UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000047783
Receipt number R000054476
Scientific Title Search for low-burden Fowler position conditions focusing on lower limb elevation and trunk posture
Date of disclosure of the study information 2022/05/18
Last modified on 2022/05/17 21:59:23

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Basic information

Public title

Search for low-burden Fowler position conditions focusing on lower limb elevation and trunk posture

Acronym

Searching for Fowler's position conditions with less burden

Scientific Title

Search for low-burden Fowler position conditions focusing on lower limb elevation and trunk posture

Scientific Title:Acronym

Searching for conditions of low-burden Fowler's position

Region

Japan


Condition

Condition

Healthy adult and Healthy elderly

Classification by specialty

Nursing Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study was to clarify the detailed angular conditions of the Fowler's position, which is a low burden position for the circulatory system. In addition, the purpose of this study is to clarify the effectiveness of foot elevation in the Fowler's position. The purpose of this study is to clarify the usefulness of the upper trunk flexion posture, including not only the Fowler's posture but also the lower trunk angle such as the semi-Fowler's posture, and whether the combination of lower limb elevation is useful.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The main outcome measure is the calculation of single-beat output, cardiac output, and heart rate to evaluate the differences in circulatory dynamics in each of the set postures. The single beat ejection fraction will be calculated from the left ventricular ejection time calculated from the chest impedance and heart sounds using the method of Bernstein et al. The heart rate is calculated from the electrocardiogram. Cardiac output is calculated from the product of single beat volume and heart rate.

Key secondary outcomes

From the continuous blood pressure, the blood pressure in each posture (systolic, diastolic, and mean blood pressure) is calculated. From mean blood pressure and cardiac output, peripheral vascular resistance can be calculated.
In the elderly, arterial stiffness, decreased vagal activity, and decreased sensitivity to the vagal baroreceptor reflex occur. Therefore, it is expected that there will be differences in the way the circulation is regulated during the Farrar position between the young and the elderly. In this study, we will calculate the index of vagal modulation from heart rate variability analysis. From RR interval and continuous blood pressure, baroreceptor reflex sensitivity (sequence method) will be calculated. To examine the effect of aging on arterial stiffness, the Arterial Pressure volume Index (API), an index of arterial stiffness in the upper arm, is calculated from the reflected waves of a pressurized upper arm cuff. In addition, to evaluate the effect of postural changes and blood movement on abdominal compliance, we will measure the push-in reaction force of the abdomen using a biotissue hardness tester.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment Maneuver Other

Interventions/Control_1

Subjects must be able-bodied individuals who are able to obtain free and voluntary consent to participate in the research in writing from themselves. Subjects must be at least 20 years of age at the time consent is obtained.

Interventions/Control_2

Subjects must have a history of circulatory, respiratory, gastrointestinal, urological, or back pain disease, including surgery, in the past 5 years.
The subject is currently in need of continuous hospital visits and medication.
Subjects have difficulty in obtaining free written consent for participation in the study.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

28 years-old >=

Gender

Male and Female

Key inclusion criteria

Subjects must be able-bodied individuals who are able to obtain free and voluntary consent to participate in the research in writing from themselves. Subjects must be at least 20 years of age at the time consent is obtained.

Key exclusion criteria

Subjects must have a history of circulatory, respiratory, gastrointestinal, urological, or back pain disease, including surgery, in the past 5 years.
The subject is currently in need of continuous hospital visits and medication.
Subjects have difficulty in obtaining free written consent for participation in the study.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name takuya
Middle name
Last name furudate

Organization

School of Nursing and Rehabilitation Science at Odawara, International University of Health and Welfare.

Division name

Department of Occupational Therapy

Zip code

250-8588

Address

1-2-25 Shiroyama, Odawara-shi, Kanagawa

TEL

0465210361

Email

t-furudate@iuhw.ac.jp


Public contact

Name of contact person

1st name takuya
Middle name
Last name furudate

Organization

International University of Health and Welfare

Division name

Department of Occupational Therapy

Zip code

250-8588

Address

1-2-25 Shiroyama, Odawara-shi, Kanagawa

TEL

0465210361

Homepage URL


Email

t-furudate@iuhw.ac.jp


Sponsor or person

Institute

International University of Health and Welfare

Institute

Department

Personal name



Funding Source

Organization

ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

International University of Health and Welfare

Address

1-2-25 Shiroyama, Odawara-shi, Kanagawa

Tel

0465210361

Email

t-furudate@iuhw.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 05 Month 18 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2021 Year 07 Month 01 Day

Date of IRB

2021 Year 08 Month 11 Day

Anticipated trial start date

2021 Year 09 Month 01 Day

Last follow-up date

2022 Year 12 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 05 Month 17 Day

Last modified on

2022 Year 05 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000054476


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name