Sit-to-Stand Progression Using Movi Chair vs Traditional Practices

NCT03103464 | Withdrawn

• 1 other identifier: X161207007
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

Prior to discharging admitted patients, current UAB Hospital policy recommends physical therapy intervention for patients with impaired functional mobility. However, UAB Hospital currently does not have a standardized physical therapy protocol to rehabilitate admitted patients with impaired functional mobility who require moderate assist (defined as physical therapist expending 25-50% effort to assist the patient in standing). In order to reduce the effect of impaired mobility, numerous interventions have been employed at UAB. As a result, there is great variability of treatment procedures performed by various physical therapists to help moderate assist patients return to their level of functioning prior to hospital admission. The purpose of the study is three-fold: 1) to evaluate whether a proposed physical therapy protocol using a commercially available medical device, the Movi chair, contributes to improved mobility for moderate assist patients, 2) to investigate how patient rate of rehabilitation to prior level of functioning is similar/different with the proposed physical therapy protocol using Movi vs the current non-standardized practice for moderate assist patients, and 3) to compare patient confidence in physical therapy with Movi vs the current non-standardized practice using survey for moderate assist patients. In addition, we will track participant's disposition i.e. continued motor and functional change following discharge from the hospital through review of physical therapy records.

Conditions

Physical Activity

Outcome Measures

Primary Outcomes (1)

• Rate of progression from moderate to minimal assist

  Patient rate of progression from moderate (\<50% assistance from physical therapist) to minimal (\<25% assistance from physical therapist) assist during hospital admission

  Through study completion, an average of 2 weeks

Secondary Outcomes (2)

• Hierarchical Assessment of Balance and Mobility Score

  Through study completion, an average of 2 weeks

• Five-time sit-to-stand time

  Through study completion, an average of 2 weeks

Study Arms (2)

Intervention Group

EXPERIMENTAL

Patients to receive standard-of-care physical therapy + sit-to-stand therapy using the Movi chair 3x/wk.

Other: Standard-of-Care Therapy + Sit-to-Stand Therapy

Control Group

ACTIVE COMPARATOR

Patients to receive standard-of-care physical therapy 3x/wk.

Other: Standard-of-Care Therapy

Interventions

Standard-of-Care Therapy + Sit-to-Stand Therapy OTHER

Standard-of-care physical therapy 3x/wk for approximately 30 minutes each time + sit-to-stand training using the Movi chair 3x/wk for approximately 10 minutes each time.

Intervention Group

Standard-of-Care Therapy OTHER

Standard-of-care physical therapy 3x/wk for approximately 30 minutes each time.

Control Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients receiving physical therapy at UAB hospital that require moderate assistance or greater with sit-to-stand transfers during initial evaluation
• Patients with baseline function of supervision as obtained in the initial physical therapy (PT) evaluation
• Patients who have an inpatient hospital stay of at least 4 days

You may not qualify if:

• Patients with diagnoses that are progressive in nature
• Patients in intensive care units due to critical medical condition and confounding factors
• Patients with cognitive impairment as noted in the medical record
• Patients with weight bearing precautions other than free weight bearing (FWB) or weight bearing as tolerated (WBAT)
• Children (under the age of 18), prisoners and pregnant women
• Patients who are not able to speak English

Sponsors & Collaborators

• University of Alabama at Birmingham: lead

Study Sites (1)

University of Alabama at Birmingham

Birmingham, Alabama, 35205, United States

Location

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Lavon Beard, DPT, MBA

  Manager Physical Therapy, Doctor of Physical Therapy

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Masking Details: Patient's primary physical therapist will not be aware whether the patient is in the intervention or control group.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator

Study Record Dates

• First Submitted: March 28, 2017
• First Posted: April 6, 2017
• Study Start: May 1, 2018
• Primary Completion: July 1, 2018
• Study Completion: July 1, 2018
• Last Updated: August 10, 2018

Record last verified: 2018-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)