Technology-assisted Upper Extremity Rehabilitation in Subjects with Incomplete Cervical Spinal Cord Injury (T-ARSCI)

University of Helsinki

Status

Completed

Conditions

Spinal Cord Injuries

Treatments

Other: Technology-assisted upper extremity rehabilitation

Study type

Interventional

Funder types

Other

Identifiers

NCT04760470

01012021

Details and patient eligibility

About

The aim of the study is to investigate the effects of 6 weeks of technological-assisted rehabilitation on function of upper extremity and hand in subjects with incomplete cervical spinal cord injury.

Full description

In this crossover study, persons with motor incomplete cervical (C2-C8) spinal cord injury (AIS C-D) will be recruited from the Hospital District of Helsinki and Uusimaa. In the first period of the crossover study, other part of the participants will get technological-assisted upper extremity rehabilitation, while the other part of the participants continue their normal lives. The first period is followed by 4-week wash-out period. In the second period, roles of the participants will be switched. The rehabilitation phase lasts for 6 weeks with 3 weekly sessions, each therapy session including at least 30 minutes of technological-assisted upper extremity rehabilitation. Rehabilitation includes passive, active and resistance exercises, and will be carried out by using AMADEO, PABLO and/or DIEGO devices made by Tyromotion.

Enrollment

20 patients

Sex

All

Ages

18 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

incomplete motor spinal cord injury (AIS C-D)
injury level C2-C8
time since injury from 1 to 5 years
to be able to sit
motivation and ability to participate in intensive rehabilitation 3 times per week for 6 week period.

Exclusion criteria

participation in other exercise study or technological-assisted upper extremity study
unlikely completion of intervention and participation in follow up
injuries that prevent training
weak tolerance of intense training
severe joint movement restriction or instability
irreversible muscle contractures
grade 4 on Modified Ashworth Scale in glenohumeral, elbow, wrist and finger joints
recent significant forearm or hand injuries
memory disorder
orthopedic, rheumatic or neurological diseases (other than spinal cord injury) that prevent training