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| ID | Type | Description | Link |
|---|---|---|---|
| 2009-A00866-51 | Other Identifier | AFSSAPS |
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Difficulty to include patients
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Reconditioning program during the chronic phase of the spinal cord-injury is well known for its beneficial effects, but there is no investigation in early rehabilitation consequences. Nevertheless, it may be justified : to increase oxygen uptake; to decrease the risks of medical complications; or to improve the mobility. The restrictive autonomy is due to different factors: firstly wheelchair users reduce their movement because they need technical or human help to achieve transfers; and secondly, locomotion is performed by the upper limbs. Without specific practice, the upper limbs mechanical and physiological properties do not permit exercises that are long and intense. Then, the purpose of this research is to evaluate the effects of an 8 weeks interval training program on wheelchair independance during inpatient early rehabilitation for spinal cord injury (3 to 6 months post injury) compared to a control group (classical rehabilitation program in a physical medicine and rehabilitation department).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control | group with classical rehabilitation program | ||
| training | group with an 8 weeks interval training program on wheelchair independence |
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| Measure | Description | Time Frame |
|---|---|---|
| wheelchair independence and mobility | adapted 6-minutes walk test (maximal distance ran in 6 minutes with patient's personal wheelchair) crossing a 5% slope functional independence measure (FIM) quality of life | inclusion and 6 month |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiovascular parameters | Maximal exercise test (maximal oxygen uptake, maximal tolerated power (MTP), ventilatory threshold (VS), maximal heart rate, blood pressure, blood lactate) Three exercise tests to exhaustion (work rate fixed at 90, 100 and 110 % MTP, to determine the critical power (power which can be sustained without fatigue) | inclusion and 6 month |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with acute spinal cord injury (SCI) from trauma, medical or surgical pathology at levels between C7 and L1
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| Name | Affiliation | Role |
|---|---|---|
| Paul Calmels, MD | CHU de Saint-Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Besançon | Besançon | France | ||||
| Centre de Rééducation de la Tour de Gassie |
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| ID | Term |
|---|---|
| D013119 | Spinal Cord Injuries |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
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| Biomechanic parameters during manuel wheelchair propulsion | Push phases push frequency total cycle time | inclusion and 6 month |
| Bruges |
| France |
| Groupe Hospitalier Raymond Poincaré - APHP | Garches | France |
| Service MPR des Kermes - Hôpital René Sabran | Giens | France |
| Centre mutualiste neurologique Propara | Montpellier | France |
| CHU Nantes | Nantes | France |
| Centre mutualiste de Rééducation et de Réadaptation Fonctionnelles de Kerpape | Ploemeur | France |
| Centre de Réadaptation fonctionnelle - UGECAM | Strasbourg | France |
| D014947 | Wounds and Injuries |