Deconditioning, Sarcopenia
Conditions
Brief summary
The proposed study will examine the use and effectiveness of a novel strength training device - The S-Press within an NHS environment. The S-Press is a portable exercise device that can be used seated or lying down and specifically targets the knee extensors and flexors. The knee extensors are particularly important in the performance of activities of daily living such as rising from a chair, walking up and down stairs and walking. Resistance training is the most effective strategy to help to reduce muscle wasting in response to ageing or chronic disuse; however as current in-patient settings likely fail to produce an overload stimulus to the muscle for hypertrophy and strength gains, there is a need to develop new interventions and equipment to help deliver this. The S-Press is designed by a Physiotherapist with the goal of increasing muscle strength and improving physical function in patients who may be confined to their bed or chair or unable to join in with standard physiotherapy treatments. This mixed methods study will examine the efficacy of the S-Press to improve muscle size using B-Mode Ultrasound and physical function, using sit to stand x5 with use over 6 weeks, alongside the qualitative experience of the use of the S-Press through a one to one semi structured interview.
Interventions
DEVICES-Press
Leg Strengthening Device that can be used in supine and seated positions
Sponsors
NHS Northamptonshire
JT Rehab Ltd
Sheffield Hallam University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Any in-patient admitted onto the ward sites for therapy intervention, assessed as medically stable and physically able to participate by nursing staff and able to provide informed written consent for participation.
Exclusion criteria
* Any patient who is unable to give informed consent. * Significantly confused patients - may not understand or retain the information to perform the exercises so will be excluded from this study. * Patients with unstable or deteriorating medical conditions or are acutely unwell with an infection. * Patients unable to do leg press exercise * Patients who have had major surgery or myocardial infarction within the past 6 months. * Patients who have major surgery scheduled during the intervention period. * Patients currently undergoing treatment for cancer * Patients who currently have high blood pressure that is uncontrolled (Systolic \>200mmHg or Diastolic \> 110mmHg) * Patients with a physical disability that precludes safe and adequate testing.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasbility of use of S-Press by patients | through study completion, an average of 2 weeks | 30 minute Semi Structured Interview |
| Feasbility of use of S-Press by Healthcare Professionals | through study completion, an average of 2 weeks | 30 minute Semi Structured Interview |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate during use | through study completion, an average of 2 weeks | During exercise sessions |
| 5x Sit to Stand time | through study completion, an average of 2 weeks | time to complete 5 sit to stands from standardised chair |
| Diastolic Blood Pressure during use | through study completion, an average of 2 weeks | During exercise sessions |
| Systolic Blood Pressure during use | through study completion, an average of 2 weeks | During exercise sessions |
| Muscle thickness | through study completion, an average of 2 weeks | Ultrasound measurement of Vastus Lateralis |
Countries
United Kingdom
Outcome results
None listed