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Effect NMES on physical performance in frail elderly during hospitalization.


- candidate number19601
- NTR NumberNTR4831
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR3-okt-2014
- Secondary IDs 
- Public TitleEffect NMES on physical performance in frail elderly during hospitalization.
- Scientific TitleThe effect of neuromuscular electrostimulation on muscle strenghthening of the m. quadriceps and on physical performance in frail elderly with poor physical performance on
- ACRONYM-
- hypothesisNMES will reduce the detoriation of the m. quadriceps during admission in the hospital compared to functional fysiotherapy.
- Healt Condition(s) or Problem(s) studiedFragility, Physical functioning, Frailty, Hospitalization, Sarcopenia, Neuromuscular electrostimulation
- Inclusion criteriaFrail elderly (defined by the GFI score, GFI > 3), 70 years and above, with a SPPB <6 on day <4 day after admission to the geriatric ward, duration of admission at least 7 days.
- Exclusion criteria- Bound to a wheelchair before admission
- Terminal illness
- Pain in the lower body which makes mobilisation impossible
- No recovery of the underlying illness on day 4 of admission in comparison with the first day after admission
- Presence of a pacemaker or ICD
- Impossibility to give the patient instructions concerning the NMES and his measurements
- Presence of an amputated leg or hemiparese
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- TypeSingle arm
- Studytypeintervention
- planned startdate 1-sep-2014
- planned closingdate1-dec-2014
- Target number of participants30
- InterventionsNeuromuscular electrostimulation of the m. quadriceps
- Primary outcomeShort physical performance battery
HABAM
Knee extension
Muscle mass of the upper leg (m. quadriceps) determined by the use of the Maltron Bioscan 920-II
- Secondary outcomeTolerance of NMES and side effects.
Admission time in days
Destination of dismissal; home or to a health facility
Mortality
- Timepoints-
- Trial web site-
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES J. Schaekens
- CONTACT for SCIENTIFIC QUERIES J. Schaekens
- Sponsor/Initiator Orbis Medisch Centrum
- Funding
(Source(s) of Monetary or Material Support)
None
- Publications
- Brief summaryIn recent studies physical training against resistance appeared to be the most successfull to prevent sarcopenia. Because of the bad physical condition of the elderly during a hospital admission resistancetraining can't be applied. A Pilot study of the students physiotherapy earlier this year showed that in the first days/week of a admission the physical load capacity is too low. That's why resistance training is not an option. Therefore we are looking for an other way to prevent functional loss during admission when training against resistance isn't possible. Other recent studies have shown that the application of neuromuscular electrostimulation (NMES) is a possibilty to prevent functional loss. The aim of this researce is therefore to examine the effect of NMES on prevention of progressive and generalised loss of muscle mass and strenght and with that the prevention of functional loss.
- Main changes (audit trail)
- RECORD3-okt-2014 - 29-okt-2014


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