Rocking Motion: Physiologic Effect on the Surgical Stress Response
NCT ID: NCT01200316
Last Updated: 2017-11-30
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
PHASE1
86 participants
INTERVENTIONAL
2012-02-01
2017-11-20
Brief Summary
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The goal of this clinical research study is to compare using a rocking chair to the standard of care in improving post-operative ileus after abdominal surgery.
Detailed Description
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Study Groups:
If you agree to take part in this study, you will be randomly assigned (as in the flip of a coin) to 1 of 2 study groups. You will have an equal chance of being assigned to either group:
* If you are in Group A, you will use the "rocking chair method." Beginning the first day after surgery, you will sit in a rocking chair and rock back and forth for 10-20 minutes at a time. This will be done for at least 60 minutes (1 hour) per day, until you pass gas for the first time after surgery. The study staff will show the correct method to rock in the rocking chair and give you time to practice while you are in the clinic.
* If you are in Group B, you will use the standard method only. Beginning the first day after surgery, you will sit in a non-rocking chair for at least 60 minutes each day until you pass gas for the first time after surgery.
No matter what group you are in, you will also be asked to begin walking the first day after surgery until you pass gas for the first time after surgery.
You will wear an activity recorder all day attached to a wrist band in order to record your time spent in bed, in the rocking or non-rocking chair, and an activity monitor around your waist to record the time and distance walked during each 24-hour period. The study staff will show you how to wear this activity recorder. You will be encouraged by the study staff to increase the time spent in the chair and walking each day.
You will be given a pencil and pad of paper to note the date and time you first pass gas after surgery.
Study Tests:
On the day before you have surgery, the following tests and procedures will be performed:
* You will be asked to provide demographic information (such as your age and marital status). This information will be coded to protect your privacy.
* You will complete a questionnaire about any symptoms you may be experiencing. This should take about 10 minutes to complete.
* Saliva will be collected to measure your cortisol level. For this saliva to be collected, you will spit into a tube. The level of cortisol in your saliva is used to measure your response to stress.
Every morning while you are in the hospital and until you pass gas for the first time after surgery:
* You will be asked if you have passed gas.
* Saliva will be collected to measure your cortisol level.
* You will complete the symptom questionnaire.
* It will take about ten minutes to complete the questionnaire and to collect the saliva sample.
* You will perform the exercises described in the "Study Groups" section, depending on which group you are assigned to.
Length of Study:
You will be on study from the first day after surgery until you pass gas (usually about 3-5 days). You will be taken off study if you cannot tolerate rocking in a rocking chair, sitting in a non-rocking chair, or walking, due to discomfort or any other reason.
This is an investigational study. There are no additional costs to you for taking part in this study.
Up to 80 patients will take part in the study. All will be enrolled at MD Anderson.
Conditions
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Keywords
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Study Design
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RANDOMIZED
SINGLE_GROUP
TREATMENT
SINGLE
Study Groups
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Standard of Care Group
Post surgical patient to sit in a non-rocking chair for at least sixty minutes per day, and ambulating at least three times per day.
Standard of Care
Post surgical patient to sit in a non-rocking chair for at least sixty minutes per day, and ambulating at least three times per day.
Questionnaire
Beginning on day of surgery till discharge (3-5 days)
Rocking Motion Group
Post surgical patient to rock in a rocking chair in 10-20 minute increments for at least sixty minutes per day, and ambulating at least three times per day.
Rocking Chair Motion
Post surgical patient to rock in a rocking chair in 10-20 minute increments for at least sixty minutes per day, and ambulating at least three times per day.
Questionnaire
Beginning on day of surgery till discharge (3-5 days)
Interventions
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Standard of Care
Post surgical patient to sit in a non-rocking chair for at least sixty minutes per day, and ambulating at least three times per day.
Rocking Chair Motion
Post surgical patient to rock in a rocking chair in 10-20 minute increments for at least sixty minutes per day, and ambulating at least three times per day.
Questionnaire
Beginning on day of surgery till discharge (3-5 days)
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. Speak and read English
3. Scheduled to undergo abdominal surgery
4. Tolerate sitting in a rocking or nonrocking chair
5. Able to ambulate
6. Scheduled to receive epidural or intravenous patient controlled analgesia
7. Cognitively intact
8. Signed a study-specific informed consent prior to study entry
9. May include patients undergoing ileostomy or colostomy reversal
Exclusion Criteria
18 Years
ALL
No
Sponsors
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National Institutes of Health (NIH)
NIH
M.D. Anderson Cancer Center
OTHER
Responsible Party
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Principal Investigators
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Xin S. Wang, MD, MPH
Role: PRINCIPAL_INVESTIGATOR
M.D. Anderson Cancer Center
Locations
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University of Texas MD Anderson Cancer Center
Houston, Texas, United States
Countries
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Related Links
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University of Texas MD Anderson Cancer Center Website
Other Identifiers
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NCI-2012-01884
Identifier Type: REGISTRY
Identifier Source: secondary_id
10445215
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
2010-0129
Identifier Type: -
Identifier Source: org_study_id