Effect of In-Patient Exercise Training on Length of Hospitalization in Burned Patients
MP-10
Randomized, Controlled, Multicenter Study of the Effect of In-Patient Exercise Training on Length of Hospitalization, Mental Health, and Physical Performance in Burned Patients
1 other identifier
interventional
77
1 country
4
Brief Summary
This study will measure efficacy of early in-patient exercise as an adjunct to current Standard of Care (SOC) for 96 patients in a multi-centre trial. The secondary purpose is to assess the efficacy of a personalized, structured, and quantifiable exercise program (MP10) carried out soon after admission until hospital discharge (including during the BICU stay and time on ventilation).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Sep 2014
Longer than P75 for not_applicable
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 15, 2014
CompletedFirst Submitted
Initial submission to the registry
March 12, 2015
CompletedFirst Posted
Study publicly available on registry
April 15, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 25, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
September 25, 2020
CompletedNovember 6, 2020
October 1, 2020
6 years
March 12, 2015
November 4, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
change in lean muscle mass
Kilograms
It is the change from baseline until discharge. Baseline is the time in the ICU, approximately 1-3 months post burn. Discharge is within 3 weeks of the discharge date from the burn ICU. Study duration is at most 5 months depending on the patients burn.
Secondary Outcomes (2)
change in VO2 max
It is the change from baseline until discharge. Baseline is the time in the ICU, approximately 1-3 months post burn. Discharge is within 3 weeks of the discharge date from the burn ICU. Study duration is at most 5 months depending on the patients burn.]
change in distance walked over 6 minutes
It is the change from baseline until discharge. Baseline is the time in the ICU, approximately 1-3 months post burn. Discharge is within 3 weeks of the discharge date from the burn ICU. Study duration is at most 5 months depending on the patients burn.
Study Arms (2)
Exercise + SOC PT/OT
EXPERIMENTALSOC treatment plus a personalized, structured, and quantifiable exercise program (MP10) carried out soon after admission until hospital discharge (including during the BICU stay and time on ventilation.
SOC PT/OT
ACTIVE COMPARATOROnly SOC for treating in-patient burn subjects
Interventions
Eligibility Criteria
You may qualify if:
- Male and female subjects ≥7 to 60 years of age
- \>30% TBSA burned, as estimated by the physician in charge
- No evidence of organ failure
You may not qualify if:
- Active Tuberculosis- based on clinical symptoms and/or abnormal chest x-ray in the upper lobe.
- Electrical burns
- Mental retardation or autism or any other mental disorder that makes it impossible to participate in an exercise program
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
University of California-Davis/Shriners Hospitals for Children-Sacramento
Davis, California, 95616, United States
University of Texas Southwestern Medical Center
Dallas, Texas, 75390, United States
University of Texas Medical Branch/Shriners Hospitals for Children-Galveston (lead site)
Galveston, Texas, 77550, United States
United States Army Institute of Surgical Research
San Antonio, Texas, 78234, United States
Related Publications (40)
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PMID: 18232452BACKGROUNDKildal M, Andersson G, Fugl-Meyer AR, Lannerstam K, Gerdin B. Development of a brief version of the Burn Specific Health Scale (BSHS-B). J Trauma. 2001 Oct;51(4):740-6. doi: 10.1097/00005373-200110000-00020.
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PMID: 6823849RESULTMiller PB, Johnson RL, Lamb LE. Effects of moderate physical exercise during four weeks of bed rest on circulatory functions in man. Aerosp Med. 1965 Nov;36(11):1077-82. No abstract available.
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PMID: 1402772RESULTConvertino VA. Effects of exercise and inactivity on intravascular volume and cardiovascular control mechanisms. Acta Astronaut. 1992 Jul;27:123-9. doi: 10.1016/0094-5765(92)90188-o.
PMID: 11537577RESULTDudley GA, Gollnick PD, Convertino VA, Buchanan P. Changes of muscle function and size with bedrest. Physiologist. 1989 Feb;32(1 Suppl):S65-6. No abstract available.
PMID: 2727110RESULTGreenleaf JE, Van Beaumont W, Convertino VA, Starr JC. Handgrip and general muscular strength and endurance during prolonged bedrest with isometric and isotonic leg exercise training. Aviat Space Environ Med. 1983 Aug;54(8):696-700. No abstract available.
PMID: 6626077RESULTLeBlanc A, Gogia P, Schneider V, Krebs J, Schonfeld E, Evans H. Calf muscle area and strength changes after five weeks of horizontal bed rest. Am J Sports Med. 1988 Nov-Dec;16(6):624-9. doi: 10.1177/036354658801600612.
PMID: 3239619RESULTBienso RS, Ringholm S, Kiilerich K, Aachmann-Andersen NJ, Krogh-Madsen R, Guerra B, Plomgaard P, van Hall G, Treebak JT, Saltin B, Lundby C, Calbet JA, Pilegaard H, Wojtaszewski JF. GLUT4 and glycogen synthase are key players in bed rest-induced insulin resistance. Diabetes. 2012 May;61(5):1090-9. doi: 10.2337/db11-0884. Epub 2012 Mar 8.
PMID: 22403297RESULTStremel RW, Convertino VA, Bernauer EM, Greenleaf JE. Cardiorespiratory deconditioning with static and dynamic leg exercise during bed rest. J Appl Physiol. 1976 Dec;41(6):905-9. doi: 10.1152/jappl.1976.41.6.905.
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PMID: 7353981RESULTLevine DS, Greenleaf JE. Immunosuppression during spaceflight deconditioning. Aviat Space Environ Med. 1998 Feb;69(2):172-7.
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PMID: 8871909RESULTDeRoshia CW, Greenleaf JE. Performance and mood-state parameters during 30-day 6 degrees head-down bed rest with exercise training. Aviat Space Environ Med. 1993 Jun;64(6):522-7.
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PMID: 23722822RESULTBurnsworth B, Krob MJ, Langer-Schnepp M. Immediate ambulation of patients with lower-extremity grafts. J Burn Care Rehabil. 1992 Jan-Feb;13(1):89-92.
PMID: 1572864RESULTGrube BJ, Engrav LH, Heimbach DM. Early ambulation and discharge in 100 patients with burns of the foot treated by grafts. J Trauma. 1992 Nov;33(5):662-4. doi: 10.1097/00005373-199211000-00011.
PMID: 1361207RESULTGeneral Principles of Exercise Prescription, in ACSM's Guidelines for Exercise Testing and Prescription, B.A. Franklin, Editor 2006, Lippincott Williams & Wilkins: Philadelphia.
RESULTAcute Respiratory Distress Syndrome Network; Brower RG, Matthay MA, Morris A, Schoenfeld D, Thompson BT, Wheeler A. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000 May 4;342(18):1301-8. doi: 10.1056/NEJM200005043421801.
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PMID: 23093163RESULTBranski LK, Norbury WB, Herndon DN, Chinkes DL, Cochran A, Suman O, Benjamin D, Jeschke MG. Measurement of body composition in burned children: is there a gold standard? JPEN J Parenter Enteral Nutr. 2010 Jan-Feb;34(1):55-63. doi: 10.1177/0148607109336601. Epub 2009 Nov 2.
PMID: 19884353RESULTHerndon DN, Hart DW, Wolf SE, Chinkes DL, Wolfe RR. Reversal of catabolism by beta-blockade after severe burns. N Engl J Med. 2001 Oct 25;345(17):1223-9. doi: 10.1056/NEJMoa010342.
PMID: 11680441RESULTPrzkora R, Herndon DN, Suman OE. The effects of oxandrolone and exercise on muscle mass and function in children with severe burns. Pediatrics. 2007 Jan;119(1):e109-16. doi: 10.1542/peds.2006-1548. Epub 2006 Nov 27.
PMID: 17130281RESULTSuman OE, Spies RJ, Celis MM, Mlcak RP, Herndon DN. Effects of a 12-wk resistance exercise program on skeletal muscle strength in children with burn injuries. J Appl Physiol (1985). 2001 Sep;91(3):1168-75. doi: 10.1152/jappl.2001.91.3.1168.
PMID: 11509512RESULTATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002 Jul 1;166(1):111-7. doi: 10.1164/ajrccm.166.1.at1102. No abstract available.
PMID: 12091180RESULTBrooks D, Solway S, Gibbons WJ. ATS statement on six-minute walk test. Am J Respir Crit Care Med. 2003 May 1;167(9):1287. doi: 10.1164/ajrccm.167.9.950. No abstract available.
PMID: 12714344RESULTBartholomew K, Horowitz LM. Attachment styles among young adults: a test of a four-category model. J Pers Soc Psychol. 1991 Aug;61(2):226-44. doi: 10.1037//0022-3514.61.2.226.
PMID: 1920064RESULTBartholomew, K. and E. Scharfe, Reliability and stability of adult attachment patterns. Personal relationships. J Pers Soc Psychol, 1994. 1: p. 23-43.
RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Oscar Suman
University of Texas Medical Branch/Shriners Hospital for Children
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 12, 2015
First Posted
April 15, 2016
Study Start
September 15, 2014
Primary Completion
September 25, 2020
Study Completion
September 25, 2020
Last Updated
November 6, 2020
Record last verified: 2020-10
Data Sharing
- IPD Sharing
- Will share
- Time Frame
- Data will become available once study is completed and 7 years after that date, according to the IRB standards.
- Access Criteria
- Once study personnel has completed CITI training and add to the study, will they have access to the data.
ONLY de-identified data will be deposited with main site (UTMB). Subsequently, if data is shared among all sites, it will be always in de-identified manner and stripped of all information that could identify the participant.