UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057633
Receipt number R000065846
Scientific Title Investigating the effects of different-frequency neuromuscular electrical stimulation (NMES) on physical function decline and indication criteria in patients admitted to the EICU
Date of disclosure of the study information 2025/06/15
Last modified on 2025/04/16 21:46:13

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Basic information

Public title

Investigation of the optimal NMES protocol and its applicable conditions to prevent physical function decline in patients admitted to the EICU

Acronym

Preventing Weakness with NMES

Scientific Title

Investigating the effects of different-frequency neuromuscular electrical stimulation (NMES) on physical function decline and indication criteria in patients admitted to the EICU

Scientific Title:Acronym

NMES Frequency Trial in EICU

Region

Japan


Condition

Condition

Sepsis, Trauma, Acute Cardiovascular Disease, Acute Respiratory Failure

Classification by specialty

Emergency medicine Intensive care medicine Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to evaluate the effectiveness of neuromuscular electrical stimulation (NMES) at different frequencies (20 Hz vs 4 Hz) in preventing physical function decline in critically ill patients admitted to the EICU, and to examine its appropriate indications.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Medical Research Council (MRC) score measured at three time points: at the start of physical therapy, at EICU discharge, and at hospital discharge

Key secondary outcomes

Functional Independence Measure (FIM), Intensive Care Unit Mobility Scale (IMS), Functional Status Score for the ICU (FSS-ICU), handgrip strength, knee extension strength, calf circumference, quadriceps muscle thickness, 6-minute walk distance (6MWD), Short Physical Performance Battery (SPPB), blood biochemical markers (C-reactive protein [CRP], creatine kinase [CK], lactate, and blood glucose), duration of mechanical ventilation, length of stay in the EICU ward, and total hospital length of stay.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation

YES

Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Patients admitted to the EICU who are prescribed physical therapy will receive standard rehabilitation. Eligible participants will be randomly assigned to either the Tetanic NMES group or the Sub-Tetanic NMES group. During their stay in the EICU, NMES will be administered five times per week for 20 minutes per session. The Tetanic NMES group will receive Tetanic NMES for 20 minutes per session.

Interventions/Control_2

Patients admitted to the EICU who are prescribed physical therapy will receive standard rehabilitation. Eligible participants will be randomly assigned to either the Tetanic NMES group or the Sub-Tetanic NMES group. During their stay in the EICU, NMES will be administered five times per week for 20 minutes per session. The Sub-Tetanic NMES group will receive Sub-Tetanic NMES for 20 minutes per session.

Interventions/Control_3

A historical control group matched using propensity scores will be used as the control group.

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

120 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients admitted to the EICU ward of this hospital
Age 18 years or older at the time of hospital admission
Patients who have been prescribed physical therapy

Key exclusion criteria

Patients who meet any of the following conditions:
 Implanted with internal electronic devices such as pacemakers that may be affected by NMES electrical stimulation
 Diagnosed with progressive neuromuscular diseases
 Diagnosed with malignant tumors
 Undergoing therapeutic hypothermia
 Medically prohibited from lower limb movement by a physician
 Refused to participate in the study through informed consent or public disclosure documents
Any other patients deemed inappropriate for safe participation in this study by the principal investigator or attending physician

Target sample size

46


Research contact person

Name of lead principal investigator

1st name HIDEYA
Middle name
Last name YANAMOTO

Organization

Osaka Medical and Pharmaceutical University Hospital

Division name

Department of Rehabilitation

Zip code

569-8686

Address

2-7 Daigakucho, Takatsuki City, Osaka, Japan

TEL

072-683-1221

Email

hideya.yanamoto@ompu.ac.jp


Public contact

Name of contact person

1st name HIDEYA
Middle name
Last name YANAMOTO

Organization

Osaka Medical and Pharmaceutical University Hospital

Division name

Department of Rehabilitation

Zip code

569-8686

Address

2-7 Daigakucho, Takatsuki, Osaka, Japan

TEL

072-683-1221

Homepage URL


Email

hideya.yanamoto@ompu.ac.jp


Sponsor or person

Institute

Osaka Medical and Pharmaceutical University

Institute

Department

Personal name

HIDEYA YANAMOTO


Funding Source

Organization

Other

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

Osaka Medical and Pharmaceutical University Hospital

Address

2-7 Daigakucho, Takatsuki, Osaka, Japan

Tel

072-683-1221

Email

hideya.yanamoto@ompu.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 15 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

2025 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2025 Year 06 Month 15 Day

Last follow-up date

2028 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 04 Month 16 Day

Last modified on

2025 Year 04 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065846