Evaluation of Functional and Nutritional Parameters in Fit Acute Leukemia Patients

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-70
SponsorUniversity of Rome Tor Vergata

About this trial

This single-center observational prospective longitudinal study will assess cognitive, physical, and nutritional performance in acute leukemia patients undergoing intensive chemotherapy. Patients will provide informed consent prior to enrollment. Hematologists will oversee clinical management and approve evaluations, while physical and rehabilitation medicine specialists and a nutritionist will conduct assessments. Performance will be evaluated at admission, discharge, and three weeks (21 days) after starting chemotherapy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age above 18 years

Patients affected by Acute Leukemia

Inpatients performing intensive chemotherapy

Patients with no restrictions on mobilization

Disqualifiers

Age <18 years

Any medical condition that the attending doctor judges as limiting to perform study related tasks

Trial population

Acute Leukemia inpatients

Trial design

Design model

Case-only

Time perspective

Prospective

Treatments tested in this trial

  • observational follow up aimed at evaluating functional, physical, cognitive, and nutritional parameters

    Other intervention

    observational follow up aimed at evaluating functional, physical, cognitive, and nutritional parameters

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: Patients above 18 years, affected by Acute Leukemia, performing intensive chemotherapy1 intervention

Trial outcomes

Primary outcomes

1

Grip Force Test

A grip force test using a dynamometer, also known as a handgrip dynamometer, measures how much force a person can apply with their fingers and forearms. It's a tool used to assess hand grip strength.

Time frame
Initial evaluation (TO) at admission (+2 days) Intermediate evaluation (T1) at day 21 (+/- 1 day) after IC start Final evaluation (T2) at discharge (-2 days)
2

Modified Borg Scale (MBS)

The MBS is a subjective rating scale used to measure the intensity of physical activity. It ranges from 6 to 20 points, with 6 representing "no exertion" and 20 representing "maximal exertion." The scale is divided into four categories: 6-9 (very light), 10-12 (light), 13-15 (somewhat hard), and 16-20 (very hard). The MBS is commonly used to assess the intensity of exercise and to monitor individual responses to physical activity. It can be used by people of all ages and fitness levels

Time frame
Initial evaluation (TO) at admission (+2 days) Intermediate evaluation (T1) at day 21 (+/- 1 day) after IC start Final evaluation (T2) at discharge (-2 days)
3

Tampa Scale of Kinesofobia (TSK)

Individual item scores range from 1-4, with the negatively worded items (4,8,12,16) having a reverse scoring (4-1). The 17 item TSK total scores range from 17 to 68 where the lowest 17 means no or negligible kinesiophobia, and the higher scores indicate an increasing degree of kinesiophobia.

Time frame
Initial evaluation (TO) at admission (+2 days) Intermediate evaluation (T1) at day 21 (+/- 1 day) after IC start Final evaluation (T2) at discharge (-2 days)
4

Timed Up and Go (TUG)

Measure of function which correlates to balance and fall risk. Start timing on the word "GO" and stop timing when the subject is seated again correctly in the chair with their back resting on the back of the chair. ≤ 10 seconds = normal ≤ 20 seconds = good mobility, can go out alone, mobile without gait aid ≤ 30 seconds = problems, cannot go outside alone, requires gait aid \* A score of ≥ 14 seconds has been shown to indicate high risk of falls

Time frame
Initial evaluation (TO) at admission (+2 days) Intermediate evaluation (T1) at day 21 (+/- 1 day) after IC start Final evaluation (T2) at discharge (-2 days)

Secondary outcomes

1

Coin test

For this test, subjects sit at a table and are timed as they pick up four coins (2€, 50cents, 10cents, 5cents ) and place them in a cup. They are required to pick up each coin individually.

Time frame
Initial evaluation (TO) at admission (+2 days) Intermediate evaluation (T1) at day 21 (+/- 1 day) after IC start Final evaluation (T2) at discharge (-2 days)
2

Sock test

Subjects sit in a standard chair. They are timed as putting on one sock

Time frame
Initial evaluation (TO) at admission (+2 days) Intermediate evaluation (T1) at day 21 (+/- 1 day) after IC start Final evaluation (T2) at discharge (-2 days)
3

Back Scratch Test

distance between the two middle fingers, one arm from above and one from below behind the back

Time frame
Initial evaluation (TO) at admission (+2 days) Intermediate evaluation (T1) at day 21 (+/- 1 day) after IC start Final evaluation (T2) at discharge (-2 days)
4

Forward Bending Test

distance between middle fingers and ground

Time frame
Initial evaluation (TO) at admission (+2 days) Intermediate evaluation (T1) at day 21 (+/- 1 day) after IC start Final evaluation (T2) at discharge (-2 days)

Other outcomes

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