Effect of indoor wheelchair curling training on trunk control of person with chronic spinal cord injury: a randomised controlled trial

Tanja Herzog, Jaap Swanenburg, Markus Hupp, Anne-Gabrielle Mittaz Hager, Tanja Herzog, Jaap Swanenburg, Markus Hupp, Anne-Gabrielle Mittaz Hager

Abstract

Study design: Randomised, controlled, single-blind crossover design study.

Objective: Effect of indoor wheelchair curling training on trunk control of a person with chronic spinal cord injury (SCI).

Setting: SCI Centre of Balgrist University Hospital in Zurich, Switzerland.

Methods: The trunk control of 13 subjects was assessed by the modified functional reach test (MFRT) and nonlinear dynamic systems analysis (NDSA) before and after eight indoor curling training sessions and compared to everyday life over 4 weeks.

Results: The attendance rate was 95% during the training sessions. There were no adverse events. Neither the MRFT nor the NDSA showed any significant differences in the sitting stability. The subjects subjectively reported improved physical feeling, an increase in their trunk control and strength; 39% of the participants wanted to continue the training.

Conclusions: With subjective improvements and no adverse events, indoor wheelchair curling training is a safe physical activity for people with SCI. Wheelchair curling offers a suitable alternative to sports already used in rehabilitation and in recreational activities of a person with SCI. In order to be able to draw more unambiguous conclusions from the training method for trunk control and to answer the question of the study unambiguously, the number of subjects would have to be greater and the test methods should provide more exact and specific measurements.

Conflict of interest statement

Compliance with ethical standardsThe authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Indoor wheelchair curling training
Fig. 2
Fig. 2
Setup for Nonlinear Dynamic Systems Analysis (NDSA)

References

    1. Lee BB, Cripps RA, Fitzharris M, Wing PC. The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate. Spinal Cord. 2014;52:110–6. doi: 10.1038/sc.2012.158.
    1. Thietje R, Hirschfeld S. Epidemiology of spinal cord injury. In: Weidner N, Rupp R, Tansey KE, editors. Neurological aspects of spinal cord injury. 1st ed. Cham: Springer International Publishing; 2017. pp. 3–17.
    1. Zäch GA, Koch HG. Paraplegie: Ganzheitliche Rehabilitation. 1st ed. Basel: Karger; 2006.
    1. Gauthier C, Gagnon D, Jacquemin G, Duclos C, Masani K, Popovic MR. Which trunk inclination directions best predict multidirectional-seated limits of stability among individuals with spinal cord injury? J Spinal Cord Med. 2012;35:343–50. doi: 10.1179/2045772312Y.0000000039.
    1. Hüter-Becker A, Dölken M. Physiotherapie in der Neurologie. 3rd ed. Stuttart: Georg Thieme Verlag; 2010.
    1. Ditunno JF, Jr., Young W, Donovan WH, Creasey G. The international standards booklet for neurological and functional classification of spinal cord injury. American Spinal Injury Association. Paraplegia. 1994;32:70–80.
    1. Bjerkefors A, Thorstensson A. Effects of kayak ergometer training on motor performance in paraplegics. Int J Sports Med. 2006;27:824–9. doi: 10.1055/s-2005-872970.
    1. Boswell-Ruys CL, Sturnieks DL, Harvey LA, Sherrington C, Middleton JW, Lord SR. Validity and reliability of assessment tools for measuring unsupported sitting in people with a spinal cord injury. Arch Phys Med Rehabil. 2009;90:1571–7. doi: 10.1016/j.apmr.2009.02.016.
    1. Federation WC. About wheelchair curling. Perth, Scotland: World Curling Federation; 2018. .
    1. Association BP. Wheelchair curling. London: British Paralympic Association; 2018. .
    1. Strubreither W, Neikes M, Stirnimann D, Eisenhuth J, Schulz B, Lude P. Klinische Psychologie bei Querschnittlähmung: Psychologische und psychotherapeutische Interventionen bei psychischen, somatischen und psychosozialen Folgen. 1st ed. Wien: Springer Verlag; 2014.
    1. Schulgen G, Schumacher M. Cross-Over Studien. 1st ed. Berlin, Heidelberg: Springer Berlin Heidelberg; 2008. p. 317.
    1. Federation WC. The rules of curling Perth. Scotland: World Curling Federation; 2018.
    1. Lynch SM, Leahy P, Barker SP. Reliability of measurements obtained with a modified functional reach test in subjects with spinal cord injury. Phys Ther. 1998;78:128–33. doi: 10.1093/ptj/78.2.128.
    1. Granata KP, England SA. Stability of dynamic trunk movement. Spine (Phila Pa 1976) 2006;31:E271–6. doi: 10.1097/01.brs.0000216445.28943.d1.
    1. Terrier P, Mittaz Hager AG, editors. A novel approach to asses the posturale control of unsupported sitting in patients with spinal cord injury: a feasibility study. In: 1st Clinical Movement Analysis World Conference. Rome; 2014.
    1. Wirz M. Assessment: Spinal Cord Independence Measure (SCIM) – Die Selbstständigkeit erfassen. Physiopraxis. 2011;9:46–7. doi: 10.1055/s-0031-1298044.
    1. Katz-Leurer M, Fisher I, Neeb M, Schwartz I, Carmeli E. Reliability and validity of the modified functional reach test at the sub-acute stage post-stroke. Disabil Rehabil. 2009;31:243–8. doi: 10.1080/09638280801927830.
    1. Itzkovich M, Gelernter I, Biering-Sorensen F, Weeks C, Laramee MT, Craven BC, et al. The Spinal Cord Independence Measure (SCIM) version III: reliability and validity in a multi-center international study. Disabil Rehabil. 2007;29:1926–33. doi: 10.1080/09638280601046302.
    1. Mehrholz J. Neuroreha nach Schlaganfall. Stuttgart: Georg Thieme Verlag; 2011.

Source: PubMed

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