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Trial registered on ANZCTR
Registration number
ACTRN12609000144213
Ethics application status
Approved
Date submitted
17/08/2008
Date registered
6/03/2009
Date last updated
15/01/2019
Date data sharing statement initially provided
15/01/2019
Date results provided
15/01/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Abdominal Binder effect on breathing, speech and blood pressure in spinal cord injuries.
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Scientific title
Is breathing, speech and blood pressure improved with the use of an abdominal binder in people who have suffered an acute spinal cord injury?
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Secondary ID [1]
297078
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Spinal Cord Injury
4140
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Condition category
Condition code
Injuries and Accidents
3727
3727
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0
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Other injuries and accidents
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Injuries and Accidents
4343
4343
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0
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Fractures
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Subjects will all wear an abdominal binder throughout the study period (there will NOT be two groups with one wearing the AB and one group not). However, testing with and without the abdominal binder will be randomised in order of testing for each time point according to a computer generated randomisation order list of binder on/off. An elastic binder is an elastic garment that wraps around a patients abdomen extending from the bottom of the ribs to just above the hip. It is used when a patient assumes an upright position. Patients are provided with an abdominal binder when they first commence sitting up in a wheelchair after acute injury. Patients are advised to continue the use of an abdominal binder if they have no motor activation of the abdominal muscles. Outcome measures will be collected over 4 points in time during the subjects first 12 months after a spinal cord injury.
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Intervention code [1]
3284
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Treatment: Other
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Intervention code [2]
3853
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Treatment: Devices
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Comparator / control treatment
No abdominal binder
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Control group
Active
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Outcomes
Primary outcome [1]
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Respiratory function-
Vital capacity (VC), forced vital capacity in one second (FEV1), Peak expiratory flow (PEF) will be measured using a handheld SpiroPro machine.
Maximum expiratory pressure (MEP)and maximum inspiratory pressure (MIP) will be measured using a Micro Medical MicroRPM machine
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Assessment method [1]
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Timepoint [1]
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6 weeks after mobilization, 3 months, 6 months, 12 months
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Secondary outcome [1]
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Speech function - Sustained phonation, loudness range, conversational speech quality will be measured using the Edirol device. Data analysis will be carried out by trained blinded Speech Pathologists.
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Assessment method [1]
7826
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Timepoint [1]
7826
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6 weeks after mobilization, 3 months, 6 months, 12 months
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Secondary outcome [2]
8805
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Mean arterial pressure will be calculated from blood pressure recording taken using the portable OMRON IA2
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Assessment method [2]
8805
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Timepoint [2]
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6 weeks after mobilization, 3 months, 6 months, 12 months
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Eligibility
Key inclusion criteria
Acute spinal cord injury above T12, Amercian Spinal Injuries Association (ASIA) classification system of ASIA classification A or B which indicates complete motor dennervation below level.
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Minimum age
16
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pressure sore of stage 2 or greater, active respiratory disease
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
Within subject design, Subjects will have outcomes collected with and without abdominal binder in place when seated.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2008
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Actual
1/01/2008
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Date of last participant enrolment
Anticipated
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Actual
1/07/2009
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Date of last data collection
Anticipated
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Actual
7/07/2010
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Sample size
Target
20
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Accrual to date
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Final
14
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Queensland Health Allied Health Research Scholarship
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Address [1]
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Princess Alexandra Hospital
Ipswich Rd, Woolloongabba 4102
QLD
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Country [1]
4309
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Australia
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Primary sponsor type
Hospital
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Name
Princess Alexandra Hospital
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Address
Ipswich Rd,
Woolloongabba 4102
Brisbane
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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The University of Queensland
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Address [1]
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School of Rehabilitation and Health Sciences
Sir Fred Schonnell Drive
St Lucia
Brisbane 4072
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Country [1]
3881
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Princess Alexandra Hospital
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Ethics committee address [1]
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Ipswich Rd, Woolloongabba. Brisbane 4102
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
6356
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Approval date [1]
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23/02/2006
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Ethics approval number [1]
6356
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2005/079
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Summary
Brief summary
Patients who experience spinal cord injury loose normal function of respiratory muscles leaving them particularly vulnerable to respiratory complications, loss of optimal speech function and potential development of secondary postural deformities. Gravity, in conjunction with increased abdominal muscle compliance, pulls downward on the diaphragm resulting in flattening of the diaphragm, which reduces its ability to drive respiration. Abdominal binders limit abdominal wall distension when against gravity (sitting in wheelchair) by replacing the non-functioning abdominal muscle (innervated T5-T12) role. The restoration of diaphragm position may assist with improved respiration, speech and blood pressure when a patient is sitting in his/her wheelchair. This study will investigate the effect of an abdominal binder on breathing, speech and blood pressure in newly injured patients admitted to the Spinal Injuries Unit of Princess Alexandra Hospital. Those patients that have suffered an injury resulting in damage to T12 level or above and presenting as a complete injury will be approached. The current practice in the Spinal Injuries Unit is to wean the abdominal binder once the cardiovascular system has adapted and postural hypotension is no longer a concern. However, the abdominal binder has been shown to have an effect on respiratory function. Respiratory, speech and blood pressure measurements will be taken with and without the binder on in sitting at 6weeks post initial mobilizing,12 weeks,24weeks ,and 48 weeks after this point. The results of this study will be analyzed to determine the effect of binder use on outcomes collected. These results will direct further practice and use of the abdominal binder.
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Trial website
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Trial related presentations / publications
http://www.archives-pmr.org/article/S0003-9993%2812%2900433-9/pdf
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Public notes
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Contacts
Principal investigator
Name
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Mrs Brooke Wadsworth
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Address
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Physiotherapy, Spinal Injuries Unit
Princess Alexandra Hospital
Ipswich Road
Woolloongabba
4102
QLD
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Country
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Australia
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Phone
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61 7 31762089
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Fax
28853
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Email
28853
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[email protected]
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Contact person for public queries
Name
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Brooke Wadsworth
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Address
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QSCIS
Princess Alexandra Hospital
Ipswich Rd, Woolloongabba 4102
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Country
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Australia
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Phone
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61731762089
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Fax
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61731762009
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Email
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[email protected]
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Contact person for scientific queries
Name
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Brooke Wadsworth
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Address
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QSCIS
Princess Alexandra Hospital
Ipswich Rd, Woolloongabba 4102
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Country
2938
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Australia
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Phone
2938
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61731762089
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Fax
2938
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61731762009
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Email
2938
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Confidential information. No raw data shared.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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