Pedal Movement - Implementing Cycling as a Mobility Option
- Conditions
- Ileus
- Interventions
- Behavioral: Cycle Therapy
- Registration Number
- NCT06412991
- Lead Sponsor
- Wake Forest University Health Sciences
- Brief Summary
Cycling has been a proven exercise for decades as a low impact option to strengthen the lower body and improve cardiovascular health. There is also evidence that cycling helps to stimulate the contraction of the muscles in the intestine. Other outcomes frequently examined when considering benefits of ambulation include decreased rates of venous thromboembolic events, pneumonia, and decreased hospital length of stays. Therefore, there is added value to consider alternate mobility modalities.
- Detailed Description
Ileus is a common post operative occurrence, one that not only causes patient discomfort but also contributes to considerable economic impact and can potentially progress to other serious complications. Historically ileus has been difficult to define. Review of the literature produces a general definition to include a varying time frame upon which a patient is not tolerating an oral diet, unable to pass flatus or stool, symptoms of nausea, vomiting, and sometimes abdominal pain. Small bowel obstruction, while different pathophysiology than ileus, presents similar manifestations. Often ileus and small bowel obstruction follow the same pathway aimed at attempted resolution with attempts at conservative management. Efforts to resolve ileus and nonoperative small bowel obstruction include bowel rest, nasogastric decompression, and encouraging mobility. Many studies support the practice of mobilization through ambulation as an effort to encourage return of bowel function. What is lacking in review of the literature however are other modalities to offer the patient in efforts to assist and encourage patients to mobilize outside of ambulation.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 76
- Admission to NorthEast Acute Care Surgery
- Admitted on Post Surgical Care 1 unit
- Diagnosis of small bowel obstruction
- Diagnosis of ileus
- Any patient that has had intestinal surgery
- Age 18-90
- Age < 18
- Pregnancy
- Incarceration
- Non-English speaking
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Cycle therapy Cycle Therapy The patient will either ambulate a short distance to recumbent bike which will be stored on the postsurgical 1 unit or be assisted out of bed to use floor cycle bike. After the patient demonstrates individual competency with either cycle modality, the patient may participate in this activity with nursing staff but will not require Physical Therapy (PT) presence at the time of use. This will allow the patient to participate multiple times a day if they choose.
- Primary Outcome Measures
Name Time Method Length of time to first flatus Day 30 Length of time to first flatus
Length of time to first Bowel Movement (BM) Day 30 Length of time to first Bowel Movement
- Secondary Outcome Measures
Name Time Method Rates of Venous thromboembolism (VTE) Day 30 VTE occurrence within 30 days post discharge
Rates of pneumonia Day 30 Pneumonia occurrence within 30 days post discharge
Hospital length of stay Day 30 Length of hospital stay
Trial Locations
- Locations (1)
Northeast Acute Care Surgery
🇺🇸Concord, North Carolina, United States