Protein supplementation may promote increases in strength and hypertrophy in the context of resistance training (RT) and reduce markers of inflammation, while sufficient levels of protein are necessary for healing certain wounds and maintenance of muscle mass in a protein depleted state. Protein supplementation could be useful to improve clinical outcomes.
Protein supplementation may promote increases in strength and hypertrophy in the context of resistance training (RT) and reduce markers of inflammation, while sufficient levels of protein are necessary for healing certain wounds and maintenance of muscle mass in a protein depleted state. Despite this, no studies have investigated the role of protein provision in the context of physical therapy (PT) or musculoskeletal rehabilitation, including following surgical interventions. Survey data of Americans in the highest protein consuming age range (19-30 year old consuming 91 g/kg body weight/day), show they have an adequate protein intake to maintain nitrogen balance at baseline (85 g/kg). However, if patients under consume protein, as apparent in older adults (mean intake of 66 g/kg) these individuals will require more during times of tissue healing or could benefit with more in attempting to build back their strength through RT or PT. Thus, protein supplementation could be useful to improve clinical outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Participants will receive Combat Protein Powder made by MusclePharm in an amount sufficient to take 80g daily until their next visit. They will be encouraged to ingest 40 g after exercise and 40 g before bed which will partly comprise their daily goal. They will be educated on the concept of complete high quality proteins, and that some proteins can facilitate muscle growth greater than others. Additionally, they will receive meal plan ideas and shopping tips that will facilitate healthy and economical protein consumption up to or beyond their daily goal.
Instructed not to alter their diet based on the app, and to continue to eat as they normally would.
Percentage of individuals that complied with treatment/intervention
Compliance among treatment group in meeting 2 g/kg protein goal as measured by protein tracking app and in protein supplements provided will be measured.
Time frame: up to 6 months
Percentage of frequency individuals successfully used the protein tracking app
Compliance in usage of protein tracking app will be recorded. The number of days they logged in and recorded their intake vs. total potential days to provide % value of diet protein compliance.
Time frame: up to 6 months
Percentage of physical therapy visits attended by individuals
Compliance in physical therapy will be recorded.
Time frame: up to 6 months
Percentage counseling sessions attended by individuals
Compliance in attending nutritional counseling sessions will be recorded.
Time frame: up to 6 months
Single Leg Hop Test
Functional healing time based on single leg hop test. The distance the participant hopped on one leg will be recorded and measured in centimeters. This will be done three times and an average will be given.
Time frame: baseline and up to 6 month
Six Meter Timed Hop Test
Functional healing time based six meter timed hop test. The time it took the participant to hop six meters on foot will be measured and recorded.
Time frame: baseline and up to 6 month
Change in strength in leg flexion and extension
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Strength in leg flexion and extension, as measured by Biodex machine
Time frame: baseline and up to 6 month
Change in muscle hypertrophy
depth of vastus medialis as measured at each nutritional advising appointment with counselor via ultrasound and thigh circumference.
Time frame: baseline and up to 6 month