UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052103
Receipt number R000059466
Scientific Title Effects of different training methods on the triceps muscles on lower leg muscle pump function.
Date of disclosure of the study information 2023/09/05
Last modified on 2023/09/04 16:19:24

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Basic information

Public title

Effects of different training methods on the triceps muscles on lower leg muscle pump function.

Acronym

Effects of different training methods on the triceps muscles on lower leg muscle pump function.

Scientific Title

Effects of different training methods on the triceps muscles on lower leg muscle pump function.

Scientific Title:Acronym

Effects of different training methods on the triceps muscles on lower leg muscle pump function.

Region

Japan


Condition

Condition

young healthy adults

Classification by specialty

Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Skeletal muscles increase venous return by storing blood in the veins during relaxation and mechanically compressing the veins during contraction, causing the blood in the veins to move toward the heart. This action is called the muscle pump, and is considered an important mechanism for maintaining exercise, since increased venous return during exercise leads to increased cardiac output. In particular, the leg muscle pump is considered important for maintaining standing movements such as walking, and is also called the second heart, because it functions at the furthest point from the heart. The function of the leg muscle pump is defined by the rate of increase in venous ejection fraction (Lower leg ejection fraction: LgEF) and venous flow velocity associated with leg muscle contraction, and has been reported to be related to the muscle mass and strength of the triceps femoris muscle. In clinical practice, calf raises (standing, weight-bearing heel raising exercises) are taught to increase triceps muscle strength in order to improve leg muscle pump function. However, it is not clear to what extent calf raises improve lower leg pump function. On the other hand, the optimal intensity and frequency of calf raises are also unknown. The above suggests that although the leg muscle pump function is an important mechanism for maintaining movements such as walking, the effectiveness of training to improve this function is unknown. The purpose of this study is to determine the effects of each of the clinically practiced calf raise training methods on leg muscle pump function.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

LgEF (lower leg ejection fraction)
Measure using an air plethysmograph (APG-1000). At first, the subject's leg is elevated about 45 to empty venous blood in the lower leg. Then, the subject is placed in a standing position, and venous capacity is measured by arterial inflow and venous regurgitation at rest, and the venous filling index is calculated. Next, LgEF is evaluated by performing a single toe-up exercise and measuring ejection fraction. The evaluation periods will be pre-intervention, mid-intervention (week 4), and 8 weeks post-intervention.

Key secondary outcomes

1. Ankle joint plantar flexion maximum torque
Ankle plantar flexion muscle force (Nm) and ankle plantar flexion muscle force/body weight ratio (%) by isometric contraction of the triceps femoris muscle are measured using a multi-purpose muscle function evaluation exercise device (BIODEX System 4).

2. Lower limb skeletal muscle mass
Measurements will be taken using a high-precision body component analyzer (Inbody). Subjects will be barefoot and will assume a static standing position on the device for about 1 minute. The bioelectrical impedance method measures the skeletal muscle mass of the left and right limbs and trunk, and the lower limb muscle mass is employed in the measurement.

3. Lower leg circumference
The Calf Ankle Index, which is considered to be an indicator of general condition and is not influenced by individual differences, is measured.

4. Lower leg capacity
Lower leg volume is measured using the water displacement method, one of the quantitative assessments of volumetric measurements. The subject immerses the lower leg in a tank full of water. The volume of the overflowing water is used to measure the leg volume.

All secondary outcomes will be assessed at the same time as the primary outcome.


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

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Maximal load group: One-leg standing posture, weight-bearing, one-leg standing posture with the front of the foot on a 5-cm platform and the upper limb resting on a wall or other support to maintain balance. 1 sec for raising, 3 sec for lowering, and the maximum number of times measured prior to the intervention. After a break, the opposite side is also performed. This exercise is performed 3 days a week for 8 weeks.

Interventions/Control_2

Moderate load group: One-leg standing posture, weight-bearing, one-leg standing posture on a 5-cm platform with the front of the foot grounded and the upper limb resting on a wall or other support to maintain balance. 1 second to raise, 3 seconds to lower, 60% of the maximum number of repetitions measured before the intervention. After a break, the opposite side is performed. This exercise is performed 3 days a week for 8 weeks.

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

18 years-old <=

Age-upper limit

30 years-old >=

Gender

Male

Key inclusion criteria

Young healthy adult males between the ages of 18 and 30 at the time of consent, who are able to obtain written consent from the individual to participate in the research of their own free will.

Key exclusion criteria

Exclude those who routinely perform resistance training, those with ankle joint movement disorders, and those with cardiovascular disease, including venous disease.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Shinta
Middle name
Last name Takeuchi

Organization

International University of Health and Welfare

Division name

Department of Physical Therapy, School of Health Sciences at Narita

Zip code

286-8686

Address

4-3 Kozunomori, Narita City, Chiba 286-8686 JAPAN

TEL

0476-20-7701

Email

shinta.t@iuhw.ac.jp


Public contact

Name of contact person

1st name Shinta
Middle name
Last name Takeuchi

Organization

International University of Health and Welfare

Division name

School of Health Sciences at Narita, Department of Physical Therapy

Zip code

286-8686

Address

4-3 Kozunomori, Narita City, Chiba 286-8686 JAPAN

TEL

0476-20-7701

Homepage URL


Email

shinta.t@iuhw.ac.jp


Sponsor or person

Institute

International University of Health and Welfare

Institute

Department

Personal name



Funding Source

Organization

No research funding

Organization

Division

Category of Funding Organization

Other

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

4-3 Kozunomori, Narita City, Chiba 286-8686 JAPAN

Tel

0476-20-7708

Email

rinri_md@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

2023 Year 09 Month 05 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

Preinitiation

Date of protocol fixation

2023 Year 08 Month 01 Day

Date of IRB

2023 Year 08 Month 09 Day

Anticipated trial start date

2023 Year 09 Month 01 Day

Last follow-up date

2023 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

2023 Year 09 Month 04 Day

Last modified on

2023 Year 09 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059466