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The Efficacy of Neuromuscular Electrical Stimulation to Attenuate Muscle Loss

Primary Purpose

Muscle Disuse, Neuromuscular Electrical Stimulation (NMES), Critical Illness

Status
Completed
Phase
Not Applicable
Locations
Belgium
Study Type
Interventional
Intervention
Neuromuscular Electrical Stimulation of m. quadriceps femoris
Sham-treatment: no NMES
Sponsored by
Hasselt University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Muscle Disuse

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Male
  • Age between 18 and 80 years
  • Expected sedated time of >24h

Exclusion Criteria:

  • Spinal Cord Injury
  • Arterial operaties on the legs
  • Local wounds that prohibit NMES
  • Chronic use of corticosteroids
  • Intake of certain antithrombotic drugs
  • Presence of implantable cardioverter defibrillator and/or pacemaker

Sites / Locations

  • Jessa Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

NMES

No NMES

Arm Description

The 'NMES' arm will be treated with NMES.

The 'No NMES' arm of the experiment will be sham-treated with NMES. The device will be installed, but not used.

Outcomes

Primary Outcome Measures

Change in muscle fiber cross sectional area (CSA)
Muscle fiber cross sectional area (in um2) for type I and II fibers will be analyzed by using immunohistochemistry; the change of muscle fiber CSA over time will be measured

Secondary Outcome Measures

Change in upper leg circumference
Upper leg circumgerence will be measured; the change of upper leg circumference over time will be measured

Full Information

First Posted
January 18, 2012
Last Updated
August 17, 2015
Sponsor
Hasselt University
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1. Study Identification

Unique Protocol Identification Number
NCT01521637
Brief Title
The Efficacy of Neuromuscular Electrical Stimulation to Attenuate Muscle Loss
Official Title
The Efficacy of Neuromuscular Electrical Stimulation to Attenuate Skeletal Muscle Loss in ICU Patients
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
January 2012 (undefined)
Primary Completion Date
April 2015 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hasselt University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Subjects who are hospitalized in the ICU will be included after 24 hours of intubation during their ICU stay. Twice-daily Neuromuscular Electrical Stimulation (NMES) will be performed on one leg for 2x40 min per day to assess muscle fiber size. The investigators hypothesize an attenuated loss in muscle fiber size.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Muscle Disuse, Neuromuscular Electrical Stimulation (NMES), Critical Illness

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
15 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
NMES
Arm Type
Experimental
Arm Description
The 'NMES' arm will be treated with NMES.
Arm Title
No NMES
Arm Type
Sham Comparator
Arm Description
The 'No NMES' arm of the experiment will be sham-treated with NMES. The device will be installed, but not used.
Intervention Type
Procedure
Intervention Name(s)
Neuromuscular Electrical Stimulation of m. quadriceps femoris
Other Intervention Name(s)
Electrical stimulation
Intervention Description
Neuromuscular Electrical Stimulation of m. quadriceps femoris by using a commercially available muscle stimulator
Intervention Type
Procedure
Intervention Name(s)
Sham-treatment: no NMES
Other Intervention Name(s)
No electrical stimulation; the leg will be sham-treated
Intervention Description
Sham comparator
Primary Outcome Measure Information:
Title
Change in muscle fiber cross sectional area (CSA)
Description
Muscle fiber cross sectional area (in um2) for type I and II fibers will be analyzed by using immunohistochemistry; the change of muscle fiber CSA over time will be measured
Time Frame
3 hours before and 12 hours after 10 days of twice-daily NMES
Secondary Outcome Measure Information:
Title
Change in upper leg circumference
Description
Upper leg circumgerence will be measured; the change of upper leg circumference over time will be measured
Time Frame
3 hours before and 12 hours after 10 days of twice-daily NMES

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male Age between 18 and 80 years Expected sedated time of >24h Exclusion Criteria: Spinal Cord Injury Arterial operaties on the legs Local wounds that prohibit NMES Chronic use of corticosteroids Intake of certain antithrombotic drugs Presence of implantable cardioverter defibrillator and/or pacemaker
Facility Information:
Facility Name
Jessa Hospital
City
Hasselt
Country
Belgium

12. IPD Sharing Statement

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The Efficacy of Neuromuscular Electrical Stimulation to Attenuate Muscle Loss

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