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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT02861911
Other study ID # UF 9344
Secondary ID
Status Terminated
Phase N/A
First received
Last updated
Start date October 20, 2015
Est. completion date July 2018

Study information

Verified date May 2019
Source University Hospital, Montpellier
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Facioscapulohumeral muscular dystrophy (FSHD) is an autosomal dominant disease characterized by progressive weakness and atrophy of specific skeletal muscles. One of the major problems of patients affected by FSHD is the limitation in performing daily activities induced by the progressive muscle weakness. This sedentary lifestyle can cause a "debilitative cycle," and neuromuscular deconditioning can even aggravate the muscular deficiencies. Recent studies have indicated the safety and the effectiveness of moderate aerobic training programs in patients with FSHD. However, these training programs have limited applicability in patients with more severe muscular weakness. Artificial strength training by means of neuromuscular electrical stimulation (NMES) appears to be a promising rehabilitation strategy for FSHD patients suffering from neuromuscular disorders. Therefore we propose to investigate the feasibility, safety, and effectiveness of NMES strength training to counteract quadriceps muscle weakness in patients affected by FSHD.


Description:

NMES will be delivered to both quadriceps by means of a Kneehab® XP device, which is an innovative and clinically-proven garment-based product designed specifically to treat quadriceps muscle atrophy. The main NMES current parameters are: 50-Hz frequency, 100-400 µs pulse duration, 5:10-second on:off time. Each session will last approximately 20 minutes and will be repeated 5 days/week for a total duration of the treatment program of 3 months.


Recruitment information / eligibility

Status Terminated
Enrollment 9
Est. completion date July 2018
Est. primary completion date September 13, 2016
Accepts healthy volunteers No
Gender All
Age group 18 Years to 70 Years
Eligibility Inclusion Criteria:

- Molecular and/or clinical diagnosis for FSHD

- Vignos scale = 5: Able to walk without help

- Clinically characterized by quadriceps muscle weakness but with a maximal voluntary contraction (MVC) between 8 and 16 Kg

- Follow as part of their usual care in the Clinical Physiology Department of the University Hospital of Montpellier

- Free and informed consent of the patient

- Patient affiliated or beneficiary of a social security system

Exclusion Criteria:

- Patient with co-morbidity:pathologies heart, pathologies respiratory, metabolic and endocrine -pathologies, pathologies cancer.

- Patients treated with drugs could cause muscle side effects or interfere with muscle metabolism.

- Lesions or skin inflammation at the thighs that can prevent the application of NMES

- Claustrophobic subject

- Carrier of intracranial vascular clip, cardiac pacemaker, neurostimulator, cochlear implant, or intraocular metallic foreign

- Pregnant or nursing women

- Vulnerable Persons and protected Major or unable to consent

- Patient in exclusion period relative over another protocol, or for which the annual amount of maximum compensation of € 4,500 has been reached

Study Design


Related Conditions & MeSH terms

  • Primary Disease Facioscapulohumeral Dystrophy (FSHD)

Intervention

Other:
Current flow between sensory and motor threshold
Artificial strength training by means of neuromuscular electrical stimulation (NMES)
Device:
Current intensity upper of motor threshold by Kneehab XP technology
Artificial strength training by means of neuromuscular electrical stimulation (NMES)

Locations

Country Name City State
France Montpellier University Hospital Montpellier

Sponsors (1)

Lead Sponsor Collaborator
University Hospital, Montpellier

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary Maximal voluntary contraction (MVC) strength of the quadriceps At 3 months
Secondary Effect of NEMS on the quality of life (SF36 questionnaire) At 3 months
Secondary Effect of NMES on the quadriceps endurance evaluated in a dynamic test against a charge equal to 30% of maximal isometric force. At 3 months
Secondary Evaluation of the body composition by bioelectric impedance analysis (BIA) after NMES effect At 3 months
Secondary Effect of NMES on the bone mineral density by dual energy X-ray absorptiometry (DEXA) At 3 months
Secondary Effect of NMES on the oxidative stress markers in blood and urine by blood and urine tests At 3 months