An Online Rehabilitation Programme for People with SCI

NCT06583538 | Completed

• 1 other identifier: 331702
• Study Type: interventional
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this feasibility study is to explore the feasibility and effectiveness of a 12-week online rehabilitation programme in people with Spinal Cord Injury during the transition from hospital to home. The main question\[s\] it aims to answer are:

• What is the feasibility of an online rehabilitation programme to support physical activity adherence in people with spinal cord injury following discharge into the community?
• How effective is an online rehabilitation programme to enhance functional capacity, physical activity and quality of life in people with spinal cord injury following discharge into the community? Participants will be given a personalised online rehabilitation programme to complete two times a week. It will consist of a warm up two exercise components (cardiorespiratory fitness and muscle strength) and a cool down.

Conditions

Spinal Cord Injuries; Physical Inactivity; Spinal Cord Injury, Acute

Outcome Measures

Primary Outcomes (3)

• Adherence

  Adherence will be monitored remotely by the number of online diary entries per participant.á Adherence will then be calculated based on percentage of completed sessions per week over the 12 weeks.Following the guidelines, the optimum number of completed sessions per participant is 2 x 20 mins cardiorespiratory and 2 strengthening per week. \>75% = excellent , 50-75% = good, \<50% = satisfactory, \<25% = low.

  12 weeks

• Acceptability

  Acceptability will be captured by the structured online video interview. Thematic analysis will be used to assess the qualitative data.

  Week 6 to week 12

• Participant recruitment and retention

  Measured by assessing participant eligibility (number of those approached and those who meet the inclusion criteria), recruitment rate per month and retention of recruited participants.

  12 weeks

Secondary Outcomes (7)

• Self-report Physical Activity Scale for individuals with Physical Disabilities (PASIPD)

  Baseline, Week 2, Week 6 and week 12

• 6-minute wheelchair test (6minWCT) OR 6-minute walk test (6MinWT)

  Baseline and week 6

• Muscle Strength in kg

  Baseline and week 6

• Borg Rate of Perceived Exertion (RPE) Scale

  Baseline and week 6

• Walking Index for Spinal Cord Injury (WISCI II)

  Baseline and week 6

Study Arms (1)

Online Exercise

EXPERIMENTAL

Online personalised rehabilitation consisting of strengthening, aerobic and stretching. 40mins per session, twice per week, for 12 weeks

Other: Giraffe Healthcare

Interventions

Giraffe Healthcare OTHER

An online personalised rehabilitation platform consisting of exercise videos with written and audio instruction, an exercise diary, advice and in-built messaging system between therapist and participant. The exercise prescription consists of strengthening, aerobic and stretching. 40mins per session, twice per week, for 12 weeks

Online Exercise

Eligibility Criteria

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

You may qualify if:

• Inpatient at the Queen Elizabeth National Spinal Injuries Unit
• Incomplete or complete spinal cord injury of less than one year in duration
• Medically stable to engage in physical rehabilitation and physical activity
• Able to engage in manual wheelchair propulsion and / or weight baring activities
• Discharge date anticipated within the next 4 weeks
• Access and capability to use the internet

You may not qualify if:

• Under 18 years old
• Chronic spinal cord injury patients more than one year since injury
• Discharge planned to another hospital or care facility
• Co-morbidities which would preclude taking part in a physical activity programme: medically diagnosed ischemic heart disease; unstable angina, dysrhythmia or unstable autonomic dysreflexia; recent osteoporotic fracture, tracheostomy, current pressure injury, current substance dependence, psychosis, severe chronic upper extremity pain, surgery pending within 6 months, recurrent infection or illness requiring hospitalization (Bombardier et al., 2021).
• Those who do not wish to take part in a physical activity research study
• Unable to understand written and spoken English language

Sponsors & Collaborators

• Glasgow Caledonian University: lead

Study Sites (1)

Queen Elizabeth National Spinal Injuries Unit

Glasgow, Scotland, G51 4TF, United Kingdom

Location

MeSH Terms

Conditions

Spinal Cord Injuries; Sedentary Behavior

Condition Hierarchy (Ancestors)

Spinal Cord Diseases; Central Nervous System Diseases; Nervous System Diseases; Trauma, Nervous System; Wounds and Injuries; Behavior

Study Officials

• Elaine Coulter, PhD

  Glasgow Caledonian University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 15, 2023
• First Posted: September 4, 2024
• Study Start: November 22, 2023
• Primary Completion: October 8, 2024
• Study Completion: October 8, 2024
• Last Updated: November 22, 2024

Record last verified: 2024-11

Locations

GB (1)