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Trial registered on ANZCTR
Registration number
ACTRN12611000469910
Ethics application status
Approved
Date submitted
25/02/2011
Date registered
6/05/2011
Date last updated
8/11/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
A home-based progressive resistance exercise program assessing healing rates for patients with venous leg ulcers.
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Scientific title
A 12 week home-based progressive resistance exercise program compared to standard care to assess healing rates for patients with venous leg ulcers.
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Secondary ID [1]
262124
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
NIL
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Venous leg ulcer
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Condition category
Condition code
Skin
259397
259397
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0
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Dermatological conditions
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Physical Medicine / Rehabilitation
259398
259398
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0
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Physiotherapy
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Cardiovascular
259399
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0
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A home-based unsupervised progressive resistance exercise program that requires no additional equipment for participants.
Participants have the program individually tailored to suit the strength and endurance of their calf muscle in consultation with the principal researcher who is a RN and Exercise Scientist.
The exercise protocol is split into 3 stages
1. Seated heel raises
2. Standing heel raises (both legs)
3. Standing heel raise (one leg)
The participants progress through each stage by the various 4 levels
1. 10 repetitions x 3 sets x 3 times per day
2. 15 repetitions x 3 sets x 3 times per day
3. 20 repetitions x 3 sets x 3 times per day
4. 25 repetitions x 3 sets x 3 times per day
Participants move on to the next level or stage the once they have comfortably completed the current level for at least 3days or until ready to progress based on their feedback and in consultation with the principal researcher.
The exercise program is in addition to usual care (compression bandaging and wound care)
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Intervention code [1]
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Rehabilitation
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Comparator / control treatment
Usual care - compression bandaging and wound care dressed by the clinical wound nurse in wound clinic at the participating hospital
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Control group
Active
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Outcomes
Primary outcome [1]
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Healing rates of venous leg ulcers as measured by healed or not healed, percent reduction in ulcer size and PUSH score
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Assessment method [1]
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Timepoint [1]
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Baseline, week 6 and Week 12 post intervention start date
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Secondary outcome [1]
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Calf Muscle pump function as measured by Air Plethysmography - Ejection fraction, Residual Volume fraction and venous filling Index
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Assessment method [1]
273338
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Timepoint [1]
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Baseline and Week 12 post intervention start date
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Secondary outcome [2]
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Fitness parameters - calf muscle enduurance (maximum number of heel raises) calf muscle strength (myometer) and ankle range of motion (goniometer)
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Assessment method [2]
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Timepoint [2]
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Baseline, week 6 and week 12 post intervention start date
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Eligibility
Key inclusion criteria
Any break in the skin on the lower leg that had been present for six weeks or more
No other causative aetiology being present
Appearing clinically venous
An ABPI of greater than 0.8, but less than 1.3.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Clinical signs of cellulitis
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The method used to implement the random allocation was an envelope system where an independent source prepared and ordered the envelopes to ensure that the sequence was concealed until groups were assigned to patients.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Sequence generation was carried out by an independent source using a statistical package.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
4/04/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Queensland University of Technology
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Address [1]
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Institute of Health and Biomedical Innovation (IHBI)
60 Musk Avenue
Kelvin Grove Urban Village
Kelvin Grove, Queensland, 4059
Australia
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Queensland University of Technology
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Address
Institute of Health and Biomedical Innovation (IHBI)
60 Musk Avenue
Kelvin Grove Urban Village
Kelvin Grove, Queensland, 4059
Australia
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
257706
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Country [1]
257706
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Other collaborator category [1]
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Hospital
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Name [1]
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Princess Alexandra Hospital
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Address [1]
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Ipswich Road, Woolloongabba
Queensland, 4102
Australia
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
260549
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Human Research Ethics Committees of the Princess Alexandra Hospital
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Ethics committee address [1]
260549
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199 Ipswich Road Woolloongabba, Brisbane Queensland, 4102, AUSTRALIA
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Ethics committee country [1]
260549
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Australia
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Date submitted for ethics approval [1]
260549
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16/11/2007
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Approval date [1]
260549
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07/02/2008
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Ethics approval number [1]
260549
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Protocol No: 2007/210
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Ethics committee name [2]
260550
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Princess Alexandra Hospital Human Resouces Ethics Committee
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Ethics committee address [2]
260550
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Level 2, Building 35, Princess Alexandra Hospital 199 Ipswich Rd Woolloongabba, Brisbane, Queensland, 4102, AUSTRALIA
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Ethics committee country [2]
260550
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Australia
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Date submitted for ethics approval [2]
260550
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16/11/2007
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Approval date [2]
260550
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07/02/2008
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Ethics approval number [2]
260550
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2007/210
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Summary
Brief summary
The aim of this pilot study was to establish if a home-based progressive resistance exercise program was feasible and then determine if there was clinical improvement in the healing rates of venous leg ulcers as a result of the intervention. Secondary aims were to examine if participation in the home-based program improved calf muscle pump function or the physical fitness parameters measured as part of this pilot study.
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Trial website
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Trial related presentations / publications
O’Brien, J., Edwards, H., Stewart, I. (2011); A pilot study assessing the feasibility of a home-based progressive resistance exercise program and trend toward healing rates for patients with venous leg ulcers. Wounds International Conference. February 2011, Cape Town, South Africa. O’Brien, J (2010); Pilot study results from a home-based progressive resistance exercise program and healing rates of patients with venous leg ulcers?. Institute of Health and Biomedical Innovation (IHBI) Inspires Postgraduate student conference. November 2010, Gold Coast, Queensland. O’Brien, J (2010); Does a home based exercise program promote healing rates of patients with venous leg ulcers? A pilot study. Final Seminar. September 2010, Queensland University of Tecnology, Brisbane, Queensland.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jane O'Brien
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Address
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Institute of Health and Biomedical Innovation (IHBI)
60 Musk Avenue
Kelvin Grove Urban Village
Kelvin Grove, Queensland, 4059
Australia
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Country
15518
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Australia
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Phone
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+61 7 3138 6419
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jane O'Brien
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Address
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Institute of Health and Biomedical Innovation (IHBI)
60 Musk Avenue
Kelvin Grove Urban Village
Kelvin Grove, Queensland, 4059
Australia
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Country
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Australia
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Phone
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+61 7 3138 6419
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Prescribed exercise with compression vs compression alone in treating patients with venous leg ulcers a systematic review and meta-analysis.
2018
https://dx.doi.org/10.1001/jamadermatol.2018.3281
N.B. These documents automatically identified may not have been verified by the study sponsor.
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