MedPath

Remotely Delivered Cognitive Multisensory Rehabilitation for Sensory and Motor Recovery After Spinal Cord Injury

Phase 2
Recruiting
Conditions
Spinal Cord Injuries
Spinal Cord Diseases
Interventions
Behavioral: Remote Exercise
Behavioral: Remote CMR
Registration Number
NCT05870189
Lead Sponsor
University of Minnesota
Brief Summary

So far, therapies have limited success in functional recovery in adults with chronic SCI. By introducing remote cognitive multisensory rehabilitation (CMR), which has shown significant functional improvements due to neurological recovery when delivered in-person, transformative results that (i) provide a potentially effective new therapy within the healthcare system, accessible to more patients, and (ii) demonstrate brain function changes alongside improved function in chronic SCI are anticipated. The results will inform and justify a large scale federally funded clinical trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
22
Inclusion Criteria
  • 18-75 years old, with an incomplete or complete SCI/D of ≥ 3months, medically stable.
  • be recruited from Hospitals within the Minnesota Regional Spinal Cord Injury Model System (MN Regional SCIMS), HealthPartners Neuroscience Center, Minneapolis VA Healthcare System, Duluth, and in the community.
Exclusion Criteria
  • adults with MRI contra-indications (stabilizing hardware is typically MRI safe);
  • adults with uncontrolled seizure disorder;
  • adults with cognitive impairment and/or communicative disability (e.g., due to brain injury) that prevent them from following directions or from learning;
  • adults with with ventilator dependency;
  • adults with other major medical complications
  • pregnant women

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Remote exercisesRemote Exerciseadults with SCI without restriction for race, sex or socio-economic status randomized to remote exercise intervention.
Remote CMRRemote CMRadults with SCI without restriction for race, sex or socio-economic status randomized to CMR intervention.
Primary Outcome Measures
NameTimeMethod
the Neuromuscular Recovery Scale (NRS)12 weeks

includes 11 items focused on the capacity of the trunk and lower extremity muscles to perform tasks such as sit, trunk extension, sit to stand, walking, and step retraining. The NRS provides a functional recovery measure that focuses on non-compensatory recovery.

The SCI-FI/AT12 weeks

(32 items) reliably measures function in the domains of basic mobility, self-care, fine motor function, and ambulation.

International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) Neurologic Exam12 weeks

a clinical test originally designed to describe the extent and severity of a patient's SCI/D

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Minnesota

🇺🇸

Minneapolis, Minnesota, United States

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