Sprint Interval Training During Rehabilitation After Spinal Cord Injury (SprintSCI)
2018年10月15日 更新者：McMaster University
Immediately following a spinal cord injury (SCI), patients are admitted to inpatient rehabilitation where they undergo physical reconditioning in preparation for a return to home setting.
The current standard of practice for aerobic training is performing arm-ergometry for 25 mins at a frequency of three times per week.
Given the move towards shortened length of stay during inpatient rehabilitation, performing MICT can consume a considerable amount of therapy time.
Sprint interval training (SIT) has been shown to elicit similar improvements in physical capacity, despite a reduced time commitment to MICT.
However, there are no controlled trials comparing the effects of SIT to MICT in individuals with SCI undergoing inpatient rehabilitation.
The primary aim of this study was to investigate the efficacy of a five-week, thrice weekly 10 min SIT program and compare outcome measures to a traditional 25 minute MICT program on the arm-ergometer in individuals with SCI undergoing inpatient clinical rehabilitation.
It was hypothesized that five weeks of SIT and MICT would induce similar changes in maximal and sub-maximal exercise performance, self-efficacy for exercise, and exercise enjoyment, despite large differences in training volume and time commitment.
It was also hypothesized that SIT would be well tolerated and elicit higher levels of cardiovascular strain than MICT.
研究概览
研究类型
介入性
注册 (实际的)
20
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
-
Ontario
-
Hamilton、Ontario、加拿大、L8S 4L8
- McMaster University
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 至 65年 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Participants with sub-acute spinal cord injury (time since injury: 14 - 182 days)
- Undergoing inpatient rehabilitation
- Aged 18-65 years
- Injury level at the second cervical vertebrae (C2) or below
Exclusion Criteria:
- Unable to perform arm-ergometry training
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：支持治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器：Moderate Intensity Continuous Training
Training was performed three times a week for five weeks.
Each session began with a 2 minute warm up, and concluded with a 3 minute cool down.
Following the warm-up, participants performed 20 minutes of arm cycling at a self-selected cadence at 45-65% of their peak power output.
Total training duration was 25 mins.
|
Participants utilized the arm ergometer for improving aerobic exercise capacity
|
|
实验性的：Sprint Interval Training
The SIT protocol was adopted from Gillen and colleagues (See Ref), and consisted of 3 x 20 second "all-out" efforts at ≥ 100% of an individuals peak power output.
Each sprint was interspersed by 120 seconds of active recovery at 10% of an individuals peak power output.
Total training duration was 10 mins.
|
Participants utilized the arm ergometer for improving aerobic exercise capacity
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Change in peak power output
大体时间：Change in peak power output from baseline to 5 weeks
|
maximum amount of power produced during a graded exercise test on the arm-ergometer
|
Change in peak power output from baseline to 5 weeks
|
|
Change in sub-maximal arm-ergometry
大体时间：Change in sub-maximal arm-ergometry from baseline to 5 weeks
|
Participants performed three 5-minute steady state workloads on the arm-ergometer at power outputs corresponding to RPE's of 8, 10 and 12. Participants were given a minimum of 2 minutes, and a maximum of 5 minutes of rest in between each workload.
|
Change in sub-maximal arm-ergometry from baseline to 5 weeks
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Cardiovascular Responses
大体时间：Throughout each week of training (Week 1,Week 2, Week 3, Week4, Week 5)
|
Monitored heart rate throughout each training session
|
Throughout each week of training (Week 1,Week 2, Week 3, Week4, Week 5)
|
|
Perceptual Responses
大体时间：Throughout each week of training (Week 1,Week 2, Week 3, Week4, Week 5)
|
Monitored ratings of perceived exertion throughout each training session
|
Throughout each week of training (Week 1,Week 2, Week 3, Week4, Week 5)
|
|
Change in self-efficacy for exercise
大体时间：Change in self-efficacy from baseline to 5 weeks
|
Using a self-reported questionnaire, participants rated how confident they are with regards to performing and carrying out regular physical activities and exercises.
|
Change in self-efficacy from baseline to 5 weeks
|
|
Exercise Satisfaction
大体时间：Measured only at the end of the intervention (5 weeks)
|
Participants completed the Physical Activity Enjoyment Scale (PACES) in order to asses the level of enjoyment with the training intervention they received.
|
Measured only at the end of the intervention (5 weeks)
|
|
Pain perceptions
大体时间：Measured only at the end of the intervention (5 weeks)
|
Through a questionnaire, participants rated how much shoulder pain, bodily pain, and physical discomfort they typically experience throughout the day and how much pain they experienced with the intervention they were allocated to.
|
Measured only at the end of the intervention (5 weeks)
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Audrey L Hicks, PhD、McMaster University
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Nightingale TE, Metcalfe RS, Vollaard NB, Bilzon JL. Exercise Guidelines to Promote Cardiometabolic Health in Spinal Cord Injured Humans: Time to Raise the Intensity? Arch Phys Med Rehabil. 2017 Aug;98(8):1693-1704. doi: 10.1016/j.apmr.2016.12.008. Epub 2017 Jan 13.
- Hicks AL, Martin KA, Ditor DS, Latimer AE, Craven C, Bugaresti J, McCartney N. Long-term exercise training in persons with spinal cord injury: effects on strength, arm ergometry performance and psychological well-being. Spinal Cord. 2003 Jan;41(1):34-43. doi: 10.1038/sj.sc.3101389.
- Gillen JB, Martin BJ, MacInnis MJ, Skelly LE, Tarnopolsky MA, Gibala MJ. Twelve Weeks of Sprint Interval Training Improves Indices of Cardiometabolic Health Similar to Traditional Endurance Training despite a Five-Fold Lower Exercise Volume and Time Commitment. PLoS One. 2016 Apr 26;11(4):e0154075. doi: 10.1371/journal.pone.0154075. eCollection 2016.
- Astorino TA, Thum JS. Within-session responses to high-intensity interval training in spinal cord injury. Disabil Rehabil. 2018 Feb;40(4):444-449. doi: 10.1080/09638288.2016.1260648. Epub 2016 Dec 8.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2017年6月1日
初级完成 (实际的)
2018年6月1日
研究完成 (实际的)
2018年6月1日
研究注册日期
首次提交
2018年10月11日
首先提交符合 QC 标准的
2018年10月15日
首次发布 (实际的)
2018年10月17日
研究记录更新
最后更新发布 (实际的)
2018年10月17日
上次提交的符合 QC 标准的更新
2018年10月15日
最后验证
2018年10月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.