Deep Vein Thrombosis
Conditions
Brief summary
The project will investigate the feasibility of a physiotherapy intervention for patients diagnosed with deep vein thrombosis for whom a physiotherapy intervention is not currently part of clinical practice in Denmark. Specifically, the project will investigate if an early-initiated physiotherapy intervention for patients who are admitted acutely with first-time deep vein thrombosis (DVT), can be carried out and is experienced as valuable for the patients.
Detailed description
This study aims to investigate whether it is possible for patients diagnosed with DVT to complete early mobilization combined with progressive walking during their hospitalization and the first month after discharge. This study is twofold. Part one is a clinical cohort study and will investigate the feasibility using quantitative outcomes. Part two is a qualitative study using interviews to investigate the patients' experiences with and attititudes towards a physiotherapy guided intervention of early mobilization combined with progressive walking during their hospitalization and one month after discharge to their own home. If the physiotherapy intervention is deemed feasible and acceptable, a future randomized controlled trial will investigate the effect of the intervention on quality of life.
Interventions
OTHERPhysical activity
The focus of the intervention is on exercises that can improve venous return, and consists of progressive walking training at moderate and high intensity as well as guidance on physical activity. The training program is inspired by the WHO's recommendations for physical activity. The training program consists of a 14-day introductory period based on an initial interview with a physiotherapist, where the aim is to hit 30 min. times/day at moderate intensity. After 14 days, the patient receives physiotherapeutic guidance in physical activity and is introduced to the next period of 14 days, where the activity level is maintained, and the goal is to further achieve 2 x 20 min./week of high-intensity physical activity. After one month of training, the patient will be guided on maintaining and possibly progressing physical activity.
Sponsors
Hvidovre University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. 18 years or above 2. First time lower extremity DVT 3. Hospitalized at the Emergency Department
Exclusion criteria
1. Patients without a Danish social security number 2. Terminal patients 3. Patients who do not understand or speak Danish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participation | Baseline to one month | That 50% of all eligible patients wish to participate |
| Dropout | Baseline to one month | That less than 20% of the included patients wish to stop the intervention within the first month |
| Respond rate regarding questionnaire on quality of life | Baseline to one month | That 80% respond to the questionnaire on quality of life upon admission |
| Adverse events | Baseline to one month | That no adverse events, which can be related to the intervention, are recorded during the training period |
Countries
Denmark
Contacts
PRINCIPAL_INVESTIGATORHelle Juul-Larsen, Ph.D
Hvidovre University Hospital
PRINCIPAL_INVESTIGATORMette Merete Pedersen, Ph.D
Hvidovre University Hospital
Outcome results
None listed