日

QC基準を満たした最初の提出物

2022年4月13日

最初の投稿 (実際)

2022年4月21日

学習記録の更新

投稿された最後の更新 (実際)

2026年6月10日

QC基準を満たした最後の更新が送信されました

2026年5月13日

最終確認日

2025年4月1日

詳しくは

本研究に関する用語

追加の関連 MeSH 用語

その他の研究ID番号

  • STUDY00001757

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

医薬品およびデバイス情報、研究文書

米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

はい

米国で製造され、米国から輸出された製品。

いいえ

この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。

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