Traumatic Spinal Cord Injury: Effects of Corporal Suspension and Pendulum Exercises

NCT02316067 | Completed DMC

• 1 other identifier: UFRGS - 70254
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to evaluate the effects of an exercise program proposed by the CHORDATA® Method on the functionality, maximal isometric torque, muscle activity and muscle thickness of trunk muscles in patients with traumatic spinal cord injury. The hypothesis is that the CHORDATA® Method could reduce the deleterious effects of the traumatic spinal cord injury.

Conditions

Spinal Cord Injuries

Keywords

Spinal cord; Wounds and Injuries; Rehabilitation

Outcome Measures

Primary Outcomes (1)

• Torque change ( assessed by dynamometry.)

  Torque is an expression of the muscular strength and was assessed by dynamometry.

  Torque was measured 2 times during the study: Pre-intervention/control and post-intervention/control (8 weeks after the first assessment).

Secondary Outcomes (1)

• Muscular electrical activation change (assessed by electromyography (EMG)

  Muscular electrical activation was measured 2 times during the study: Pre-intervention/control and post-intervention/control (8 weeks after the first assessment).

Other Outcomes (2)

• Muscle thickness change (assessed by ultrasonography)

  Muscle thickness was measured 2 times during the study: Pre-intervention/control and post-intervention/control (8 weeks after the first assessment).

• Functional performance change (assessed by Functional Reach Adapted Test)

  Functional performace was measured 2 times during the study: Pre-intervention/control and post-intervention/control (8 weeks after the first assessment).

Study Arms (2)

Rehabilitation

EXPERIMENTAL

Eight weeks of rehabilitation (CHORDATA® Method)

Other: Rehabilitation

Control

NO INTERVENTION

Participants maintained their daily-life activities routine during the same eight weeks period and were tested before and after this control period.

Interventions

Rehabilitation OTHER

The CHORDATA® Method (16 sessions; 50 minutes each; twice a week) consisted of three exercises: (1) anterior pendulum, with the patient seated on a chair, upper limb suspended by springs and straps, and actively moving the trunk forward; (2) posterior pendulum exercise, on a similar position as exercise (1) but now moving the trunk backwards and recruiting the abdominal wall muscles during a posterior pelvic tilt motion; and (3) stand-up and sit-down exercise, patient with knees fixed anteriorly, initiating the standing-up movement by pulling back and down the springs, trying to maintain the standing position for as long as possible, balancing the trunk and transferring the supporting force from the upper limbs to the lower limbs.

Rehabilitation

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Patients that suffered traumatic spinal cord injury in the last 42 months, capable of transporting themselves for rehabilitation at the physical therapy clinic and for the neuromuscular tests at the laboratory where measurements were performed.

You may not qualify if:

• Body weight above 95kg
• Physical and functional limitations impeding them of performing physical activity
• Physically incapacitating diseases (e.g severe cardiovascular and respiratory diseases, neurodegenerative diseases, oncologic diseases, systemic arterial hypertension)
• Visual deficit that impeded reading
• Recurrent vertigo or hypotension to exercise
• Engaged in other treatments that could constitute a confounding effect
• Changed their daily life activities during the study

Sponsors & Collaborators

• Marco Aurélio Vaz, PhD: lead
• Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.: collaborator
• Conselho Nacional de Desenvolvimento Científico e Tecnológico: collaborator

Study Sites (1)

Exercise Research Laboratory, School of Physical Education, Federal University of Rio Grande do Sul

Porto Alegre, Rio Grande do Sul, 90690-200, Brazil

Location

Related Publications (1)

• Frison VB, Lanferdini FJ, Geremia JM, de Oliveira CB, Radaelli R, Netto CA, Franco AR, Vaz MA. Effect of corporal suspension and pendulum exercises on neuromuscular properties and functionality in patients with medullar thoracic injury. Clin Biomech (Bristol). 2019 Mar;63:214-220. doi: 10.1016/j.clinbiomech.2019.02.012. Epub 2019 Feb 23.

  PMID: 30952032 DERIVED

MeSH Terms

Conditions

Spinal Cord Injuries; Wounds and Injuries

Interventions

Rehabilitation

Condition Hierarchy (Ancestors)

Spinal Cord Diseases; Central Nervous System Diseases; Nervous System Diseases; Trauma, Nervous System

Intervention Hierarchy (Ancestors)

Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Carlos A Netto, PhD

  Federal University of Rio Grande do Sul

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: December 8, 2014
• First Posted: December 12, 2014
• Study Start: May 1, 2013
• Primary Completion: January 1, 2014
• Study Completion: January 1, 2014
• Last Updated: December 12, 2014

Record last verified: 2014-12

Locations

BR (1)