Vibration Enhances Diabetic ULCER Healing
NCT04275804 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 106
Last updated 2021-07-28
Summary
Objectives:
Diabetes has a prevalence of 11.6% in China with diabetic foot ulcerations affecting over 30 million Chinese. 85% of these patients require amputation and 5-year mortality for diabetics is 70% when associated foot ulcers.
Clinical trials have shown that standing on whole-body vibration platforms, specifically low-magnitude high-frequency vibration (LMHFV); promotes angiogenesis, enhances muscle bulk and accelerates epithelization. Investigation on diabetic rats with foot wounds found accelerated wound healing, increased perfusion and upregulation of factors such as VEGF, PECAM-1 and PCNA.
Hypothesis:
The investigators postulate LMHFV will enhance diabetic foot ulcer healing.
Design and Subjects:
Prospective, single-centre, randomised control trial to treat 106 subjects with diabetic foot ulcers.
Interventions:
The intervention group will stand on LMHFV whole-body vibration platforms for 20min on alternate days for 20 weeks, together with conventional dressing by a trained wound-care nurse as in the control group.
Main Outcome Measures:
Ulcer size will be measured at multiple time points, the incidence of amputations/infections will be recorded, perfusion via ankle-brachial pressure index will be calculated and foot function via the foot and ankle outcome score will be analysed.
Data analysis:
Repeated measure of ANOVA to analyze time-point differences and student's t-test for same time-point comparison.
Expected Results:
This is the first clinical trial to investigate the effect of whole-body vibration on diabetic foot ulcers. It will show the investigators if the results from animal studies will translate into clinically significant results. If positive effects are established, whole-body vibration can be a valuable treatment regime to tackle diabetic foot ulcers.
Conditions
- Diabetic Foot Ulcer
Interventions
- DEVICE
-
Low Magnitude High Frequence Vibration Platform
with low-magnitude high-frequency vibration (35Hz, 0.3g peak-to-peak displacement \<0.1mm)
- OTHER
-
Conventional Dressing
Alternate Day Dressing
Sponsors & Collaborators
-
Chinese University of Hong Kong
lead OTHER
Principal Investigators
-
Samuel KK Ling, MBChB · CUHK
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-01-01
- Primary Completion
- 2024-03-30
- Completion
- 2024-12-31
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