SCIPA (Spinal Cord Injury and Physical Activity) Hands-On: Early Intensive Hand Rehabilitation After Spinal Cord Injury

Not Applicable

Completed

• Conditions: Spinal Cord Injury; Neurological - Other neurological disorders; Injuries and Accidents - Other injuries and accidents; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation

• Registration Number: ACTRN12609000695202
• Lead Sponsor: The University of Melbourne

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2009-08-12
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 78

Inclusion Criteria

* have sustained a Spinal Cord Injury (SCI)within the preceding 6 months from time of consent
* are currently receiving inpatient rehabilitation through one of the study sites
* will remain in hospital for 12 weeks after initial screening
* are 16 years of age or older and able to provide informed consent
* have a motor complete or incomplete spinal cord injury at the neurological level of C2 to T1 (as per the International Standardised Neurological Assessment for SCI)
* can actively flex their target shoulder to 60 degrees
* have reduced ability to grasp using the target hand
* are able to tolerate sufficient Functional Electrical Stimulation (FES) to enable one hand to grasp and release
* have the potential to benefit from FES and ReJoyce according to the judgment of the treating therapist

Exclusion Criteria

* have any other type of neurological injury affecting the target hand (e.g. brachial plexus or peripheral nerve injuries)
* have had recent trauma or surgery to the target hand or upper limb within the last 12 months
* have had amputation of any digits on the target hand
* are not able to sit out of bed each day for at least 2 hours over three consecutive days
* have extensive fixed contractures in the upper limb of the target hand preventing use of the ReJoyce
* have severe spasticity in the target hand or upper limb preventing use of the ReJoyce
* are unable to attend the 6-month and 1-year follow-up assessments at their treating spinal unit
* are likely to undergo hand surgery in the target hand in the next year
* are likely to experience autonomic dysreflexia and/or hypotension in response to electrical stimulation
* have any contraindications to FES such as cardiac pacemaker, epilepsy, forearm fracture or pregnancy
* have intracranial metal implants
* have impaired vision and/or are unable to view a computer screen
* have any other serious medical condition including malignancies, psychiatric, behavioural or drug-dependency problems, which are likely to influence the participant’s ability to cooperate or in the opinion of the study investigator would prevent the participant from adhering to the Protocol.

Study & Design

• Study Type: Interventional
• Study Design: Not specified