Whole Body Exercise in Spinal Cord Injury: Effects on Psychosocial Function
19 juni 2020 uppdaterad av: J. Andrew Taylor, Spaulding Rehabilitation Hospital
Persons with spinal cord injury (SCI) are confronted with a multitude of psychological and physiological changes post-injury leading to seemingly insurmountable barriers to participating in daily life.
After injury persons with SCI engage in fewer social interactions, spend more time sedentary, and are less likely to leave the home.
This leads to restricted social participation that, in turn, contributes to greater psychological problems and negatively impacts the lives of adults with SCI.
Intense, structured exercise has substantial potential benefits for improving psychosocial wellbeing among persons with SCI, but accessible exercise options are few and cannot achieve high intensities of whole-body exercise.
This work will use approaches to overcome the barriers to intense exercise.
The investigators will use hybrid functional electrical stimulation row training (FESRT) to allow for a more intense exercise stimulus, potentially having a greater impact on psychosocial wellbeing.
There is initial evidence that persons with mobility impairments who are highly physically active demonstrate better psychosocial wellbeing compared with those who have low levels of physical activity.
A limitation to understanding the influence of exercise on psychosocial wellbeing is the lack of robust and time-dependent measures.
The investigators will use a smartphone-based research application to measure psychosocial well-being, thus decreasing self-report bias and capturing in-the-moment behavioral and self-report data.
Studieöversikt
Studietyp
Interventionell
Inskrivning (Faktisk)
26
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
Massachusetts
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Cambridge, Massachusetts, Förenta staterna, 02139
- Spaulding Rehabilitation Network
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-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria:
Adults (>18 years of age)
- Be in good health (asymptomatic for acute treatable illness) and medically cleared to exercise
- Own an iPhone or Android smartphone with the capacity to download and run the research platform (able to log into to the relevant app store, install the app on their own phone, and run the app).
- Be able to understand, communicate with and be understood by research personnel or Interpreters
- Be interested in participating and provide informed consent
- Have a SCI with motor or sensory deficits and use a wheelchair as primary means of mobility
- Have an injury level only as high as C4 to allow sufficient arm function for rowing
Exclusion Criteria:
- Participants will not have previously completed FESRT
- Acute illness
- Musculoskeletal injuries that have not healed completely
- Had heart surgery or are status post-myocardial infarction (MI) in the last 4 to 6 months, -Unstable angina
- Uncontrolled hypertension (systolic blood pressure ≥160 mm Hg and/or diastolic blood pressure ≥100 mm Hg)
- uncontrolled dysrhythmias
- Recent history of congestive heart failure that has not been evaluated and effectively treated
- Severe stenotic or regurgitant valvular disease
- Hypertrophic cardiomyopathy
- Unhealed pressure ulcer Stage 2 or higher at relevant contact sites during exercise.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Förebyggande
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Experimentell: FES-row-training
Subjects will perform 4 months of FES-row-raining
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Hybrid FES Row Training using voluntary upper body and electrically-stimulated lower body
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Övrig: Wait-list time control
Subjects will wait 4 months before performing being allowed to engage in 4 months of FES-row-training
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Hybrid FES Row Training using voluntary upper body and electrically-stimulated lower body
|
|
Aktiv komparator: Arms-only-row-training
Subjects will perform 4 months of arms-only row training before being allowed to engage in 4 months of FES-row-training
|
Hybrid FES Row Training using voluntary upper body and electrically-stimulated lower body
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Depression
Tidsram: Each week during the 4 months
|
Difference between groups in depression symptom severity (Patient Health Questionnaire-9); Within-individual Correlation of exercise intensity with depression
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Each week during the 4 months
|
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Pain Severity
Tidsram: Each week during the 4 months
|
Difference between groups in pain severity, rated on a 0-10 scale ("0 being no pain and 10 being pain so severe you couldn't stand it"); Within-individual Correlation of exercise intensity with pain.
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Each week during the 4 months
|
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Pain Interference
Tidsram: Each week during the 4 months
|
Difference between groups in pain interference in daily life activities ("0.
Not at all 1.
A little bit 2. Moderately 3. Quite a bit 4. Extremely"); Within-individual Correlation of exercise intensity with pain.
|
Each week during the 4 months
|
|
Anxiety
Tidsram: Each week during the 4 months
|
Difference between groups in anxiety (Spinal Cord Injury Quality of Life Anxiety Short Form); Within-individual Correlation of exercise intensity with anxiety.
Minimum score is 9, Maximum score is 45.
Higher scores indicate higher anxiety.
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Each week during the 4 months
|
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Satisfaction with Social Participation
Tidsram: Each week during the 4 months
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Difference between groups in satisfaction with social roles and activities (Spinal Cord Injury Quality of Life Satisfaction with Social Roles and Activities Short Form); Within-individual Correlation of exercise intensity with satisfaction with social participation.
The Minimum score is 20 and the maximum score is 50.
Higher values indicate greater satisfaction with social participation.
|
Each week during the 4 months
|
|
Ability to participate in social roles
Tidsram: Each week during the 4 months
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Difference between groups in ability to participate in social roles and activities.
Spinal Cord Injury Quality of Life Ability to Participate in Social Roles and Activities Short Form.
Within-individual Correlation of exercise intensity with ability to participate in social roles.
The Minimum score is 20 and the maximum score is 50.
Higher values indicate greater satisfaction with social participation.
|
Each week during the 4 months
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Health Complications
Tidsram: Each week during the 4 months
|
Difference between groups in frequency of secondary health complications; Within-individual Correlation of exercise intensity with secondary health complications.
|
Each week during the 4 months
|
|
Community Mobility
Tidsram: Each week during the 4 months
|
Difference between groups in community mobility (Distance traveled each week); Within-individual Correlation of exercise intensity with community mobility.
|
Each week during the 4 months
|
|
Social Connectivity: Frequency
Tidsram: Each week during the 4 months
|
Difference between groups in social connectivity (Frequency of phone calls and text messages); Within-individual Correlation of exercise intensity with frequency of social connectivity.
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Each week during the 4 months
|
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Social Connectivity: Reciprocity
Tidsram: Each week during the 4 months
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Difference between groups in social connectivity (Reciprocity of phone calls and text messages); Within-individual Correlation of exercise intensity with reciprocity of social connectivity.
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Each week during the 4 months
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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Samarbetspartners
Utredare
- Huvudutredare: J. Andrew Taylor, Spaulding Rehabilitation Hospital/Harvard Medical School
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
28 februari 2018
Primärt slutförande (Faktisk)
31 maj 2020
Avslutad studie (Faktisk)
31 maj 2020
Studieregistreringsdatum
Först inskickad
5 januari 2018
Först inskickad som uppfyllde QC-kriterierna
25 januari 2018
Första postat (Faktisk)
26 januari 2018
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
22 juni 2020
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
19 juni 2020
Senast verifierad
1 juni 2020
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 2017D006049
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