Physiotherapy in Hematopoietic Stem Cell Transplantation (TRAS)
2014年8月28日 更新者：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.
研究概览
详细说明
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.
研究类型
介入性
注册 (预期的)
30
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Murcia、西班牙、30120
- Hospital Clinico Universitario Virgen de La Arrixaca
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 至 70年 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
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.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：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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无干预：Control group
Patients undergoing allogeneic transplantation without treatment of physiotherapy
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Changes in joint range of motion
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Response to the transplantation
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：JORGE MONTSERRAT COLL, MD、Hospital Clinico Universitario Virgen de La Arrixaca
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2014年9月1日
初级完成 (预期的)
2016年5月1日
研究完成 (预期的)
2016年9月1日
研究注册日期
首次提交
2014年7月15日
首先提交符合 QC 标准的
2014年7月16日
首次发布 (估计)
2014年7月17日
研究记录更新
最后更新发布 (估计)
2014年8月29日
上次提交的符合 QC 标准的更新
2014年8月28日
最后验证
2014年6月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
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