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The aim of this study is to define and evaluate the efficacy of Aquatic Locomotor Training (ALT) compared to overground Locomotor Training in improving ambulatory function and health-related quality of life. The investigators hypothesize, that Aquatic Locomotor Training is capable of producing outcomes that are as good as, or better than, overground Locomotor Training.
Aquatic Locomotor Training may be another tool for therapists to utilize for clinical improvements in function and gait for the Spinal Cord Injury (SCI) population.
To determine the efficacy of Aquatic Locomotor Training on improving rehabilitation outcomes among patients with incomplete traumatic cervical Spinal Cord Injury by assessing these parameters:
To describe the feasibility of conducting Aquatic Locomotor Training as an Locomotor Training modality for the rehabilitation of patients with incomplete traumatic cervical Spinal Cord Injury.
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Inclusion criteria
i. Overground ambulator (able to walk at least 10 m with or without an assistive device)
ii. Able to demonstrate active movement at/or below L2 myotome
iii. Able to demonstrate adequate head control
iv. Tolerance to activity
g. Range of motion
i. PROM values for ankle dorsiflexion
ii. PROM values for knee extension
iii. PROM values for hip extension
h. Height
i. Participant with minimum height of 48"
i. Weight
i. Participant with minimum weight of (to be determined based on therapist's clinical judgment)
ii. Participant with maximum weight of 300 lb
j. Participants are able to comply with procedures and follow up
k. Participants are medically stable, with no recent (1 month or less) inpatient admission for acute medical or surgical issues
l. Participants are legally able to make their own health care decisions
Exclusion criteria
a. Medical Complications i. Fracture
Participant with presence of unhealed fracture ii. Physician hold for medical reasons that the Principle Investigator will judge and decide on a case by case basis as a potential safety threat to the participant
Wounds a. Allowed if physician cleared i. Excluded wounds likely to be present in areas enclosed with harness, present in areas that require access for facilitation, present in areas of direct weight bearing during LT session b. Wounds allowed must be fully covered with gauze then opsite (waterproof bandage) before Aquatic Locomotor Training
Comorbidities a. E.g. poorly controlled diabetes, uncontrolled seizures, etc.
Orthostatic hypotension
a. Participant demonstrates symptomatic orthostatic hypotension that limits activity
Uncontrolled autonomic dysreflexia symptoms a. Episode of uncontrolled autonomic dysreflexia symptoms within the past 1 month iii. Diarrhea iv. Mechanical ventilation v. Pacemakers vi. Central lines vii. Women who are pregnant, confirmed by a urine pregnancy test that will be done on all menstruating, or non-menopausal women viii. History of neurological disease ix. Non English speaking participants will not be targeted b. Currently undergoing, or have received Aquatic Locomotor Training or overground Locomotor Training within four weeks of the study start date (see above in 4d for further details)
Primary purpose
Allocation
Interventional model
Masking
2 participants in 2 patient groups
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Data sourced from clinicaltrials.gov
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