Effects of FES-Rowing in Neurological Disorders (FES-ROW)
- Conditions
- Spinal Cord Injuries
- Interventions
- Device: Rower assisted by electrostimulation (FES-ROW)
- Registration Number
- NCT04821635
- Lead Sponsor
- UGECAM Rhône-Alpes
- Brief Summary
The main objective of this project is to measure the increase in aerobic physical and metabolic capacities with a 6-month training on a rower assisted by electrostimulation of lower limbs in a population of adults with traumatic paraplegia.
- Detailed Description
Beyond the inability to walk, chronic paraplegic patients show an increase in their mortality from cardiovascular pathologies, compared to the same age groups of the general population. It is the hypoactivity induced by neurological impairment that is implicated in the first place in the pathogenesis of these abnormalities. The search for training methods adapted to these patients is justified to limit cardiovascular morbidity and mortality.
The aim of this project is to measure the increase in aerobic physical and metabolic capacities with a 6-month training on a rower assisted by electrostimulation of lower limbs in a population of adults with stabilized paraplegia (non-walkers), of traumatic origin.
Study is divided in two 3-month phases. The first consists on a training on a rowing machine with solicitation of the electrostimulated lower limbs only for a period of 3 months at the rate of 3 sessions of 30 minutes per week. The second consists on a training on a rowing machine with solicitation of the electrostimulated lower limbs and upper for a period of 3 months at the rate of 3 sessions of 30 minutes per week. The evaluations are composed of the measurement of maximum oxygen consumption, muscle and neurological parameters
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 35
- Paraplegia with traumatic origin
- Spinal cord injury AIS (ASIA Impairment Scale) score A and B at least 12 months old
- Patient having given written consent
- Patient with social security scheme
- Ability to obtain a leg extension with a 30-minute electrostimulation program
- Protected adults (person in guardianship, curators or legal protection)
- Presence of contraindication criteria to carrying out a stress test or sustained physical activity decided by the doctor following the person with spinal cord injury.
- Drug treatment with cardiovascular or antidepressant effect
- Pressure sore
- Other associated neurological pathologies (stroke, peripheral neuropathy, myopathy, head trauma, ...)
- Affection of the shoulders of any etiology that could compromise the ability to use the rower.
- Spasticity of the lower limbs: Modified Ashworth Scale (MAS) greater than or equal to 2/4 (specifically quadriceps / Hamstrings)
- Participation in another study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Rower Rower assisted by electrostimulation (FES-ROW) Single group of 35 traumatic paraplegic patients meeting the inclusion criteria will benefit from the FES-ROW protocol during 9 months
- Primary Outcome Measures
Name Time Method VO2 peak at 6 months (L/min) 6 months Comparison of the maximum oxygen consumption (VO2 peak in L/min) measured during an incremental maximum stress test on a hand ergometer between the end of training on a rower (M6) and inclusion (M0).
- Secondary Outcome Measures
Name Time Method VO2 peak at 3 and 9 months (L/min) 9 months Comparison of the maximum oxygen consumption (VO2 peak in L/min) measured during an incremental maximum stress test on a hand ergometer between the end of first training phase (M3) and inclusion (M0) and between the end of the study (M9) and inclusion (M0).
Response to stimulation at 0, 3, 6 and 9 months (mA) 9 months Comparison of the minimum threshold (Intensity in mA) of response to stimulation of the extensor muscles of the knee between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Intensity of osteotendinous reflexes at 0, 3, 6 and 9 months 9 months Comparison of the intensity of osteotendinous reflexes (Absent, normal and lively / diffuse / polykinetic) between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Maximum electro-induced force at 0, 3, 6 and 9 months (Nm) 9 months Comparison of maximum electro-induced force (in Newton) assessment with a device for measuring the force of the knee extensor muscles between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Assessment of spasticity at 0, 3, 6 and 9 months 9 months Assessment of spasticity with Ashworth scale (rating from 0 to 4 which is the worst score) and Pendulum test (rating from 1 to 5 which is the worst score) between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
ASIA (American Spinal Injury Association) score at 0, 6 and 9 months 9 months Comparison between the end of the study following the remanence period (M9) and the inclusion (M0) and M6 of the parameters of ASIA (American Spinal Injury Association) score.
Self-assessment at 0, 3, 6 and 9 months 9 months Self-assessment with Goal Attainment Scaling (GAS) between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
GAS rating is divided in 5 levels:
* -2: Current level
* -1: Improvement
* 0: Expected level after action
* +1: Level better than expected
* +2: Maximum level expectedFirst ventilatory threshold in the VO2max test at 0, 3, 6 and 9 months (L/min) 9 months Comparison of the first ventilatory threshold (in L/min) in the VO2max test measured during an incremental maximum stress test on a hand ergometer between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Thigh perimeter at 0, 3, 6 and 9 months (cm) 9 months Comparison of thigh perimeter (in cm) assessment between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Maximum power at 0, 3, 6 and 9 months (Watts) 9 months Comparison of the maximum power (in Watts) developed during the stress test on a hand ergometer between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Trial Locations
- Locations (2)
HIA Desgenettes
🇫🇷Lyon, Rhône, France
SSR Val Rosay UGECAM
🇫🇷Saint-Didier-au-Mont-d'Or, Rhône, France