Technology-assisted Upper Extremity Rehabilitation in Subjects with Incomplete Cervical Spinal Cord Injury
- Conditions
- Spinal Cord Injuries
- Interventions
- Other: Technology-assisted upper extremity rehabilitation
- Registration Number
- NCT04760470
- Lead Sponsor
- University of Helsinki
- 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.
- 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 20
- incomplete motor spinal cord injury (AIS C-D)
- injury level C2-C8
- time since injury from 1 to 5 years
- to be able to sit
- motivation and ability to participate in intensive rehabilitation 3 times per week for 6 week period.
- participation in other exercise study or technological-assisted upper extremity study
- unlikely completion of intervention and participation in follow up
- injuries that prevent training
- weak tolerance of intense training
- severe joint movement restriction or instability
- irreversible muscle contractures
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Technology-assisted upper extremity rehabilitation Technology-assisted upper extremity rehabilitation Technology-assisted upper extremity rehabilitation.
- Primary Outcome Measures
Name Time Method Action Research Arm Test (ARAT) 6 weeks,16 weeks, and 6 months Maximum score is 114 (on a scale from 0 to 114) as the higher score indicate better upper extremity functioning.
Goal Attainment Scaling (GAS) 6 weeks or 16 weeks A method to evaluate rehabilitation effects. A 5-point scale ranging from -2 to 2. Zero represents expected level of performance after rehabilitation, +1 more than expected, and +2 much more than expected. Respectively, -1 means less than expected and -2 much less than expected.
- Secondary Outcome Measures
Name Time Method American Spinal Injury Association - Upper Extremity Motor Scores (ASIA-UEMS) 6 weeks,16 weeks, and 6 months Maximum score is 50 (on a scale from 0 to 50) as the higher score indicate better motor functioning in upper extremities.
Pinch strength 6 weeks,16 weeks, and 6 months Measured with
Grip strength 6 weeks,16 weeks, and 6 months Measured with Jamar-dynamometer
Upper extremity active range of motion 6 weeks,16 weeks, and 6 months Measured with goniometer
Spinal Cord Independence Measure - Self Report (SCIM-SR) 6 weeks,16 weeks, and 6 months Maximum score is 100 (on a scale from 0 to 100) as the higher score indicate better functioning.
Trial Locations
- Locations (1)
Validia Rehabilitation
🇫🇮Helsinki, Finland