SCIPA Full-On :Intensive Exercise Program After Spinal Cord Injury
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Spinal Cord Injury
- Sponsor
- University of Melbourne
- Enrollment
- 116
- Locations
- 6
- Primary Endpoint
- To determine the relative effectiveness of a comprehensive exercise program compared to a generic upper body strength and fitness training program on neurological improvement.
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The study is a multi-centre, assessor-blind, randomised controlled phase III trial in patients with with complete or incomplete spinal cord injury between C6 and T12. A total of 188 participants will be randomised into two groups, the experimental group and the control group. The control group participants will receive an upper body strength and fitness program, conducted for 2-3 hours, three times per week for 12 weeks, while the experimental group participants will receive a comprehensive full body exercise program, conducted for 2-3 hours, three times per week for 12 weeks.
The main objective of this study is to determine if the experimental exercise program is more effective than the upper body strength and fitness program in promoting neurological improvement in participants with spinal cord injury.
Total study duration is 3.5 years, including a 24 month recruitment period, a 12-week treatment period followed by 6 month and 12 month (from baseline) follow up assessments.
Participants will be assessed by a blinded assessor (the assessor will not know which group the participants are in) using standard physiotherapy, neurophysiological, fitness and functional tests, psychological and quality of life questionnaires, as well as tests of immune function and bone structure.
Detailed Description
The study is a multi-centre, assessor-blind, randomised controlled phase III trial in patients with with complete or incomplete spinal cord injury between C6 and T12. A total of 188 participants will be randomised into two groups, the experimental group and the control group. The control group participants will receive an upper body strength and fitness program, conducted for 2-3 hours, three times per week for 12 weeks, while the experimental group articipants will receive a comprehensive full body exercise program, conducted for 2-3 hours, three times per week for 12 weeks. The main objective of this study is to determine if the experimental exercise program is more effective than the upper body strength and fitness program in promoting neurological improvement in participants with spinal cord injury. Total study duration is 3.5 years, including a 24 month recruitment period, a 12-week treatment period followed by 6 month and 12 month (from baseline) follow up assessments. Participants will be assessed by a blinded assessor (the assessor will not know which group the participants are in) using standard physiotherapy, neurophysiological, fitness and functional tests, psychological and quality of life questionnaires, as well as tests of immune function and bone structure.
Investigators
Mary Galea
Professor Mary Galea
University of Melbourne
Eligibility Criteria
Inclusion Criteria
- •Have sustained a traumatic spinal cord injury a minimum of 6 months prior to consent and have completed their primary rehabilitation
- •Are 18 years or older and able to give informed consent
- •Have a complete or incomplete spinal cord injury between C6 and T12 (as per the International Standardised Neurological Assessment for SCI)
- •Are able and willing to attend an exercise program 3 times per week for 12 weeks
- •Are considered by their medical consultant to be fit to undertake the exercise program (documented approval by medical consultant required).
Exclusion Criteria
- •Have brachial plexus, cauda equina, or peripheral nerve injury
- •Have had recent major trauma or surgery within the last 6 months
- •Have an existing pressure ulcer Stage 3 or 4 according to the National Pressure Ulcer Advisory Panel classification
- •Are post-menopausal at time of injury (females)
- •Have BMI at injury falling below lower threshold of healthy adult reference range
- •Have endocrinopathy or metabolic disorders of bone, such as Paget's disease, lytic or renal bone disease and senile osteoporosis
- •have medical history of exposure to medication(s) known to affect mineral ion or bone metabolism
- •Have chronic systemic diseases, e.g. Hep C, HIV-AIDs
- •Have significant impairment or disability, including physical, neurological or psychological impairments
- •Have a history of long bone fracture, or family history of fragility fracture
Outcomes
Primary Outcomes
To determine the relative effectiveness of a comprehensive exercise program compared to a generic upper body strength and fitness training program on neurological improvement.
Time Frame: 12 weeks