Trial Outcomes & Findings for Passive Mobilization and Vascular Function (NCT NCT03087643)

NCT ID: NCT03087643

Last Updated: 2019-08-06

Results Overview

Through the use of single Passive Limb Movement (sPLM) test, investigators assessed PLM-induced hyperemia \[ delta peak; ml/min\] in the common femoral artery of both, right and left legs, during and 60 second after a single passive knee flexion and extension lasting 1 second.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

51 participants

Primary outcome timeframe

PRE and POST 4 weeks of treatment

Results posted on

2019-08-06

Participant Flow

Participant milestones

Participant milestones
Measure
Passive Mobilization - PM
Participants will receive 2 times a day, for 5 days a week 30 minutes of passive leg movement treatment including knee flexo-extension in addition to their standard therapies. Passive mobilization - PM
Control Group - Ctrl
Participants will receive ther standard therapies.
Overall Study
STARTED
26
25
Overall Study
COMPLETED
22
19
Overall Study
NOT COMPLETED
4
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Passive Mobilization - PM
Participants will receive 2 times a day, for 5 days a week 30 minutes of passive leg movement treatment including knee flexo-extension in addition to their standard therapies. Passive mobilization - PM
Control Group - Ctrl
Participants will receive ther standard therapies.
Overall Study
Withdrawal by Subject
2
4
Overall Study
Death
2
2

Baseline Characteristics

Passive Mobilization and Vascular Function

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Passive Mobilization - PM
n=26 Participants
Participants will receive 2 times a day, for 5 days a week 30 minutes of passive leg movement treatment including knee flexo-extension in addition to their standard therapies. Passive mobilization - PM
Control Group - Ctrl
n=25 Participants
Participants will receive ther standard therapies.
Total
n=51 Participants
Total of all reporting groups
Age, Continuous
85 years
STANDARD_DEVIATION 8 • n=5 Participants
87 years
STANDARD_DEVIATION 6 • n=7 Participants
86 years
STANDARD_DEVIATION 7 • n=5 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
16 Participants
n=7 Participants
32 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
26 Participants
n=5 Participants
25 Participants
n=7 Participants
51 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Italy
26 participants
n=5 Participants
25 participants
n=7 Participants
51 participants
n=5 Participants
Delta Peak Blood Flow during sPLM
113.7 ml/min
STANDARD_DEVIATION 69.1 • n=5 Participants
100.3 ml/min
STANDARD_DEVIATION 70.4 • n=7 Participants
104.5 ml/min
STANDARD_DEVIATION 69.8 • n=5 Participants
%Flow mediated dilation (FMD)
9.6 %
STANDARD_DEVIATION 2.6 • n=5 Participants
6.4 %
STANDARD_DEVIATION 2.0 • n=7 Participants
7.3 %
STANDARD_DEVIATION 2.3 • n=5 Participants
Range of Motion
46.45 °
STANDARD_DEVIATION 33.37 • n=5 Participants
41.24 °
STANDARD_DEVIATION 6.0 • n=7 Participants
44.37 °
STANDARD_DEVIATION 24.56 • n=5 Participants
Muscle-Tendon Unit Stiffness
0.86 N/°
STANDARD_DEVIATION 0.06 • n=5 Participants
0.86 N/°
STANDARD_DEVIATION 0.06 • n=7 Participants
0.86 N/°
STANDARD_DEVIATION 0.06 • n=5 Participants
Muscle thickness Vastus Lateralis
14.78 mm
STANDARD_DEVIATION 4.09 • n=5 Participants
14.52 mm
STANDARD_DEVIATION 3.69 • n=7 Participants
14.59 mm
STANDARD_DEVIATION 6.72 • n=5 Participants
Total Hemoglobin (mmol/L)
35.2 mmol/L
STANDARD_DEVIATION 20.8 • n=5 Participants
25.3 mmol/L
STANDARD_DEVIATION 12.9 • n=7 Participants
29.8 mmol/L
STANDARD_DEVIATION 15.5 • n=5 Participants

PRIMARY outcome

Timeframe: PRE and POST 4 weeks of treatment

Through the use of single Passive Limb Movement (sPLM) test, investigators assessed PLM-induced hyperemia \[ delta peak; ml/min\] in the common femoral artery of both, right and left legs, during and 60 second after a single passive knee flexion and extension lasting 1 second.

Outcome measures

Outcome measures
Measure
Passive Mobilization - PM
n=22 Participants
Participants will receive 2 times a day, for 5 days a week 30 minutes of passive leg movement treatment including knee flexo-extension in addition to their standard therapies. Passive mobilization - PM
Control Group - Ctrl
n=19 Participants
Participants will receive ther standard therapies.
Change of Delta Peak Blood Flow During sPLM
91.9 ml/min
Standard Deviation 30.7
-24.7 ml/min
Standard Deviation 27.7

PRIMARY outcome

Timeframe: PRE and POST 4 weeks of treatment

Through the use of Flow-mediated Dilation (FMD) test , investigators assessed the dilation capacity of right the brachial artery (%FMD) during two minutes following 5-minute ischemic occlusion.

Outcome measures

Outcome measures
Measure
Passive Mobilization - PM
n=22 Participants
Participants will receive 2 times a day, for 5 days a week 30 minutes of passive leg movement treatment including knee flexo-extension in addition to their standard therapies. Passive mobilization - PM
Control Group - Ctrl
n=19 Participants
Participants will receive ther standard therapies.
Change of % FMD
0.2 % of FMD
Standard Deviation 2.3
0.0 % of FMD
Standard Deviation 3.4

SECONDARY outcome

Timeframe: PRE and POST 4 weeks of treatment

Total hemoglobin \[uM\] in both, right and left vastus lateralis, was assessed by means of Near-infrared Spectroscopy \[NIRS\] during the sPLM test.

Outcome measures

Outcome measures
Measure
Passive Mobilization - PM
n=22 Participants
Participants will receive 2 times a day, for 5 days a week 30 minutes of passive leg movement treatment including knee flexo-extension in addition to their standard therapies. Passive mobilization - PM
Control Group - Ctrl
n=19 Participants
Participants will receive ther standard therapies.
Change of Total Hemoglobin
-12.5 mmol/L
Standard Deviation 8.6
-2.2 mmol/L
Standard Deviation 0.1

SECONDARY outcome

Timeframe: PRE and POST 4 weeks of treatment

Assessment of the passive force/joint angle relationship during knee passive mobilization

Outcome measures

Outcome measures
Measure
Passive Mobilization - PM
n=22 Participants
Participants will receive 2 times a day, for 5 days a week 30 minutes of passive leg movement treatment including knee flexo-extension in addition to their standard therapies. Passive mobilization - PM
Control Group - Ctrl
n=19 Participants
Participants will receive ther standard therapies.
Change of Range of Motion
13.13 °
Standard Deviation 0.63
3.93 °
Standard Deviation 0.77

SECONDARY outcome

Timeframe: PRE and POST 4 weeks of treatment

Evaluation of the architectural parameters (fascicle length, pinnation angle, and muscle thickness) of the vastus lateralis muscle by ultrasound

Outcome measures

Outcome measures
Measure
Passive Mobilization - PM
n=22 Participants
Participants will receive 2 times a day, for 5 days a week 30 minutes of passive leg movement treatment including knee flexo-extension in addition to their standard therapies. Passive mobilization - PM
Control Group - Ctrl
n=19 Participants
Participants will receive ther standard therapies.
Change of Thickness of Vastus Lateralis
0.53 mm
Standard Deviation 0.99
0.25 mm
Standard Deviation 0.76

Adverse Events

Passive Mobilization - PM

Serious events: 0 serious events
Other events: 0 other events
Deaths: 2 deaths

Control Group - Ctrl

Serious events: 0 serious events
Other events: 0 other events
Deaths: 2 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Massimo Venturelli

University of Verona

Phone: 00390458415114

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place