Unique ID issued by UMIN | UMIN000047783 |
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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 |
Search for low-burden Fowler position conditions focusing on lower limb elevation and trunk posture
Searching for Fowler's position conditions with less burden
Search for low-burden Fowler position conditions focusing on lower limb elevation and trunk posture
Searching for conditions of low-burden Fowler's position
Japan |
Healthy adult and Healthy elderly
Nursing | Adult |
Others
NO
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.
Efficacy
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.
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.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
No treatment
2
Treatment
Device,equipment | Maneuver | Other |
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.
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.
20 | years-old | <= |
28 | years-old | >= |
Male and Female
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.
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.
40
1st name | takuya |
Middle name | |
Last name | furudate |
School of Nursing and Rehabilitation Science at Odawara, International University of Health and Welfare.
Department of Occupational Therapy
250-8588
1-2-25 Shiroyama, Odawara-shi, Kanagawa
0465210361
t-furudate@iuhw.ac.jp
1st name | takuya |
Middle name | |
Last name | furudate |
International University of Health and Welfare
Department of Occupational Therapy
250-8588
1-2-25 Shiroyama, Odawara-shi, Kanagawa
0465210361
t-furudate@iuhw.ac.jp
International University of Health and Welfare
ministry of Education, Culture, Sports, Science and Technology
Japanese Governmental office
International University of Health and Welfare
1-2-25 Shiroyama, Odawara-shi, Kanagawa
0465210361
t-furudate@iuhw.ac.jp
NO
2022 | Year | 05 | Month | 18 | Day |
Unpublished
Open public recruiting
2021 | Year | 07 | Month | 01 | Day |
2021 | Year | 08 | Month | 11 | Day |
2021 | Year | 09 | Month | 01 | Day |
2022 | Year | 12 | Month | 01 | Day |
2022 | Year | 05 | Month | 17 | Day |
2022 | Year | 05 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000054476
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