Leg heat therapy to improve functional performance in peripheral artery disease
Study on Heat Therapy for Leg Circulation in People with Narrowed Leg Blood Vessels
Raghu Motaganahalli, MD
Primary Investigator
Brief description of study
Detailed description of study
- Participation involves attending in-person study visits at IU Methodist Professional Center Suite D3100 ‐ Vascular Lab in Indianapolis, IN. Participants will initially be asked to come to the laboratory on three different occasions to complete baseline testing.
- Before the treatment, at the end of the of treatment (12 weeks ± 7 days), and three months after the end of the treatment (12 weeks ± 7 days) you will have a series of exams, including: measurement of calf size and energy consumption using magnetic resonance imaging (MRI is a procedure in which radio waves and a powerful magnet linked to a computer are used to create detailed pictures of areas inside the body), and a series of walk, balance and strength tests.
- If a participant cannot have MRI done for any reason, that person can still take part in this study and will simply skip the MRI procedure.
- Participants will be randomly assigned, like the flip of a coin, to either the high heat therapy group or the low heat therapy group.
- Each participant will be given a leg heat therapy system (a pair of water‐circulating trousers and a portable pump) that will be mailed directly to the participant's home.
- Participants will be ask to apply the therapy every day for 90 min for 12 weeks in a row.
- Approximately 12 weeks after the end of the intervention (week 24 ± 7 days), participants will be asked to return for visit 6.
- The total duration of the study participation is 24 weeks.
- Participants will be compensated up to $500 via debit card for completing all of the study requirements.
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Peripheral artery disease, PAD
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Age: 60 years - 90 years
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Gender: All
- Diagnosis ofwer extremity peripheral artery disease
- Critical limb ischemia (ischemic rest pain or ischemia-related, non-healing wounds or tissue loss)
- Prior amputation
- Exercise tolerance limited by factors other than leg pain (e.g. angina, arthritis, severe lung disease, etc).
- Recent (<3 months) lower-extremity revascularization or orthopedic surgery
- Use of walking aid other than a cane
- Active cancer
- Chronic kidney disease (eGFR <30 by MDRD or Mayo or Cockcroft-Gault formula)
- Class 2 or 3 obesity (BMI ≥ 35 kg/m2)
- Unable to fit into water-circulating trousers
- A Mini-Mental Status Examination score <23
- Impaired thermal sensation in the leg
This study investigates whether daily heat therapy for 12 weeks can improve blood flow to the legs and walking ability in patients with peripheral artery disease. Peripheral artery disease is a condition where blood vessels in the legs become narrowed, reducing blood flow and causing pain during walking. The study is conducted at Indiana University’s Methodist Hospital and is by invitation only.
Participants will attend in-person visits at the hospital and undergo tests like MRI, which uses radio waves and a magnet to take pictures inside the body, and walking, balance, and strength tests. Participants are randomly assigned to either a high or low heat therapy group and will use a leg heat therapy system at home daily for 90 minutes over 12 weeks.
- Who can participate: Adults diagnosed with lower extremity peripheral artery disease can join. Exclusions include critical limb ischemia, prior amputation, and severe obesity (BMI ≥ 35 kg/m2).
- Study details: Participants will use a leg heat therapy system daily for 90 minutes for 12 weeks. They are randomly assigned to high or low heat therapy.
- Study timelines: The study will last 24 weeks.