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Trial registered on ANZCTR
Registration number
ACTRN12622000221752
Ethics application status
Approved
Date submitted
5/02/2022
Date registered
8/02/2022
Date last updated
7/04/2024
Date data sharing statement initially provided
8/02/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Shear Wave Elastography to Assess the Change in Stiffness of Muscles in the Acute Stage Post-Stroke
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Scientific title
Shear Wave Elastography to Assess the Change in Stiffness of Muscles in the Acute Stage Post-Stroke
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Secondary ID [1]
306140
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Muscle Stiffness
324834
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Stroke
325169
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Condition category
Condition code
Stroke
322274
322274
0
0
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Haemorrhagic
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Stroke
322275
322275
0
0
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Ischaemic
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Musculoskeletal
322575
322575
0
0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The condition being observed is the change in muscle stiffness that may occur as a result of a stroke.
The exposure is the Shear Wave Elastography assessment of the muscle stiffness. This is an advanced ultrasound technology that quantitatively determines the stiffness of tissue.
The transducer is placed lightly on the skin at the appropriate level and a measurement is taken. This will be done at three levels, on both arms, with the elbow fully extended and again with the elbow partially bent.
The Shear Wave Elastography assessment will take place twice a week, for the first four weeks after a stroke. Each scanning assessment takes approximately 1 hour. This will be performed by an accredited Senior Sonographer with experience in Shear Wave Elastography.
There will be Aquasonic Gel to facilitate the ultrasound transmission.
There will be paper towel to remove the gel.
There will be a measuring tape and skin-safe marker to mark the correct locations.
Each scanning session will be recorded in the participants hospital chart
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Intervention code [1]
322547
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
330036
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Mean Shear Wave Velocity of biceps muscle by Shear Wave Elastography on a Canon Aplio i600 (Japan) with a 14-5 linear transducer.
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Assessment method [1]
330036
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Timepoint [1]
330036
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Measured twice a week for four weeks after a stroke
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Primary outcome [2]
330037
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Change in cross-sectional area of biceps muscle (cm squared). Measured by standard ultrasound.
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Assessment method [2]
330037
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Timepoint [2]
330037
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Measured twice a week for four weeks after a stroke
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Secondary outcome [1]
404693
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Spasticity assessment using Tardieu Scale by Occupational Therapists or Physiotherapists
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Assessment method [1]
404693
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Timepoint [1]
404693
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Measured twice a week for four weeks after a stroke
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Eligibility
Key inclusion criteria
Recent stroke with admission to Sunshine Coast University Hospital
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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
Previous strokes on the contralateral side.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
Using data from comparable research, an alpha value of 0.05 and power of 80%, a minimum sample size of 6 participants is required. While this is the minimum number, this project aims to recruit and collect data on at least 36 participants in the data collection period (approximately 40 weeks). As it is not known which participants will go on to develop a change in muscle stiffness, a convenience sample of every eligible patient will be approached for recruited.
Statistical analysis will be descriptive, inferential and exploratory. The exploratory analysis is to assist in getting insights on the patterns over time.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
24/04/2023
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Actual
25/05/2023
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Date of last participant enrolment
Anticipated
1/01/2024
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Actual
14/02/2024
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Date of last data collection
Anticipated
29/01/2024
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Actual
19/03/2024
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Sample size
Target
36
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Accrual to date
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Final
21
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
21436
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Sunshine Coast University Hospital - Birtinya
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Recruitment postcode(s) [1]
36338
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4575 - Birtinya
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Funding & Sponsors
Funding source category [1]
310713
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University
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Name [1]
310713
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Queensland University of Technology
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Address [1]
310713
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G Block, Queensland University of Technology,
2 George St
Brisbane 4000 QLD
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Country [1]
310713
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Australia
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Funding source category [2]
311710
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Charities/Societies/Foundations
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Name [2]
311710
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Australasian Sonographers Association
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Address [2]
311710
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Level 2, 93-95 Queen Street
MELBOURNE VIC 3000
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Country [2]
311710
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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
2 George St,
Brisbane City
QLD 4000
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Country
Australia
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Secondary sponsor category [1]
311932
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None
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Name [1]
311932
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None
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Address [1]
311932
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None
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Country [1]
311932
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
310113
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Prince Charles Hospital Ethics Committee
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Ethics committee address [1]
310113
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Research, Ethics and Governance Unit Building 14 The Prince Charles Hospital Rode Road, Chermside, Qld 4032
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Ethics committee country [1]
310113
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Australia
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Date submitted for ethics approval [1]
310113
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10/02/2022
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Approval date [1]
310113
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16/03/2022
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Ethics approval number [1]
310113
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75598
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Ethics committee name [2]
310114
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Queensland University of Technology Human Research Ethics Committee
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Ethics committee address [2]
310114
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2 George St, Brisbane City, QLD 4000
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Ethics committee country [2]
310114
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Australia
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Date submitted for ethics approval [2]
310114
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22/03/2022
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Approval date [2]
310114
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20/03/2023
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Ethics approval number [2]
310114
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Summary
Brief summary
This project uses an advanced ultrasound technique called Shear Wave Elastography to assess the stiffness of muscles in stroke survivors. Shear Wave Elastography can determine the stiffness of tissue by measuring the Shear Wave Velocity, with stiffer tissues returning a higher velocity. After a stroke, the muscles may develop an increased stiffness which is typically assessed clinically, however SWE will be able to detect small changes more accurately and reliably than the current clinical assessment. This prospective cohort project aims to measure stiffness during the first four weeks after a stroke as the stiffness develops. A qualified Sonographer will perform the scans bedside at Sunshine Coast University Hospital. Stroke survivors will have their biceps muscle and biceps tendon scanned twice a week, for the first four weeks after their stroke. Both the affected and non-affected side will be assessed, with the elbow in both full extension, and 30 degrees flexion. It is hypothesised that as the participants stiffness develops the recorded Shear Wave velocities will increase and will correlate with the clinical assessments.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
116522
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Miss Jacqueline Roots
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Address
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Queensland University of Technology
Gardens Point Campus
2 George St
Brisbane City,
QLD 4000
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Country
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Australia
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Phone
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+61 07 31381373
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Fax
116522
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Email
116522
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[email protected]
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Contact person for public queries
Name
116523
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Jacqueline Roots
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Address
116523
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Queensland University of Technology
Gardens Point Campus
2 George St
Brisbane City,
QLD 4000
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Country
116523
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Australia
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Phone
116523
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+61 07 31381373
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Fax
116523
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Email
116523
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[email protected]
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Contact person for scientific queries
Name
116524
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Jacqueline Roots
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Address
116524
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Queensland University of Technology
Gardens Point Campus
2 George St
Brisbane City,
QLD 4000
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Country
116524
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Australia
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Phone
116524
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+61 07 31381373
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Fax
116524
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Email
116524
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Datasets collected during the trial after de-identification.
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When will data be available (start and end dates)?
Data will be available beginning immediately after publication. No end date determined.
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Available to whom?
Researchers who provide a methodologically sound proposal.
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Available for what types of analyses?
Meta-analysis.
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How or where can data be obtained?
Principal Investigator
[email protected]
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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
No additional documents have been identified.
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