NCT07809516

Brief Summary

Previous research on the osteopathic manual technique entitled "Pedal Pump" has shown health benefits, specifically increasing lymphatic flow, decreasing lower extremity edema, and decreasing serum lactic acid after maximal exercise. However, due to the limitation of human practitioners, research has been limited. The Pedal Pump is now a device which facilitates consistency in treatment and allows for increased sample size in research. This clinical trial studies the effects of 10 minutes of Pedal Pump treatment for hospitalized patients with lower extremity edema, almost the same as Pedal Pump Clinical Trial on Edema V1 that is underway; however, this study focuses primarily on the objective data gathered by trained Occupational Therapists who regularly measure lower extremities. Key Question for this second study: Is the Pedal Pump a feasible treatment for hospitalized patients? Secondary question: Does the Pedal Pump decrease lower extremity edema? This is a novel idea in its early stage of development, so Investigators anticipate product advancements, further testing with larger population sizes, and future publications.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
8mo left

Started Aug 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress16%
Aug 2026May 2027

Study Start

First participant enrolled

August 21, 2026

Completed
9 days until next milestone

First Submitted

Initial submission to the registry

August 30, 2026

Completed
10 days until next milestone

First Posted

Study publicly available on registry

September 9, 2026

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2027

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2027

Last Updated

September 9, 2026

Status Verified

September 1, 2026

Enrollment Period

8 months

First QC Date

August 30, 2026

Last Update Submit

September 2, 2026

Conditions

Keywords

Pedal PumpLower extremity edemaleg swellingLE EdemaCongestive Heart FailureCHF

Outcome Measures

Primary Outcomes (1)

  • Treatment Tolerability in at least 19 of the 20 patients in the Pedal Pump treatment group

    ≥95% of the subjects receiving the Pedal Pump treatment finished the 10 minutes of treatment without stopping it because of adverse effects (\<5% "aborted" treatments).

    10 minutes

Secondary Outcomes (1)

  • Change in Lower Extremity Edema in the Pedal Pump treatment group

    10 minutes

Study Arms (2)

Treatment Group

EXPERIMENTAL

The Treatment group will experience the Pedal Pump intervention by... * Being assisted to sit up in their beds at a 45-60 degree Fowler's position. Their thighs, calves, and ankles being marked with a surgical marker at the locations and measured. * The heel protector pillows being attached to their feet and the Pedal Pump being placed at the foot of the bed. * Provided the treatment is tolerated by the patient, the Pedal Pump treatment being applied to both feet for 10 minutes continuously mobilizing their whole body in sufficient manner to see the nose move. * The Operator turning off the device and removing it from the bed.

Device: Pedal Pump

Sham (Control) Group

SHAM COMPARATOR

The Sham Group will have the same experience as Treatment Group with the exact same device generating identical operational sounds and visible movement, but the patient's body will not be close enough to the device to produce sufficient displacement to transmit mechanical forces beyond the feet. The Pedal Pump will only contact the heel protector pillows enough to make the toes move but will not contact them enough to mobilize the legs or the entire body.

Device: Pedal Pump Sham

Interventions

The Pedal Pump device pumps both feet for 10 minutes continuously-- mobilizing their whole body in sufficient manner to see the nose move.

Also known as: Foot Pump, Foot Mobilizer, Feet Mobilizer
Treatment Group

The Sham Intervention is the same as Pedal Pump Intervention with the exact same Pedal Pump device generating identical operational sounds and visible movement; however, the patient's body will not be close enough to the device to produce sufficient displacement to transmit mechanical forces beyond the feet. The Pedal Pump will only contact the heel protector pillows enough to make the toes move but will not contact them enough to mobilize the legs or the entire body.

Sham (Control) Group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Bilateral lower extremity edema of at least mild severity judged by the treating clinician to be due to CHF, chronic venous insufficiency, kidney disease, lymphedema, or other etiologies of fluid overload conditions.
  • Medically stable
  • Able to remain in Fowler position for 10 minutes
  • Patients in the ER, observation, or admitted to the hospital for any period of time; outpatients (specifically CHF clinic patients)
  • Patients must give informed consent to participate. The patient must be able to read the consent form (in English or Spanish) or give consent after the form is translated for the patient.

You may not qualify if:

  • Lipedema (fat distribution) as the only cause for edema
  • Pressure ulcers
  • Active DVT (i.e. Patients who have signs of acute unilateral swelling must have a documented negative lower extremity venous duplex ultrasound within the current admission before they will be included in the trial.)
  • Symptomatic peripheral vascular disease
  • Wounds or infections in the feet, legs, buttocks, or back deemed unfit for treatment per the trained Operator.
  • Leg or back surgery in previous 30 days
  • Known pregnancy
  • Severe osteoporosis/fracture risk

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hillcrest Medical Center

Tulsa, Oklahoma, 74104, United States

RECRUITING

MeSH Terms

Conditions

Heart FailureBlindness, Cortical

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular DiseasesBlindnessVision DisordersSensation DisordersNeurologic ManifestationsNervous System DiseasesEye DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Statistician
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 30, 2026

First Posted

September 9, 2026

Study Start

August 21, 2026

Primary Completion (Estimated)

April 30, 2027

Study Completion (Estimated)

May 31, 2027

Last Updated

September 9, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will share

* Age * Sex * Active CHF * Active chronic venous insufficiency * Acute kidney disease * Chronic kidney disease * End Stage Renal Disease (ESRD) * Active HTN * MI history * Stroke history * Diabetes history * Smoking 5+ years history

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
March 30, 2027 - January 1, 2040
Access Criteria
After publication, de-identified IPD will be shared with qualified independent researchers under strict data-use agreements to verify findings and conduct new scientific work. We will allow said researchers to have "view only" access to the electronic folder containing the de-identified IPD. Researchers can email their requests to davidwilliammcvay@gmail.com.

Locations