Leg Exercise During ECMO



Status:Recruiting
Conditions:Pulmonary
Therapuetic Areas:Pulmonary / Respiratory Diseases
Healthy:No
Age Range:18 - 70
Updated:11/29/2017
Start Date:November 13, 2017
End Date:June 1, 2020
Contact:Eric Andersen, DPT
Email:eander30@fairview.org
Phone:262.391.6839

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The Impact of Lower Extremity Weight-Bearing Leg Exercise During the Pre-Ambulation Phase of Individuals Undergoing Extracorporeal Membrane Oxygenation

The primary aim of this study is to assess the functional impact of leg exercise during the
pre-ambulation phase in patients undergoing ECMO. Outcome measures will be categorized as
either functional or hospital based. Hospital measures include: Hospital days, intensive care
unit days, days on ECMO, days on mechanical ventilation, length of time from physical therapy
evaluation to initial ambulation, and discharge disposition. Functional outcome measures
include: Leg strength, grip strength, 30-second sit to stand test, Functional Status Score
for the Intensive Care Unit (FSS-ICU), and the Richmond Agitation and Sedation Scale (RASS).

The investigators are conducting this study to explore the impact of closed-chain leg
exercise in individuals undergoing ECMO.

Aim 1: To determine if closed-chain leg exercise decreases the time to initial ambulation.
The investgators hypothesize that adding leg exercise will decrease time to ambulation.

Aim 2: To determine the impact of closed chain leg exercise on functional ability. The
investigators hypothesize that adding leg exercise will improve functional outcomes when
added to an existing early mobilization program.

Aim 3: To determine the effect of closed chain leg exercise on hospital outcomes. The
investigatorshypothesize that hospital related outcomes will improve when leg exercise is
added to an existing early mobilization program.

Inclusion Criteria:

- - Men and women 18-70 years old with refractory respiratory failure undergoing ECMO at
the University of Minnesota Medical Center, Fairview.

- Able to follow 3 out of 3 one-step commands via protocol.

- Active Inpatient Physical Therapy Referral.

- ECMO delivery is veno-venous with internal jugular catheter.

Exclusion Criteria:

- - Femoral catheter of any kind present.

- Veno-arterial ECMO setup.

- Sedation such that self-consent is not attainable.

- Medical instability, as determined by primary critical care physician.
We found this trial at
1
site
2450 Riverside Ave
Minneapolis, Minnesota 55454
(612) 273-3000
Principal Investigator: Amanda N LaLonde, DPT
Phone: 262-391-6839
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