Spinal Cord Stimulation Improves Pain, Arterial Stiffness and Vascular Flow in Lower Extremities in Patients With Diabetes Mellitus Type II A Multidisciplinary Collaborative Prospective Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 25
- 试验地点
- 1
- 主要终点
- Improve vascular changes
研究概览
简要总结
The objective of this study is to assess the effect Spinal Cord Stimulators have toward improving vascular changes of diabetes mellitus in patients eligible for SCS placement based on their condition of painful diabetic neuropathy; we will evaluate improving their disability and quality of life, improving micro-circulatory changes induced by Diabetes Mellitus (DM), improving macro-circulatory changes induced by DM and improving arterial stiffness of the vessels of the lower extremity.
详细描述
This is a single-center, pilot study to investigate a preventative modality, spinal cord neuromodulation, that would contribute to reversing the physiologic changes that occur in the lower extremities of diabetic patients. Patients who have been diagnosed with DM type II for at least 1 year and refractory painful diabetic peripheral neuropathy of the lower extremities who are scheduled to receive a spinal cord stimulator may be enrolled in this study pending eligibly for all other criteria.
Once eligibility and consent have been confirmed, each subject will go through a baseline visit where data will collected through a series of questionnaires, a clinical and psychological evaluation by a licensed professional. Subjects will be asked to come back for a series of vascular test prior to their device implantation. This vascular testing will be done at the vascular lab at the University of Chicago Medical Center by trained vascular physicians and techs.
Prior to any study related procedures, all subjects must first sign the approved ICF. This will be performed by the PI or an approved member of the study staff who has been delegated by the PI do so and in a private setting with ample time given to the subject to review and ask any questions regarding the study. Once the ICF has been signed, a copy will be given to the subject and the original will be placed in their research or medical chart.
Background Data
Once the ICF has been complete, demographic data such as name, age, gender will be collected. Along with demographic information, we will collect medical, surgical and medication history for each subject at the initial baseline visit.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with DM type 2 of more than 1-year duration
- •DM stage 3 or less
- •Patients ≥18 years of age
- •Refractory painful diabetic peripheral neuropathy of the lower extremities
- •ABI index <0.9
排除标准
- •Patients on anticoagulants
- •Patients with active infections
- •Patients with HbA1>10
- •Psychiatric disorders and cognitive dysfunctions
- •Illicit Drug Usage
- •Patients on dialysis
- •Surgery within the last 30 days
- •Ulcer of the lower extremities
- •Calcification of the peripheral arteries
研究组 & 干预措施
Diabetic patients receiving a spinal cord stimulator
Patients that have been seen in the diabetic foot clinic will be evaluated for participation in the study once they have been referred to one of our pain clinics.
结局指标
主要结局
Improve vascular changes
时间窗: 6 Weeks
Improve vascular changes (macroscopic: color, edema, ulceration, etc)
Vascular improvement on lower extremities with the Toe Brachial Index (TBI)
时间窗: 6 Weeks
Collect data on possible macrovascular improvement in lower extremities by performing the TBI test
Vascular improvement on lower extremities with the Doppler Flowmetry
时间窗: 6 Weeks
Collect data on possible macrovascular improvement in lower extremities by performing the Doppler Flowmetry
Vascular improvement on lower extremities with the Ankle Brachial Index (ABI)
时间窗: 6 weeks
Collect data on possible macrovascular improvement in lower extremities by performing the ABI test
次要结局
- Patients' Global Impression of Change (PGIC)(6 Weeks)
- Improve neuropathy markers by using Clinical Neurological Exam (CNS)(6 Weeks)
- Oswestry Low Back Pain Disability Questionnaire (ODI)(6 Weeks)
- Short-form McGill Pain Questionnaire ( SF-MPQ)(6 Weeks)
- Improve neuropathy markers by using the MICHIGAN DIABETIC NEUROPATHY SCORE (MDNS)(6 weeks)
- Health-related quality of life (H-RQol)(6 Weeks)
- Vascular improvement on lower extremities by performing the flow mediated arterial dilation test(6 Weeks)
- Show Improvement in pain in patients with painful diabetic neuropathy(6 Weeks)
- Medication Quantification Scale Version III (MQS-III)(6 Weeks)
