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Идёт набор NCT06516198

Auricular Acupressure in Prehabilitation

Без фазы С лечением Frailty Thoracic Prehabilitation Lung Surgery

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Auricular Acupressure.
Кому может быть актуально
Состояния в реестре: Frailty, Thoracic, Prehabilitation, Lung Surgery. Базовые параметры: от 50 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

A Pilot Study of the Utility of Auricular Acupressure in Enhancing Prehabilitation Benefits in Candidates for Thoracic Surgery.

Обзор

Complementary medicine is recognized for its ability to enhance appetite, increase energy, reduce anxiety, decrease pain, and improve sleep, among many other benefits. Acupuncture is among the most frequent types of complementary medicine practiced in the US, and Medicare currently includes back pain as a reimbursable indication for this therapy. Acupuncture-related therapies may enhance efforts at prehabilitation in candidates for major lung resection.

Подробное описание

The plan is to use a small number of points for auricular acupressure that are selected to improve overall health, both physical and mental. Auricular acupuncture for management of pain using 5 points, informally referred to as "battlefield acupuncture" has demonstrated significant improvement in acute and chronic pain management. Auricular acupressure using a similarly small number of points has demonstrated improvement in chemotherapy-related disturbed sleep, fatigue, and appetite, postpartum depression and fatigue, and chemotherapy related fatigue and depression. It appears that auricular acupressure may be suitable for enhancing prehabilitation interventions for preoperative patients.

Patients will be selected from among individuals being considered for major lung surgery (wedge resection, segmentectomy, lobectomy, bilobectomy, or pneumonectomy; open or minimally invasive) who are expected to pursue a period of prehabilitation of 2 or more weeks prior to surgery.

Вмешательства

  • Другое Auricular Acupressure
    Seeds will be placed during the clinic visit by the acupuncturist or the research associate according to the group the patient was assigned to. The care partner will observe the placement. A photograph of the seed placement will be taken and given to the care partner and to the patient after the relevant points are labeled by number or letter. The method of pressing is demonstrated for 1 one of the seeds, the care partner practices pressing on 2 other seeds, and the patient practices pressing on

Первичные конечные точки

  • Number of patients enrolled [Срок оценки: 2 weeks]
Вторичные конечные точки (1)
  • Ease of participation in the study. [Срок оценки: End of Study (Week 4)]

Критерии участия

Критерии включения

  • Being considered for major lung surgery
  • Surgery is not scheduled for at least 2 weeks
  • Age ≥ 50 years
  • Able to understand English at a 4th grade level
  • No known contraindications to prehabilitation (strength, endurance, balance exercises)
  • Able to provide informed consent for participation
  • Has an adult care partner who will be available and capable of placing seeds
  • Has access to smart phone for communication and image sharing
  • Underwent frailty screening (given any score)
  • Able to perform spirometry testing in clinic

Критерии исключения

  • Allergy to Vaccaria seeds
  • Medical condition affecting either ear preventing use of auricular acupressure such as eczema, frostbite, sunburn

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Поддерживающая терапия

Центры проведения

США · 1 центр
  • University of Chicago — Chicago

Публикации

  • Zhang CS, Yang AW, Zhang AL, May BH, Xue CC. Sham control methods used in ear-acupuncture/ear-acupressure randomized controlled trials: a systematic review. J Altern Complement Med. 2014 Mar;20(3):147-61. doi: 10.1089/acm.2013.0238. Epub 2013 Oct 19. PMID 24138333
  • Ferguson MK, Watson S, Johnson E, Vigneswaran WT. Predicted postoperative lung function is associated with all-cause long-term mortality after major lung resection for cancer. Eur J Cardiothorac Surg. 2014 Apr;45(4):660-4. doi: 10.1093/ejcts/ezt462. Epub 2013 Sep 19. PMID 24052607

Идентификаторы

NCT: NCT06516198 · IRB24-0888

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗