Therapeutic Outcomes of Using Complementary Hand-based Treatment in Diabetes
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: Swedish massage.
- Кому может быть актуально
- Состояния в реестре: Diabetes Mellitus, Type 1. Базовые параметры: от 18 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
- Швеция
- 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
Therapeutic Outcomes of Using Complementary Hand-based Treatment in Diabetes (TOUCH-D): A Pilot Single-group Feasibility Study Evaluating Biological and Psychological Effects of Swedish Massage in Adults With Type 1 Diabetes.
Обзор
This pilot study evaluates potential biological and psychological effects of Swedish massage in adults with type 1 diabetes. Massage may influence stress-related mechanisms, such as hypothalamic-pituitary-adrenal (HPA) axis activity and inflammation, which are linked to impaired insulin sensitivity and glycemic control. Twenty participants with type 1 diabetes will receive weekly 45-60-minute Swedish massage sessions for five weeks. Biological outcomes include HbA1c, fasting glucose, copeptin, hs-CRP, IL-6, and TNF-α. Glycemic variability will be assessed using continuous glucose monitoring (CGM). Psychological outcomes include perceived stress (PSS-10) and anxiety (GAD-7). The study aims to explore feasibility, acceptability, and preliminary within-group effects on stress regulation and glycemic balance
Вмешательства
- Поведенческое Swedish massage
Participants receive Swedish massage once weekly for five consecutive weeks. Each 45-60-minute session is delivered by a licensed massage therapist using traditional Swedish techniques (kneading, gliding, and tapping) focusing on the back, shoulders, and neck. The intervention aims to promote relaxation and modulate stress-related biological systems. The study uses a single-group pre-post design to explore biological and psychological effects and feasibility.
Первичные конечные точки
- Concentration of HbA1c (mmol/mol) [Срок оценки: Change from baseline to within 7 days after the fifth massage session (5 weeks).]
- Concentration of Copeptin (pmol/L) [Срок оценки: Baseline and within 7 days after final massage (5 weeks).]
- Concentration of high-sensitivity C-reactive protein, hs-CRP (mg/L) [Срок оценки: Change from baseline to within 7 days after the fifth massage session (5 weeks).]
- Concentration of Interleukin-6 (IL-6) (pg/mL) [Срок оценки: Change from baseline to within 7 days after the fifth massage session (5 weeks).]
- Mean interstitial glucose (mmol/L) measured by continuous glucose monitoring (CGM) [Срок оценки: Change from baseline to within 7 days after the fifth massage session (5 weeks).]
- Glycemic variability (Coefficient of Variation, %), measured by CGM [Срок оценки: Change from baseline to within 7 days after the fifth massage session (5 weeks).]
- Time in Range (percentage of CGM readings between 3.9-10 mmol/L) [Срок оценки: Change from baseline to within 7 days after the fifth massage session (5 weeks).]
- Score on the Perceived Stress Scale-10 (PSS-10) [Срок оценки: Change from baseline to within 7 days after the fifth massage session (5 weeks).]
- Score on the Generalized Anxiety Disorder-7 (GAD-7) [Срок оценки: Change from baseline to within 7 days after the fifth massage session (5 weeks).]
- Concentration of fasting plasma glucose (mmol/L) [Срок оценки: Change from baseline to within 7 days after the fifth massage session (5 weeks).]
Вторичные конечные точки (2)
- Change in Systolic Blood Pressure [Срок оценки: Baseline and within 7 days after the final massage session (5 weeks).]
- Change in Diastolic Blood Pressure [Срок оценки: Baseline and within 7 days after the final massage session (5 weeks).]
Критерии участия
Критерии включения
- Adults (≥18 years) with type 1 diabetes ≥ 1 year
- Able to attend two assessment visits at Vrinnevi Hospital
- Uses CGM or equivalent system
- Able to communicate in Swedish and provide consent
Критерии исключения
- Severe diabetes complications (e.g., advanced neuropathy)
- Acute psychiatric disorder requiring treatment
- Contraindications to massage (e.g., thrombosis, fever, infection, recent surgery)
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Не применимо
- Модель
- Одна группа
- Маскирование
- Открытое
- Основная цель
- Фундаментальное исследование
Центры проведения
Швеция · 1 центр
- Peter Johansson — Norrköping
Идентификаторы
NCT: NCT07275086 · 2025-05625