UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055942
Receipt number R000063929
Scientific Title Association between depressive symptoms and self-training during inpatient rehabilitation in patients with orthopedic fractures
Date of disclosure of the study information 2025/06/01
Last modified on 2024/11/05 10:04:35

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Basic information

Public title

Relationship between depressive symptoms and self-training in rehabilitation after fractures in older adults

Acronym

Relationship between depressive symptoms and self-training in rehabilitation after fractures in older adults

Scientific Title

Association between depressive symptoms and self-training during inpatient rehabilitation in patients with orthopedic fractures

Scientific Title:Acronym

Association between depressive symptoms and self-training during inpatient rehabilitation in patients with orthopedic fractures

Region

Japan


Condition

Condition

Vertebral body fracture, proximal femoral fracture

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the influence of depressive symptoms on self-initiated exercise time in patients undergoing rehabilitation for orthopedic fractures

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Duration of actual ergometer exercise during a self-initiated training session

Key secondary outcomes

Distance covered during ergometer exercise
FIM score at discharge
Length of hospital stay
Relative intensity of self-training
MORE scale score
Apathy Scale score
MFI score


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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

70 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

Age between 70 and 90 years
Inpatient with vertebral body fracture or proximal femoral fracture
More than one week after admission
Able to continue recumbent ergometer exercise for about 5 minutes without assistance
Has cognitive and language functions to understand experimental procedures
Can safely perform ergometer exercise under distant supervision without risk of falling

Key exclusion criteria

Meeting rehabilitation discontinuation criteria
Having joint contractures, orthopedic conditions, or pain that limits exercise performance
Having mental or neurological disorders that make research participation difficult
Taking psychotropic medications for depression or anxiety
Deemed inappropriate for study participation by researchers

Target sample size

48


Research contact person

Name of lead principal investigator

1st name Satoshi
Middle name
Last name Tanaka

Organization

Hamamatsu University School of Medicine

Division name

Department of Psychology

Zip code

431-3192

Address

1-20-1 Handayama, Chuo-ku, Hamamatsu, Shizuoka

TEL

053-435-2111

Email

tanakas@hama-med.ac.jp


Public contact

Name of contact person

1st name Satoshi
Middle name
Last name Tanaka

Organization

Hamamatsu University School of Medicine

Division name

Department of Psychology

Zip code

431-3192

Address

1-20-1 Handayama, Chuo-ku, Hamamatsu, Shizuoka

TEL

053-435-2111

Homepage URL


Email

tanakas@hama-med.ac.jp


Sponsor or person

Institute

Hamamatsu University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Hamamatsu University School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

JA Shizuoka Kohseiren Enshu Hospital
Shinshu University

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Review Committee, Hamamatsu University School of Medicine

Address

1-20-1 Handayama, Chuo-ku, Hamamatsu, Shizuoka

Tel

053-435-2111

Email

rinri@hama-med.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

2025 Year 06 Month 01 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

2024 Year 08 Month 14 Day

Date of IRB

2024 Year 10 Month 01 Day

Anticipated trial start date

2024 Year 11 Month 10 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study will classify patients into two groups based on depression symptoms (GDS score): depression group (GDS more than or equal to 7) and non-depression group (GDS less than or equal to 6), and proceed as follows:

Initial Assessment:
Depression symptoms (GDS), cognitive function (MMSE), activities of daily living (FIM), physical fitness (6-minute walk test)

Pre-observation Period:
Familiarization with bicycle ergometer exercise
Assessment of apathy (Apathy Scale), rehabilitation motivation (MORE scale), fatigue (MFI), motor function (SPPB)
Setting exercise intensity at Borg scale 12-14

Observation Period (5 days):
Daily 18-minute self-exercise sessions
Measurement of actual exercise time under distant supervision

Discharge Assessment:
Activities of daily living (FIM), length of hospital stay

Analysis Plan:
Primary Analysis:
Comparison of self-exercise time between depression and non-depression groups
Calculation of effect size (Cohen's d)

Secondary Analysis:
Correlation analysis between depression symptoms (GDS) and self-exercise time
Analysis of relationships between Apathy (Apathy Scale), fatigue (MFI), motivation (MORE scale) and self-exercise time
Analysis of relationships between self-exercise time and discharge FIM score, length of stay

*Correction made to GDS cutoff value due to a typo. Corrected on 2024/11/05 before start of research.


Management information

Registered date

2024 Year 10 Month 25 Day

Last modified on

2024 Year 11 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063929