- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03743077
Health in Individuals With a Spinal Cord Injury: a Prospective Study
January 26, 2021 updated by: Martha Sliwinski, Columbia University
Fitness and Health in Individuals With a Spinal Cord Injury: a Prospective Study
Individuals with a spinal cord injury need to exercise regularly to prevent the decline of health that results from a sedentary lifestyle.
The purpose of this investigation is to examine the effects of a pre-existing exercise program and respiratory training on measures of health and quality of life in individuals who elect to participate in an existing 8-week supervised exercise program.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The life expectancy of individuals with spinal cord injuries (SCI) has increased over the past decade.
Yet, this population continues to present with an increased risk of a number of secondary health conditions, many of which occur sooner and at a higher rate than the normative population.
As a program established to address this post-rehabilitative exercise participation necessity, it is determined that the Spinal Mobility fitness program, if found effective, can have vast positive effects in addressing aspects of health, function fitness, and overall quality of life for individuals with SCI.
In addition to the need for exercise respiratory training is an important component of prevention of illness in individuals with a spinal cord injury.
Genitourinary, skin disease and respiratory disorders are the top 3 reasons.
Developing effective respiratory training programs in addition to exercise programs are critical for the prevention of illness and enabling a high quality of life.
Pneumonia and septicemia are the two leading causes of decreased life expectancy in this population.
Adding respiratory training to the spinal mobility program would be an appropriate intervention to further prevent health decline in these individuals.The spinal mobility course runs for eight weeks two times each year for 8 sessions for 4 to 5 hours each on Saturdays.
Additionally individuals can participate in spinal mobility fitness training up to 3 times a week for one to three hours.
Study Type
Interventional
Enrollment (Actual)
12
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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New York
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New York, New York, United States, 10032
- Columbia University Irving Medical Center-NYPH
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- 18 years and older
- Individuals with spinal cord injury
- Medically stable
- Able to participate in the spinal mobility program
Exclusion Criteria:
- Individual with spinal cord injury who is medically unstable
- Cannot participate in an exercise program
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Individuals with spinal cord injury
Volunteers will participate in the the spinal mobility fitness training program which includes exercise training with inspiratory muscle training.
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Volunteers will participate in the the spinal mobility fitness training program for a frequency of one to 3 times a week with pre and post tests including four objective measures of function (timed t-shirt test, timed transfer test, four direction reach test and trunk test of strength) and a pre and post subjective interview.
In addition to the program consenting volunteers will perform inspiratory muscle training as a home program and submit weekly diaries tracking their training.
The inspiratory muscle trainer by Respironics provides specific pressure for inspiratory muscle strength and endurance, regardless of how quickly or slowly patients breathe.
It exercises respiratory muscles and improves breathing.
It Improves muscle strength and is easy to use.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mean Time (seconds) for T-shirt Test
Time Frame: Up to 16 weeks post-intervention
|
This test is designed to measure seated stability, and ability to maintain stability when performing an upper extremity task common in every day activities.
At all times there are two researchers ready to assist subject should they lose their balance.
Each subject is given two trials per testing period, and the average time is recorded.
Shorter times indicate better performance.
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Up to 16 weeks post-intervention
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Mean Time for Transfer Test
Time Frame: Up to 16 weeks post-intervention
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Subjects will execute transfer from and to the wheelchair in their normal fashion.
They will be timed as they transferred to the mat table and from lying down back to the wheelchair.
The time to perform these 2 tasks will be added as a single score.
Each subject will perform 3 trials, and the mean time will be recorded.
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Up to 16 weeks post-intervention
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Sitting Balance Performance Protocol, 4-way Reach Test
Time Frame: Up to 16 weeks post-intervention
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Measurements for excursion with an out stretched arm in the forward, backward and left and right lateral directions using a yard stick from start to maximal reach will be recorded.
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Up to 16 weeks post-intervention
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Peak Force from Trunk Strength Test
Time Frame: Up to 16 weeks post-intervention
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Participants will instructed to sit in a posture that was as erect as possible.
A hand held dynamometer (HHD) will be used to assess the strength.
The HHD device will be placed between the examiner's hand and the participant's body with the force applied perpendicular to the trunk in four directions forward, backward, left and right.
A second person will record the force values and guard the participant for safety purposes.
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Up to 16 weeks post-intervention
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Total Number of Respiratory Training Diaries Submitted
Time Frame: Up to 16 weeks post-intervention
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Compliance rate calculated by the total number of weekly sheets returned.
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Up to 16 weeks post-intervention
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Martha Sliwinski, PT, PhD, MA, Columbia University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 10, 2016
Primary Completion (Actual)
November 1, 2017
Study Completion (Actual)
June 10, 2019
Study Registration Dates
First Submitted
November 13, 2018
First Submitted That Met QC Criteria
November 13, 2018
First Posted (Actual)
November 15, 2018
Study Record Updates
Last Update Posted (Actual)
January 27, 2021
Last Update Submitted That Met QC Criteria
January 26, 2021
Last Verified
January 1, 2021
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- AAAQ8226
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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