T-ARSCI: Technological-assisted Upper Extremity Rehabilitation in Subjects With Incomplete Cervical Spinal Cord Injury
Study Details
Study Description
Brief Summary
The aim of the study is to investigate the effects of 6 weeks of technological-assisted rehabilitation on function of upper extremity and hand in subjects with incomplete cervical spinal cord injury.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
In this crossover study, persons with motor incomplete cervical (C2-C8) spinal cord injury (AIS C-D) will be recruited from the Hospital District of Helsinki and Uusimaa. In the first period of the crossover study, other part of the participants will get technological-assisted upper extremity rehabilitation, while the other part of the participants continue their normal lives. The first period is followed by 4-week wash-out period. In the second period, roles of the participants will be switched. The rehabilitation phase lasts for 6 weeks with 3 weekly sessions, each therapy session including at least 30 minutes of technological-assisted upper extremity rehabilitation. Rehabilitation includes passive, active and resistance exercises, and will be carried out by using AMADEO, PABLO and/or DIEGO devices made by Tyromotion.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Technological-assisted upper extremity rehabilitation Technological-assisted upper extremity rehabilitation. |
Other: Technological-assisted upper extremity rehabilitation
Subjects get 6 weeks of technological-assisted upper extremity rehabilitation
|
| No Intervention: Wait list control Continue their normal lives. |
Outcome Measures
Primary Outcome Measures
- Mean change of The Action Research Arm Test (ARAT) scores between baseline, after 6 weeks and 6 months (follow-up) [baseline, after 6 weeks and 6 months (follow-up)]
Maximum score is 114 (on a scale from 0 to 114) as the higher score indicate better upper extremity functioning.
- Mean change of Goal Attainment Scaling (GAS) scores between baseline and after 6 weeks. [baseline and after 6 weeks]
Secondary Outcome Measures
- Mean change of Upper Extremity Motor Scores (ASIA-UEMS) between baseline, after 6 weeks and 6 months (follow-up) [baseline, after 6 weeks and 6 months (follow-up)]
Maximum score is 50 (on a scale from 0 to 50) as the higher score indicate better motor functioning in upper extremities.
- Mean change of Grip strength between baseline, after 6 weeks and 6 months (follow-up) [baseline, after 6 weeks and 6 months (follow-up)]
- Mean change of Pinch strength between baseline, after 6 weeks and 6 months (follow-up) [baseline, after 6 weeks and 6 months (follow-up)]
- Mean change of upper extremity active range of motion between baseline, after 6 weeks and 6 months (follow-up) [baseline, after 6 weeks and 6 months (follow-up)]
- Mean change of SCIM-SR scores between baseline, after 6 weeks and 6 months (follow-up) [baseline, after 6 weeks and 6 months (follow-up)]
Maximum score is 100 (on a scale from 0 to 100) as the higher score indicate better functioning.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
incomplete motor spinal cord injury (AIS C-D)
-
injury level C2-C8
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time since injury from 1 to 5 years
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to be able to sit
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motivation and ability to participate in intensive rehabilitation 3 times per week for 6 week period.
Exclusion Criteria:
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participation in other exercise study or technological-assisted upper extremity study
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unlikely completion of intervention and participation in follow up
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injuries that prevent training
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weak tolerance of intense training
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severe joint movement restriction or instability
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irreversible muscle contractures
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grade 4 on Modified Ashworth Scale in glenohumeral, elbow, wrist and finger joints
-
recent significant forearm or hand injuries
-
memory disorder
-
orthopedic, rheumatic or neurological diseases (other than spinal cord injury) that prevent training
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Validia Rehabilitation | Helsinki | Finland |
Sponsors and Collaborators
- University of Helsinki
- The Finnish Association of People with Physical Disabilities
- Helsinki University Central Hospital
- Validia Rehabilitation
Investigators
- Study Director: Sinikka Hiekkala, PhD, The Finnish Association of People with Physical Disabilities
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 01012021