Clinical Trials

REACT-Led Clinical Trials in Medical Rehabilitation

The following clinical trials are led by REACT Center investigators. Please click to learn more or contact us.

MASTERS Trial - Metformin to Augment Strength Training Effective Response in Seniors
This randomized, placebo-controlled trial - a collaboration between two major academic medical centers (University of Kentucky and University of Alabama at Birmingham) - is designed to determine if the addition of a medication (Metformin) will improve the effectiveness of strength training in older adults. The overall goal is to establish a low cost, personalized approach to prevent frailty in older adults.
Funding: NIH R01AG046920
Principal Investigators: Charlotte Peterson, PhD, Phil Kern, MD, Marcas Bamman, PhD
Institutions: Univ. Kentucky and UAB Identifier: NCT02308228

Overcoming TWEAK Signaling to Restore Muscle and Mobility after Joint Replacement
This randomized clinical trial is designed to test the central hypothesis that progressive resistance training plus adjunctive funcational mobility training after THA/TKA will more effectively restore muscle mass and mobility function to healthy standards than usual care and, because individuals with abnormally high muscle TWEAK signaling are predicted to suffer failed muscle recovery and persistent dismobility under usual care, the impact of the intervention will be greatest among these patients.
Funding: NIH R01HD084124
Principal Investigators: Marcas Bamman, PhD; Lou Bridges, MD, PhD
Institutions: UAB and UAMS Identifier:NCT02628795

Precision High-Intensity Training Through Epigenetics (PHITE)
The PHITE program will explore the link between physical training and epigenetics and will use that understanding to (1) identify training methodologies that modify epigenetics responses; (2) characterize epigenetic regulation of physiological processes, pathways, and mechanisms associated with moderate and high-intensity physical training: and (3) produce real-time biomarkers of cardiorespiratory and neuromuscular performance that predict physical training outcomes.
Funding: Department of Defense MURI
Principal Investigators: Timothy J. Broderick, MD (Wright State), Marcas M. Bamman, PhD (UAB)
Institutions: Wright State University Boonshoft School of Medicine, Wright State University, The Salk Institute, UAB

Effects of a High Intensity Exercise Training Program in Patients With Parkinson's Disease
The purpose of this randomized, controlled interventional study is to determine the effects of a high intensity exercise training program on objective sleep measures, daytime sleepiness, mobility, and brain health/functional connectivity in patients with Parkinson's disease.
Contact the study team: Dr. Amara (principal investigator) 205-934-0683; Dr. Wood 205-996-7938 Identifier: NCT02593955

ACES Trial – Antihypertensives Combined with Exercise for Seniors with hypertension
The purpose of this project is to conduct a randomized, controlled trial (RCT) to determine if choice of antihypertensive medication influences changes in functional status and other cardiovascular risk factors among older persons with hypertension. Sedentary men and women > 60 years of age with functional limitations and hypertension will be recruited from two sites to participate in a longitudinal intervention trial. Participants will be randomly assigned to one of three first-line antihypertensive agents and participate in a structured aerobic exercise intervention. This study is expected to differentiate beneficial effects of three FDA-approved antihypertensive medications on established and emeriging cardiovascular risk factors in a clinically-relevant population.
Funding: NIH R01AG056769
PIs: Thomas Buford, PhD, UAB; Wendy Kohrt, PhD, Univ. of Colorado identifier: Pending
Contact: Call 205-930-8597.

Simulated-altitude to Optimize Aerobic Exercise among Breast Cancer Survivors with Limited Mobility
Are you a breast cancer survivor having difficulty walking? Do you have any lower-body pain that is restricting your mobility? If so, you may be interested in taking part in an exercise training intervention. UAB researchers are currently looking for overweight women with a history of breast cancer to participate in a novel exercise training study. Volunteers will be asked to attend two assessment sessions, before and after 8 weeks of supervised exercise training, to collect information concerning your health status. Volunteers must be 18-70 years of age with a body mass index between 30-45 kg/m2. Further eligibility screening will be conducted by telephone for those interested. Volunteers must reside in or near Jefferson County, Alabama. The goal of the study is to evaluate a novel exercise training strategy designed to mimic exercise at higher altitude to support improved health and mobility among breast cancer survivors.
Contact: Dr. Stephen J. Carter (205.975.0269 or or the UAB Exercise and Cancer Research Team (205.934.5466 or

Scale Up Evaluation of a Physical Activity Program for Adults with Physical Disability-R01HD085186
The study uses a theory-driven eHealth platform and innovative PA program referred to as movement-to-music (M2M) to deliver a customized, home-based PA intervention for adults with physical disability. Participants will be recruited through a large physical medicine and rehabilitation network of clinics specializing in treating patients with physical disability. Clinicians and their patients will be cluster randomized to one of three groups: a) M2M; b) M2M plus social networking (M2Mplus); and c) attention control (AC). Participants will be followed for 48 weeks to obtain objective measures on physical activity, fitness and self-reported measures on health at four time points. Participant physicians will receive information on their patients’ progress (i.e., adherence and outcomes) across the 48-week study period. The study will compare the effectiveness of M2M and M2Mplus in increasing physical activity and adherence compared to the AC group, estimate the improvements in health of M2M and M2Mplus compared to the AC group, and examine the mediators and moderators of the hypothesized treatment effect to understand for whom and how the intervention is effective.
Principal Investigator: James Rimmer, PhD; Co-Investigator: Amie McLain, MD

Effects of Exercise on Memory Deficits and Brain Network Connectivity in Patients with Epilepsy
The objective of this pilot study is to investigate the effects of a 6-week structured exercise program on memory function and associated brain network connectivity in persons with epilepsy (PWE). Despite the benefits of physical exercise on cardiovascular and psychological health, and its potential to improve seizure control and overall quality of life in PWE, patients are often cautioned against vigorous exercise. Only a few studies of supervised exercise in PWE have been conducted, and these have mainly investigated the influence of exercise on seizure frequency. There is a paucity of studies investigating the effects of physical exercise on cognition in PWE. Memory impairment is a frequently reported cognitive problem by PWE and is a common factor contributing to poor quality of life in PWE. Successful completion of this project will provide preliminary data to inform the development of future research applying exercise to help improve cognitive abilities in PWE. Support for this project is provided by the UAB Faculty Development Grant Program, the UAB Epilepsy Center, the Civitan International Research Center, and the UAB Center for Exercise Medicine Research Acceleration Program.
Research Team: Jane B. Allendorfer, PhD (PI), Marcas M. Bamman, PhD, Lawrence W. VerHoef, MD, Jerzy P. Szaflarski, MD, PhD, Roy Martin, PhD.
Contact: Dr. Jane Allendorfer, 205-934-3866 or

Exercise Intervention to Improve Functional Capacity in Older Adults with HIV
The purpose of this study is to evaluate the impact of a 16-week resistance and interval intensity training program for older adults with HIV on mitochondrial function and frailty risk. Participants will be HIV+ men and women between the ages of 55 and 85.
Study Visits: Participants will complete one screening visit at the beginning of the study and one follow-up visit at week 16. There will be three visits each week for exercise training at the UAB Center for Exercise Medicine over the 16-week training period. Support for this project is provided by the UAB Center for Exercise Medicine and the CCTS.
Research Team: Mandy Willig, PhD, RD, Turner Overton, MD, Marcas Bamman, PhD, Victor Darley-Usmar, PhD
Contact: Dr. Mandy Willig at 205-975-5464 or

Counseling and Exercise (CALM) Research Study
The purpose of this study is to evaluate ;the effects of 12 weeks of exercise alone or exercise plus counseling on weight loss, fitness, cholesterol, triglyceride, blood sugar levels, behavior and mental health in overweight females between the age of 25 and 44.
CALM Study Research Team: Jane Roy, PhD (PI), Sean Hall, PhD, Eric Plaisance, PhD, Larrell Wilkinson, PhD, Larry Tyson, PhD
Contact: Dakota at 205-996-1656 or, or Dr. Jane Roy at 205-934-1757.

U01CA136859 Enhancing Physical Activity Adherence after Breast Cancer Diagnosis: Randomized Trial (BEAT Study)
The purpose of the study is to compare the effects of a walking program on long term exercise adherence and on changes in health related outcomes after breast cancer diagnosis. Volunteers will be asked to attend four fitness assessments within a year and may be asked to attend twelve supervised exercise sessions and six group sessions within a 3-month period. You will also have your metabolism measured through two techniques.
No medications or treatments other than exercise will be given as part of the study. All individual exercise sessions will be supervised by trained exercise specialists.
We hope the study results help us to better understand breast cancer and benefit patients with this disease in the future. Studies such as these would not be possible without volunteers.
Please contact the Exercise and Cancer Research Team at (205) 975-1247 if you would like to learn more about the study.
BEAT Study Team: PI: Laura Rogers, MD MPH (UAB), Co-Investigators: Philip Anton, PhD (SIUC), Edward McAuley, PhD (Illinois), Kerry Courneya, PhD (University of Alberta), Patricia Hopkins-Price, PhD (SIUSOM), Robert Mocharnuk, MD (SIUSOM), Steve Verhulst, PhD (SIUSOM), Sandra Vicari, PhD (SIUSOM), Robert Oster, PhD (UAB)

Healthy Eating Activity Rest Together (HEART) Matters
The HEART Matters Program is a way to promote healthy behaviors among Black men. Through funding from a MHRC grant, the program offers health coaching from Dr. Larrell Wilkinson to Black men ages 24-64 who are overweight or obese and have a desire to become healthier. The program aims to promote a more active lifestyle, a healthier diet, stress management and resting among Black men. The grant also allows for the training of men to become leaders in their peer groups to help other men become healthier. The health coaching approach used embraces a philosophy of placing the individual first and weight management second. The hope of the HEART Matters Program is to unite African American men in solidarity to help one another improve their health, their quality of life, and take the lead on health issues in their families.
Contact: Dr. Larrell Wilkinson
HEART Matters Team: PIs: Larrell Wilkinson, PhD, Eric Plaisance, PhD

MARS - Machines Assisting Recovery from Stroke: Robotic Activity Mobility Center in a Fitness Center for People with Neurologic Disability
This study, funded by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR), compares walking outcomes associated with two different training programs in people who have experienced a stroke. The two training programs are each a 10 week intensive treadmill training program with 5 different exercise regimens. Both forms of training make use of a robotic device called the KAMX. The KAMX is a robotic device that allows full freedom of motion for the body and pelvis during walking and balance tasks, and also helps to control posture to enhance balance and stability. Dr. David A. Brown, Professor of Rehabilitation Science and his team are currently recruiting individuals who have experienced a stroke and who have difficulty with walking and balance.
Contact: The UAB LocoLab

Please visit our Medical Rehabilitation Research Resource (MR3) Network Clinical Trials page for additional resources.

Current Clinical Trials in Medical Rehabilitation

View recent clinical trials in medical rehabilitation from

May 14, 2018
Clinical Practice Guidelines for Neck and Low Back Pain in Outpatient Physical Therapy
Conditions:   Neck Pain;   Low Back Pain
Interventions:   Behavioral: Clinical Practice Guideline Implementation;   Other: Standard Care
Sponsors:   University of Florida;   Center on Health Services Training and Research (CoHSTAR);   Brooks Rehabilitation
Not yet recruiting
May 24, 2018
Measurement and Training of Dual-Task of Gait in Persons With Multiple Sclerosis
Conditions:   Multiple Sclerosis;   Gait Disorders, Neurologic;   Cognitive Impairment
Interventions:   Other: Dual-task gait;   Other: Single-task gait
Sponsors:   Texas Woman's University;   TIRR Memorial Hermann;   The University of Texas Health Science Center, Houston
May 23, 2018
Optimizing Treatment Response in VA Specialized Intensive/Inpatient PTSD Programs
Condition:   PTSD
Intervention:   Behavioral: Group PE
Sponsor:   VA Office of Research and Development
Not yet recruiting
May 14, 2018
TBI Care: Collaborative Care for Pain After Traumatic Brain Injury (TBI)
Conditions:   Brain Injuries, Traumatic;   Chronic Pain;   Post-Traumatic Headache
Intervention:   Behavioral: Collaborative Care
Sponsors:   University of Washington;   National Institute on Disability, Independent Living, and Rehabilitation Research
Not yet recruiting
May 22, 2018
Cost Effectiveness of OMT for Chronic Low Back Pain
Conditions:   Lumbar Radiculopathy;   Lesion of Sciatic Nerve, Left Lower Limb;   Lesion of Sciatic Nerve, Right Lower Limb;   Lumbar Spinal Stenosis;   Lumbar Spondylosis;   Lumbago With Sciatica, Left Side;   Lumbago With Sciatica, Right Side
Intervention:   Procedure: Osteopathic Manipulative Treatment (OMT)
Sponsors:   Rowan University;   American Osteopathic Association
Not yet recruiting
May 22, 2018
Use of Dynamic Arm Supports to Promote Activities of Daily Living in Individuals With DMD
Condition:   Duchenne Muscular Dystrophy
Interventions:   Device: Armon Ayura;   Device: JAECO Wrex
Sponsor:   Roxanna Marie Bendixen
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