Upper Limb Ergometer on Pulmonary Function Among Patients With Spinal Cord Injury.

Riphah International University

Status: Completed

Conditions: Spinal Cord Injuries

Treatments: Other: Upper Limb ergometer training; Other: Conventional Treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT04358679

REC/00592 Somia Ilyas

Details and patient eligibility

About

Randomized Control Trial, To determine the effects of arm ergometer exercise on pulmonary function of Spinal Cord Injury.

Full description

The spinal cord is a tubular structure contained nervous tissue. This acts as a transmission channel of nerve signals within the brain and spinal cord. It contains grey and white matter. The grey matter consists of cell bodies of different sensory and motor neurons and white matter consists of oriented spinal tracts.

By 2007, a prospective observational study had been conducted after a disaster occurred in Pakistan which was the most cataclysmic natural disaster in country's history as a result 73000 people were lost their lives and 126000 were harmed. There was no Spinal Cord Injury (SCI) registry existed in the country but according to different estimates 650-750 had been effected of SCI.

In United States SCI incidence mainly due to higher percentage of violence-related SCIs (18%)which is higher compared to the western Europe (8%) Australia (2%). In Pakistan the most common traumatic cause of SCI was falling from different cause followed by road traffic accident (RAT) (25.2%) and functional aerobic impairment (FAI) (8.4%). The way that SCI is associated with fantastic expenses and human sufferings , yet careful statistics of SCI are not accessible in dominant of developing countries including Pakistan.

Total lung capacities become abnormal in chronic spinal cord injury patients. Changes in chest wall compliance and decreased respiratory muscle strength leads to abnormal changes in overall lung capacities.

Enrollment: 44 patients

Sex: All

Ages: 25 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• SCI at level of upper and lower thoracic spine

Exclusion criteria

• Cardiovascular diseases
• Active inflammation or infection going in body
• Malignancies
• Those Individuals with have psychiatric disorders
• Any other neurological condition related to brain (stroke, parkinson's etc)
• Pressure ulcers (grade 3 and grade 4)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

44 participants in 2 patient groups

Conventional Treatment

Active Comparator group

Description:

Conventional Treatment: Deep breathing, Assisted coughing, Sustained stretching, Splinting, Bracing and Functional mobility

Treatment:

Other: Conventional Treatment

Upper Limb ergometer training

Experimental group

Description:

Conventional Treatment + Upper Limb (UL) ergo-meter exercise

Treatment:

Other: Upper Limb ergometer training