Alternative Treatments in Acute Mountain Sickness

NCT ID: NCT03956472

Last Updated: 2021-08-30

Study Results

Results pending

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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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-17

Study Completion Date

2019-07-31

Brief Summary

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The purpose of this research is to support a hypothesis that osteopathic manual medicine (OMM) and / or a 10 cmH2O end-expiratory pressure (PEEP) could be used in the prevention of acute mountain sickness (AMS).

During altitude exposure, an exaggerated hypoxemia and the increase of intracranial pressure are both known to be major physipathological ways of AMS development.

The goal of the osteopathic protocol is to release tension on the circulatory structures directly related to cranial circulation and drainage. The main hypothesis is that it could lead to lower intracranial pressure and help reducing AMS signs. Furthermore the investigators would like to define a osteopathic score for individual AMS sensitivity, based on cranial bones mobility.

Several studies have shown that using PEEP at altitude (or hypoxia) increases SpO2. As for osteopathy protocol, the investigators would like to apply this experimental condition during real altitude exposure in a randomized controlled protocol.

Detailed Description

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Conditions

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Acute Mountain Sickness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Osteopathic group

LCS Drainage before altitude exposure

Group Type EXPERIMENTAL

Osteopathic protocol for improving drainage of LCS

Intervention Type PROCEDURE

Osteopathic intervention improving drainage of LCS and cerebral blood flow through opitmizing veinous circulation

PEEP-Sham

Intervention Type OTHER

PEEP 0 cmH2O (hidden)

PEEP 10 cmH2O

10 min at rest

Group Type EXPERIMENTAL

PEEP 10cmH2O

Intervention Type DEVICE

Breathing through a 10 cmH2O expiratory resistance for 10 min every 2 hours during 10h at 3842m high

Fake Osteopathic protocol

Intervention Type OTHER

Placebo intervention

Control group

Sham PEEP and fake osteopathic protocol

Group Type SHAM_COMPARATOR

Fake Osteopathic protocol

Intervention Type OTHER

Placebo intervention

PEEP-Sham

Intervention Type OTHER

PEEP 0 cmH2O (hidden)

Interventions

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Osteopathic protocol for improving drainage of LCS

Osteopathic intervention improving drainage of LCS and cerebral blood flow through opitmizing veinous circulation

Intervention Type PROCEDURE

PEEP 10cmH2O

Breathing through a 10 cmH2O expiratory resistance for 10 min every 2 hours during 10h at 3842m high

Intervention Type DEVICE

Fake Osteopathic protocol

Placebo intervention

Intervention Type OTHER

PEEP-Sham

PEEP 0 cmH2O (hidden)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Healthy
* Experienced alpinist
* No previous acclimatization

Exclusion Criteria

* Heart failure, respiratory failure, kidney failure
* Pregnant woman
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Institut de Formation et de Recherche en Médecine de Montagne

OTHER

Sponsor Role lead

Responsible Party

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Hugo Nespoulet

Head of research

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ifremmont

Chamonix, , France

Site Status

Countries

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France

Other Identifiers

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TAIA

Identifier Type: -

Identifier Source: org_study_id

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