Spinal Muscular Atrophy and Cardiac Autonomic Function
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Purpose
Respiratory dysfunction is the major cause of morbidity and mortality in patients with spinal muscular atrophy (SMA). Air stacking is a clearance airway technique frequently used but its effects on cardiac autonomic function in patients with spinal muscle atrophy is not clear.
Objective: To evaluate the acute effect of air stacking and posture on cardiac autonomic function in patients with spinal muscular atrophy types II and III.
Methods: Patients with spinal muscle atrophy type II and III will be recruited. Electrocardiogram signals will be recorded for analyses of heart rate variability during air stacking in supine and sitting position.
| Condition | Intervention |
|---|---|
|
Spinal Muscular Atrophy |
Procedure: Air stacking manuever |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Spinal Muscular Atrophy and Cardiac Autonomic Function |
- Cardiac autonomic function [ Time Frame: Thirty minutes during air stacking manuever ] [ Designated as safety issue: Yes ]Evaluation of heart rate variability in patients with spinal muscular atrophy
| Enrollment: | 9 |
| Study Start Date: | January 2011 |
| Study Completion Date: | October 2011 |
| Primary Completion Date: | August 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Air stacking
Electrocardiogram signals were recorded for analyses of heart rate variability during air stacking in supine and sitting position.
|
Procedure: Air stacking manuever
Electrocardiogram signals were recorded for analyses of heart rate variability during air stacking in supine and sitting position
Other Name: HRV during air stacking
|
Detailed Description:
Background: Respiratory dysfunction is the major cause of morbidity and mortality in patients with spinal muscular atrophy. Air stacking is a clearance airway technique frequently used but its effects on cardiac autonomic function in patients with spinal muscle atrophy is not clear.
Objective: To evaluate the acute effect of air stacking and posture on cardiac autonomic function in patients with spinal muscular atrophy types II and III.
Methods: Patients with spinal muscle atrophy type II and III will be recruited. Electrocardiogram signals will be recorded for analyses of heart rate variability during air stacking in supine and sitting position. Data will collected before, during and after air stacking and will be compared using Anova Repeated Measures or Kruskal-Wallis Anova on Ranks, followed by Tukey test. The relationship between heart rate variability indexes and age will be evaluated by Pearson correlation. Significant level will be set at 5%.
Eligibility| Ages Eligible for Study: | 5 Years to 25 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- diagnosis of SMA types II and III,
- absence of acute respiratory disease in the last two weeks,
- agreement to participate in the study,
- according written informed consent and
- at least 5 years old.
Exclusion Criteria:
- respiratory disease in the last two weeks
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Cristina Marcia Dias, Professor DSc, Centro Universitário Augusto Motta |
| ClinicalTrials.gov Identifier: | NCT01522079 History of Changes |
| Other Study ID Numbers: | Dias |
| Study First Received: | January 24, 2012 |
| Last Updated: | January 26, 2012 |
| Health Authority: | Brazil: National Committee of Ethics in Research |
Keywords provided by Centro Universitário Augusto Motta:
|
spinal muscular atrophy heart rate variability posture air stacking |
Additional relevant MeSH terms:
|
Muscular Atrophy Muscular Atrophy, Spinal Atrophy Neuromuscular Manifestations Neurologic Manifestations Nervous System Diseases Pathological Conditions, Anatomical |
Signs and Symptoms Spinal Cord Diseases Central Nervous System Diseases Motor Neuron Disease Neurodegenerative Diseases Neuromuscular Diseases |
ClinicalTrials.gov processed this record on May 16, 2013