Effect of Lower Leg Heating and Transcutaneous Electrical Nerve Stimulation on Exercise Capacity in Patients With PAD
The Acute Effects of Leg Heating and Transcutaneous Electrical Nerve Stimulation on Leg Blood Flow and Functional Capacity in Those With Peripheral Arterial Disease
1 other identifier
interventional
10
1 country
1
Brief Summary
Peripheral arterial disease (PAD) is characterized by poor circulation in the lower extremities that often provokes claudication (leg pain, numbness, and heaviness) with physical exertion. The aim of this research protocol is to determine the effect of two non-invasive treatment modalities on leg blood flow and exercise capacity in those with PAD. Specifically, we are measuring popliteal artery blood flow (Doppler ultrasound), toe oxygen saturation, ankle-brachial index (ABI), and 6-minute walking distance (6MWD) in men and women who have intermittent claudication (Fontaine Stage II; Rutherford Category 1-2) in response to 15 or 45 minutes of lower limb heating and transcutaneous electrical nerve stimulation (TENS).
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 Nov 2015
Typical duration for not_applicable
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
November 15, 2015
CompletedFirst Submitted
Initial submission to the registry
February 13, 2018
CompletedFirst Posted
Study publicly available on registry
March 12, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2018
CompletedMarch 12, 2018
March 1, 2018
2.5 years
February 13, 2018
March 5, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Distance walked during six-minute walk test
Distance walked during a self-paced six-minute walk
35 minutes post-intervention/control
Secondary Outcomes (4)
Popliteal artery blood flow
Pre-intervention baseline; 10, 20, and 30 minutes post-intervention/control
Time/distance to claudication during six-minute walk
35 minutes following each intervention and control period
Ankle brachial index (ABI)
Pre-intervention baseline and 20 minutes post-intervention/control
Toe oxygen saturation
Pre-intervention baseline; 10, 20, and 30 minutes post-intervention/control
Study Arms (5)
15 minute lower leg heating
EXPERIMENTAL45 minute lower leg heating
EXPERIMENTALControl
NO INTERVENTION15 minute lower leg TENS
EXPERIMENTAL45 minute lower leg TENS
EXPERIMENTALInterventions
Immersion of lower legs in a circulating water bath at a temperature of 42 degrees Celsius
Bilateral lower leg transcutaneous electrical nerve stimulation (TENS) using burst mode at a 3Hz burst rate, 100Hz frequency, and 250 µs pulse duration, sufficient to evoke skeletal muscle contraction
Eligibility Criteria
You may qualify if:
- Intermittent claudication (Fontaine Stage II)
- Resting ankle-brachial index (ABI) \< 0.90
- Ability to walk \> 60 meters in six minutes
You may not qualify if:
- Body mass index (BMI) \> 35 kg/m2
- Severe exercise limitations (more than PAD) due to co-morbidity
- Taking illegal/recreational drugs
- Uncontrolled hypertension (\>180/100 mmHg)
- Severe peripheral neuropathy
- Foot ulcers
- Gangrene
- Pregnant or breast feeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Salisbury University
Salisbury, Maryland, 21801, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thomas K. Pellinger, Ph.D.
Salisbury University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 13, 2018
First Posted
March 12, 2018
Study Start
November 15, 2015
Primary Completion
June 1, 2018
Study Completion
June 1, 2018
Last Updated
March 12, 2018
Record last verified: 2018-03