Blood Flow Restriction Resistance Exercise in Lower Cervical Spinal Cord Injury Patients

Riphah International University

Status: Completed

Conditions: Cervical Spinal Cord Injury

Treatments: Other: Conventional physical therapy; Other: Blood flow restriction

Study type: Interventional

Funder types: Other

Identifiers

NCT05425238

REC/RCR&AHS/22/0222

Details and patient eligibility

About

This study is conducted to investigate the effects of low load Blood Flow Resistance exercise to improve strength and transfer in lower cervical spinal cord injury patientsCervical Spinal Cord injury patients have very less window of opportunity towards functional mode of life. In complete cervical spinal cord injuries only few muscles of upper limb are completely innervated and it is a need to gain maximum output and advantage out of that. Through conventional strength training it is possible to make him do unsupported sitting and transfer But with BFR-RE it may have a possibility to do this procedure in less time than the conventional strength training and patient will save cost of hospital stay as he may timely discharge from hospital early

Enrollment: 16 patients

Sex: All

Ages: 15 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Both male and female, with age between 16-50 years.
• Patients evaluated with C6 to C8 tetraplegic complete injury.
• Patients classified in ASIA A, ASIA B.
• At least Muscle grading of grade 2.
• Patients with sub-acute, chronic stage.

Exclusion criteria

• Patients with other neurologic conditions, orthopedic problems, and uncontrolled metabolic diseases.
• Patients with muscles strength grading of less than 2.
• Undergone nerve transfer surgery.
• Patients with acute stage.
• History of DVT.
• Patients who are already performing structured physical activities such as muscle Strengthening exercises.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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16 participants in 2 patient groups

Blood flow restriction

Experimental group

Description:

Resistance training protocol but with Blood flow restriction technique Standard BFR Application: a standard pressure (used for all patients) for e.g. 180 mmHg; a pressure relative to the patient's systolic blood pressure, for e.g. 1.2 - or 1.5-fold greater than systolic blood pressure.

Treatment:

Other: Blood flow restriction

Conventional physical therapy

Active Comparator group

Description:

Resistance training to stimulate skeletal muscle hypertrophy and strength adaptations in Duration of 6 weeks

Treatment:

Other: Conventional physical therapy