AzTrials
AzTrials

Pressure UlcerNCT03220451

Use of Adhesive Elastic Taping for the Therapy of Medium/Severe Pressure Ulcers in Spinal Cord Injured Patients

A study testing Adhesive elastic taping in people with Pressure Ulcer and Spinal Cord Injuries, run by Montecatone Rehabilitation Institute S.p.A. at 1 site in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

All patients with a significant deficiency of skin sensitivity and reduced mobility are potentially at risk of Pressure Ulcers (PUs), in particular the persons affected by Spinal Cord Injury (SCI), also due to their frequent alteration or loss of subcutaneous skin sensitivity. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Pressure Ulcer, Spinal Cord Injuries
What is being tested?
Adhesive elastic taping
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteItaly
Study dates
25 Sep 2017to 20 Mar 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Spinal cord injury of any aetiology (traumatic and non-traumatic) and any neurological level, both complete and incomplete, occurred at least 3 months before;
  • Pressure ulcer occurred at least 1 month before;
  • Pressure ulcer staged III or IV, according to the National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel (NPUAP/EPUAP) classification;
  • Pressure ulcer located in sacral or heel region;
  • Pressure ulcer with cleansed bottom;
  • Stable clinical conditions;
  • Cognitive integrity and full collaboration of the subject.

Who cannot join

  • Ulcerative skin lesion not due to pressure;
  • Pressure ulcer with frank signs of infection or suggestive of underlying osteomyelitis;
  • Eczema and/or irritated and/or psoriatic skin around the pressure ulcer;
  • Ongoing deep venous thrombosis;
  • Known allergy to elastic adhesive tape;
  • Ongoing neoplasia;
Show all 14Show fewer
  • Uncompensated diabetes with signs of peripheral vasculopathy;
  • Evidence of peripheral polyneuropathy;
  • Circulatory problems (e.g. severe lower limb artery disease);
  • Significant respiratory problems (e.g. with ongoing assisted ventilation);
  • Ongoing sepsis;
  • Ongoing severe clinical instability;
  • Ongoing oral anticoagulant therapy;
  • Ongoing pregnancy.

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Montecatone Rehabilitation Institute S.p.A.

    Imola, BO, 40026

Other trials in Italy

About this study

Official title: Pilot Study on the Use of Adhesive Elastic Taping as "add-on" Treatment for the Therapy of Medium/Severe Grade Pressure Ulcers in Spinal Cord Injured Patients

All patients with a significant deficiency of skin sensitivity and reduced mobility are potentially at risk of Pressure Ulcers (PUs), in particular the persons affected by Spinal Cord Injury (SCI), also due to their frequent alteration or loss of subcutaneous skin sensitivity. Pressure sores are one of the most common and fearful complications in SCI, with a severe impact on quality of life and on care health costs. They are often the cause of lengthening the time of hospitalization, slowing down clinical and rehabilitation programs and re-hospitalization.

PUs, when arisen, heal slowly and, despite the protracted conservative medical therapies, sometimes they do not come to complete healing. Sometimes plastic surgery is needed, although even after it recurrence rates remain high.

Read more

Further treatments have been proposed in addition to the usual medication, however they are characterized by a certain degree of invasiveness and are often conditioned by the availability of specific and sometimes expensive equipment, as well as by the presence of highly qualified personnel. In general, there is also a lack of good quality clinical trials for assessing their effectiveness and safety and they are often not decisive, especially for severe and recalcitrant ulcers.

Among alternative techniques for the healing of skin ulcers in general, the adhesive elastic bandage, also known as "kinesio taping" and already recognized for the treatment of edema, hematoma and scarring, has been proposed. However, specific protocols and published studies are not available for PUs.

The Montecatone Rehabilitation Institute, that hosts the largest Spinal Unit in Italy, pays great attention to the prevention and treatment of PUs in both acute and chronic patients. The rationale for the taping positioning around PUs investigated in this study is to improve lymphatic drainage and reactivation of the superficial bloodstream by increasing interstitial spaces and reducing skin and subcutaneous compression, notoriously compromised in the areas of onset of pressure sores. The total shortage in the literature and in user manuals of taping protocols for PUs supports this preliminary, exploratory, descriptive and uncontrolled pilot study with the primary aim of verifying the safety of a taping treatment for medium/severe grade PUs, "add-on" to the usual care. The choice of the ulcer sites selected (sacral and heel) has been affected by the feasibility of tape positioning.

Read the detailed description

All patients with a significant deficiency of skin sensitivity and reduced mobility are potentially at risk of Pressure Ulcers (PUs), in particular the persons affected by Spinal Cord Injury (SCI), also due to their frequent alteration or loss of subcutaneous skin sensitivity. More than one-third of individuals hospitalized in Spinal Units for rehabilitative treatments following a SCI develop PUs during acute hospitalization and it was also estimated that up to 85% of SCI persons develop at least one PU in the course of their lives. Pressure sores are therefore one of the most common and fearful complications in SCI, with a severe impact on quality of life and on care health costs. They are often the cause of lengthening the time of hospitalization, slowing down clinical and rehabilitation programs and re-hospitalization.

PUs, when arisen, heal slowly and, despite the protracted conservative medical therapies, sometimes they do not come to complete healing. Sometimes plastic surgery is needed, although even after it recurrence rates remain high.

Traditional treatment of PUs consists in the use of advanced dressings that may vary depending on the degree of staging of the lesion, its extent and the presence of clinical signs of necrosis and/or deep soft tissue infection. In addition to dressings, treatment cycles with intermittent negative pressure therapy can be indicated and the surgical approach (toilets + plastic reconstruction) could be reserved to chronic lesions with no response to traditional dressings or in the case of underlying osteomyelitis.

Alternative treatments (e.g. electrotherapy, pulsed electromagnetic fields, ultraviolet light, infrared radiation, laser therapy, ultrasound, shock waves) have been proposed in addition to the usual medication, however they are characterized by a certain degree of invasiveness and are often conditioned by the availability of specific and sometimes expensive equipment, as well as by the presence of highly qualified personnel. In general, there is also a lack of good quality clinical trials for assessing the effectiveness and safety of such techniques that are often not decisive for healing, especially for severe and recalcitrant lesions.

Among alternative techniques for the healing of skin ulcers in general, the adhesive elastic bandage, also known as "kinesio taping" or "neuro taping" and already recognized for the treatment of edema, hematoma and scarring, has been proposed. However, specific protocols and published studies are not available for PUs.

The Montecatone Rehabilitation Institute hosts the largest Spinal Unit in Italy as for number of beds and patients admitted. In addition to the intensive rehabilitation of SCI patients, great attention is paid to the prevention and treatment of PUs in both acute and chronic patients, involving physicians, physiotherapists and nurses. Some Physical Therapists of the Hospital are trained and experienced in the use of adhesive elastic bandage for various neuromuscular applications and a physiotherapy/nursing team has conceived, under medical supervision, the taping protocol for the PUs therapy proposed in this study. The rationale for such a taping positioning around PUs is to improve lymphatic drainage and reactivation of the superficial bloodstream by increasing interstitial spaces and reducing skin and subcutaneous compression, notoriously compromised in the areas of onset of pressure sores. Therefore, it is considered that, thanks to the normalization of blood and lymphatic flow, the proposed protocol may have a facilitating action to heal such lesions, especially if they are severe and recalcitrant to normal therapies.

The total shortage in the literature and in user manuals of taping protocols for PUs supports this preliminary, exploratory, descriptive and uncontrolled pilot study with the primary aim of verifying the safety of a taping treatment for medium/severe grade PUs, "add-on" to the usual care. The choice of the ulcer sites selected (sacral and heel) has been affected by the feasibility of tape positioning.

Being tested
Adhesive elastic taping
Keywords
pressure ulcer, pressure sore, decubitus ulcer, spinal cord injury, adhesive elastic bandage, taping, kinesio taping, neuro taping
Medical subject headings
Pressure Ulcer, Spinal Cord Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Adhesive elastic tapingProcedure or surgery

    Adhesive elastic taping placed around a pressure ulcer, according to a planned placement technique

Study groups in NCT03220451
Study groupRoleWhat they receive
Adhesive elastic tapingExperimentalAfter a 4-week observation of the pressure ulcer under investigation, adhesive elastic tape is applied around it for a 4-week period (the tape is changed twice a week), according to a planned application protocol. The ulcer is then observed for a subsequent follow-up period of 4 weeks.
Receives: Procedure: Adhesive elastic taping

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Onset of possible adverse events due to the taping treatment

    Visual daily monitoring of possible adverse events, due to the adhesive elastic taping treatment

    Measured: Every day, during the 4-week tape application period

  2. Onset of possible adverse events due to the adhesive elastic taping treatment

    Visual daily monitoring of possible adverse events, due to the adhesive elastic taping treatment

    Measured: Every day, during the 4-week follow-up after the tape application period

  3. Onset of possible events hindering the healing of the pressure ulcer under investigation, due to the taping treatment

    Visual daily monitoring of possible events hindering the healing of the pressure ulcer under investigation, due to the adhesive elastic taping treatment

    Measured: Every day (during the 4-week tape application period)

  4. Onset of possible events hindering the healing of the pressure ulcer under investigation, due to the taping treatment

    Visual daily monitoring of possible events hindering the healing of the pressure ulcer under investigation, due to the adhesive elastic taping treatment

    Measured: Every day (during the 4-week follow-up after the tape application period)

Secondary outcomes (16)
  1. Evolution of the characteristics of the pressure ulcer under investigation

    Pressure ulcer assessment with Bates-Jensen Wound Assessment Tool (BWAT), once a week

    Measured: Baseline (initial visit); once a week during the whole study period (12 weeks)

  2. Evolution of the characteristics of the pressure ulcer under investigation

    Photographic shot of the pressure ulcer

    Measured: Baseline (initial visit); week 4; week 8; week 12

  3. Patient's weight

    Patient's weight, in kilograms (kg)

    Measured: Baseline (initial visit)

  4. Patient's height

    Patient's height, in meters (m)

    Measured: Baseline (initial visit)

  5. Patient's Body Mass Index (BMI)

    Patient's BMI assessment (as one of the nutritional status indicators): Patient's weight and Patient's height are combined as kg/m^2

    Measured: Baseline (initial visit)

  6. Change in patient's blood hemoglobin

    Dosage of blood hemoglobin (as one of the nutritional status indicators): grams per deciliter

    Measured: Baseline (initial visit); week 4; week 8; week 12

  7. Change in patient's blood number of lymphocytes:

    Dosage of blood number of lymphocytes (as one of the nutritional status indicators): billions per liter

    Measured: Baseline (initial visit); week 4; week 8; week 12

  8. Change in patient's blood albumin

    Dosage of blood albumin (as one of the nutritional status indicators): grams per deciliter

    Measured: Baseline (initial visit); week 4; week 8; week 12

  9. Change in patient's blood prealbumin

    Dosage of blood prealbumin (as one of the nutritional status indicators): milligrams per deciliter

    Measured: Baseline (initial visit); week 4; week 8; week 12

  10. Change in patient's blood total proteins

    Dosage of blood total proteins (as one of the nutritional status indicators): grams per deciliter

    Measured: Baseline (initial visit); week 4; week 8; week 12

  11. Change in patient's blood transferrin

    Dosage of blood total transferrin (as one of the nutritional status indicators): milligrams per deciliter

    Measured: Baseline (initial visit); week 4; week 8; week 12

  12. Onset of patient's pain

    Pain assessment with Numeric Rating Scale (NRS), twice a day (morning and evening) during the whole study period (12 weeks)

    Measured: Baseline (initial visit); twice a day, during the whole study period (12 weeks)

  13. Site of patient's pain (if any)

    Description of the site of possibly observed pain, twice a day (morning and evening) during the whole study period (12 weeks)

    Measured: Baseline (initial visit); twice a day, during the whole study period (12 weeks)

  14. Change of patient's spasticity

    Spasticity assessment with the Modified Ashworth Scale (MAS)

    Measured: Baseline (initial visit); week 2; week 4; week 6; week 8; week 10; week 12

  15. Tape employed for taping treatment

    Quantification of total tape employed for the taping application treatment for each pressure ulcer (in meters)

    Measured: End of tape application period (week 8)

  16. Time-operator employed for taping treatment

    Quantification of total time-operator employed for the taping application treatment for each pressure ulcer (in minutes)

    Measured: End of tape application period (week 8)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jul 2017
  2. Study start25 Sep 2017
  3. Primary completion20 Mar 2020
  4. Study completion20 Mar 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03220451
Sponsor's protocol ID
CE-17083
Status last verified
Jan 2021
First submitted
11 Jul 2017
Last updated
20 Jan 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Adhesive elastic taping in people with Pressure Ulcer and Spinal Cord Injuries, run by Montecatone Rehabilitation Institute S.p.A. at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Onset of possible adverse events due to the taping treatment (time frame: Every day, during the 4-week tape application period). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jan 2021; AzTrials last refreshed its copy on 7 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in