Prehabilitation for Pelvic Cancer: Changes in Setup Variability
Prehabilitation for Port Films: Phase 1. Evaluating Orthopedic Measurements of Pelvic Tilt During Radiation Treatments for Pelvic Cancer
1 other identifier
interventional
9
1 country
1
Brief Summary
The investigators hypothesize that two pelvic relaxation exercises will be feasible and safe to perform by subjects daily before radiation during the participant's treatment and will decrease variability of sacral slope measurements on daily port films. The investigators will observe trends in the daily variability and change in the sacral slope in each participant to determine if this could decrease variability. The investigators will compare these measurements to a retrospective cohort that did not have the exercises, but did demonstrate variability. Reducing set-up variability (which inadvertently occurs during radiation) is important to improve radiation targets and diminish potential adverse effects. The investigators will query participants for objective and subjective feedback on the exercises and record frequency and duration of the two exercises.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jun 2017
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 23, 2017
CompletedFirst Submitted
Initial submission to the registry
July 31, 2017
CompletedFirst Posted
Study publicly available on registry
August 8, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 21, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
January 17, 2019
CompletedSeptember 11, 2019
September 1, 2019
1.1 years
July 31, 2017
September 10, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Sacral Slope Variation
Reduced variation in sacral slope angle measured on daily port films.
Daily, through duration of radiation treatment, averaging 6-10 weeks
Study Arms (1)
Pelvic Exercise Intervention
EXPERIMENTALPatients will perform two pelvic exercises prior to each external beam radiation treatment.
Interventions
Hip extension and external hip rotation exercises are completed prior to daily external beam radiation treatment.
Eligibility Criteria
You may qualify if:
- Patients will be \>21 yrs of age and will have an oncologic diagnosis that requires a course of pelvic radiation therapy for a minimum of 5 weeks.
- They will have an ECOG Performance Status (This scale, developed by the Eastern Cooperative Oncology Group (ECOG), now part of the ECOG-ACRIN (American College of Radiology Imaging Network) Cancer Research Group, describes a patient's level of functioning in terms of their ability to care for themselves, daily activity, and physical ability (walking, working, etc.)) of 1 or better as determined by patient history.
- They will be ambulatory without needing any ambulatory aids such as a cane or walker.
- Both men and women will be eligible as there is no significant anatomical difference in sacral slope measurement. Joint replacement patients will not be excluded.
You may not qualify if:
- Adults unable to consent
- Individuals who are not yet adults (infants, children, teenagers)
- Pregnant women
- Prisoners
- Non-English speaking subjects
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Massachusetts Medical School
Worcester, Massachusetts, 01655, United States
Related Publications (1)
O'Loughlin L, Lukez A, Ma Y, Baima J, Moni J. Prehabilitation for patient positioning: pelvic exercises assist in minimizing inter-fraction sacral slope variability during radiation therapy. Med Oncol. 2019 Nov 12;37(1):3. doi: 10.1007/s12032-019-1322-9.
PMID: 31713056DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jennifer Baima, MD
UMass Medical - Department of Orthopedics
- PRINCIPAL INVESTIGATOR
Janaki Moni, MD
UMass Medical - Department of Radiation Oncology
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor, Department of Radiation Oncology
Study Record Dates
First Submitted
July 31, 2017
First Posted
August 8, 2017
Study Start
June 23, 2017
Primary Completion
July 21, 2018
Study Completion
January 17, 2019
Last Updated
September 11, 2019
Record last verified: 2019-09
Data Sharing
- IPD Sharing
- Will not share