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Profiling skeletal muscle loss during leg immobilisation

The injured athlete: genetic profiling of skeletal muscle atrophy with limb immobilisation

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12616001399482
Enrollment
21
Registered
2016-10-10
Start date
2016-10-17
Completion date
2017-05-08
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The nature of training and competition in the majority of popular sports dictates that debilitating injury is not uncommon when individuals engage in high musculoskeletal loading patterns and/or high impact collisions. A consequence of such injuries is that repair and remodelling of tissues often requires significant periods of limb immobilisation. It is during immobilisation that normal mechanical loading of skeletal muscle is significantly reduced and muscle wasting (atrophy) ensues. Disuse atrophy is a secondary complication that exacerbates the aetiology of injury and complicates the return to appropriate quality and quantity of training. Better understanding of the genetic bases of disuse muscle atrophy in athletes following abrupt cessation of regular training and competition may ultimately result in improved countermeasures to mitigate short term muscle wasting. Specific strategies such as individualised nutrition and exercise rehabilitation to promote the prompt return of functional capacity may be entirely plausible with greater understanding of changes in inducible expression in skeletal muscle with shortterm immobilisation. The primary aim of the proposed study is to determine changes in inducible gene expression in the early (3 d) and short term (14 d) immobilisation period. The research question is novel and will have the capacity to inform sports medicine and exercise science in characterising individuals ‘at risk’ of rapid degeneration of muscle mass with disuse or those that may be “protected” from muscle loss with short term unloading. It is hypothesised that 14 days of limb immobilisation will modulate expression of the transcriptome in skeletal muscle and generate a distinct genomic profile associated with the early time course of muscle atrophy in healthy, young men.

Interventions

14 days of limb (leg) immobilisation and unloading will be undertaken using a Donjoy X-ACT ROM Universal leg brace to be worn for 24 h, Adherence will be monitored through actigraph accelerometers to determine physical activity levels and a unique identifier on tape wrapped around to the brace will determine if/when a brace is removed. Muscle biopsies and venous blood samples will be obtained on day 0, 3 and 14.

Sponsors

Bond University
Lead SponsorUniversity

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Diagnosis
Masking
Open (masking not used)

Eligibility

Sex/Gender
Male
Age
20 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

Physically active individuals undertaking 5 h per week of moderate-vigorous exercise

Exclusion criteria

Recent (<6 months) injury requiring immobilsation, medical conditions that would place participants at increased risk during exercise, currently taking medications known to affect body composition, employment requiring physical labour.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026