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Extracorporeal Shock Wave Therapy (ESWT) in the management of Decubitus ulceration in complex neurological disabilities
ISRCTN ISRCTN88965832
ClinicalTrials.gov identifier
Public title Extracorporeal Shock Wave Therapy (ESWT) in the management of Decubitus ulceration in complex neurological disabilities
Scientific title
Acronym N/A
Serial number at source N0204185326
Study hypothesis To assess whether ESWT improve the rate of healing of decubitus ulceration in people with complex neurological disabilities.
Ethics approval Not provided at time of registration
Study design Single blind crossover study
Countries of recruitment United Kingdom
Disease/condition/study domain Skin and Connective Tissue Diseases: Decubitus ulceration
Participants - inclusion criteria All patients in the Royal Hospital for Neuro-disability with decubitus ulceration who do not have exclusion criteria will be included in the study irrespective of age, level of disability or diagnosis.
The total number of patients at the Royal Hospital available for the study is expected to be 36.
Participants - exclusion criteria 1. Those patients who decline to receive treatment after the treatment has been explained to them
2. Those with bleeding disorders or who are on anticoagulant therapy
3. Decubitus ulceration of the chest wall (theoretical risk of lung damage from ESWT)
4. Decubitus ulceration of elbows and elbow creases (uncommon and difficult to access)
5. Ulceration of the ear (uncommon, difficult to access, risk of damage to brain)
6. Over a tumor site
Anticipated start date 01/10/2006
Anticipated end date 30/09/2007
Status of trial Completed
Patient information material
Target number of participants 36
Interventions The radiographer will be aware of the treatment (ESWT or placebo) and it is likely that the patient may sense some difference between treatments. The Research Nurse carrying out the measurements will be blind to the treatment.
The patient will either receive one dose of Shockwave therapy or placebo each week for four weeks then after two weeks wash out period the other treatment will be delivered, one dose each week for four weeks..
Primary outcome measure(s) The primary outcome will be the area of pressure sore healed by the end of one month period.
Secondary outcome measure(s) 1. Time to heal 50%
2. Time to complete healing
3. Site of ulceration
Sources of funding Royal Hospital for Neuro-disability
NHS R&D Support Funding
Trial website
Publications
Contact name Prof  Keith  Andrews
  Address Institute of Neuropalliative Rehabilitation
Royal Hospital for Neuro-disability
West Hill
Putney
  City/town London
  Zip/Postcode SW15 3SW
  Country United Kingdom
  Tel +44 020 8780 4534
  Fax +44 020 8780 4503
  Email kandrews@rhn.org.uk
Sponsor Record Provided by the NHSTCT Register - 2007 Update - Department of Health
  Address The Department of Health, Richmond House, 79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Fax +44
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.dh.gov.uk/Home/fs/en
Date applied 28/09/2007
Last edited 06/11/2007
Date ISRCTN assigned 28/09/2007
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