Wheelchair Propulsion Function and Physical Capacity in Persons With Spinal Cord Injury
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 62
- 试验地点
- 1
- 主要终点
- Ability Score
研究概览
简要总结
The specific aims of this study are: 1) to assess the test-retest reliability of a modification of an existing wheelchair propulsion assessment and 2) validate the modification against traditional measures of physical strength, power, and endurance in a group of persons with spinal cord injury (SCI).
详细描述
The ability to independently self-propel and transfer oneself is a crucial component of daily life for individuals with a spinal cord injury. This ability is related in part to an individual's strength, power, and endurance, but it is unknown which of these measures is most important to achieve a high level of wheelchair function. Identification of which physical performance parameters are best related to wheeled mobility performance is essential in developing interventions to improve said performance. Currently, clinic-friendly assessments of a person's wheeled mobility ability do not exist. We have developed a modified, clinic-friendly version of validated wheelchair mobility assessment that can be completed in most clinics. Before it can be implemented by clinicians its reliability must be established. Crossvalidating it against standard measures of physical performance will allow for the identification of the most appropriate exercise interventions to improve independent wheeled mobility.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Spinal Cord Injury
- •American Spinal Injury Association Impairment Scale (AIS) A-D
- •Self-reported ability to self-propel themselves in a manual wheelchair
- •Age 18 or older
排除标准
- •surgery within 6 months
- •pressure ulcer within 3 months
- •upper limb pain that limits completion of exercise
- •recurrent acute infection or illness requiring hospitalization or IV antibiotics
- •pregnancy
- •previous myocardial infarction or cardiac surgery
结局指标
主要结局
Ability Score
时间窗: within a 14 day period
The ability score is the sum of the number of items successfully completed in the wheelchair propulsion assessment. There are 8 items in the assessement, which will be completed in the following order: 1) Figure of 8 Shape, 2) Doorstep Crossing, 3) Platform Ascent, 4) 15 meter sprint, 5) Ramp Ascent (5% grade), 6) Ramp Ascent (8% grade), 7) 150 meter propulsion, and 8) Timed Level Transfer.
次要结局
- Anaerobic power(1 day)
- Muscular strength(1 day)
- Cardiovascular endurance(1 day)
研究者
Mark S. Nash, Ph.D., FACSM
Professor
University of Miami