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| Name | Class |
|---|---|
| Coordenação de Aperfeiçoamento de Pessoal de NÃvel Superior. | OTHER_GOV |
| Conselho Nacional de Desenvolvimento CientÃfico e Tecnológico | OTHER_GOV |
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The purpose of this study was to evaluate the effects of an exercise program proposed by the CHORDATA® Method on the functionality, maximal isometric torque, muscle activity and muscle thickness of trunk muscles in patients with traumatic spinal cord injury.
The hypothesis is that the CHORDATA® Method could reduce the deleterious effects of the traumatic spinal cord injury.
Participants were allocated into one of two groups (rehabilitation or control). Rehabilitation group (8 weeks of rehabilitation; CHORDATA® Method) Control group (patients with up to three years of traumatic spinal cord injury): Participants maintained their daily-life activities routine during the same eight weeks period and were tested before and after this control period. At the end of the control period, patients interested at participating on the training program were included in the intervention group
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rehabilitation | Experimental | Eight weeks of rehabilitation (CHORDATA® Method) |
|
| Control | No Intervention | Participants maintained their daily-life activities routine during the same eight weeks period and were tested before and after this control period. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rehabilitation | Other | The CHORDATA® Method (16 sessions; 50 minutes each; twice a week) consisted of three exercises: (1) anterior pendulum, with the patient seated on a chair, upper limb suspended by springs and straps, and actively moving the trunk forward; (2) posterior pendulum exercise, on a similar position as exercise (1) but now moving the trunk backwards and recruiting the abdominal wall muscles during a posterior pelvic tilt motion; and (3) stand-up and sit-down exercise, patient with knees fixed anteriorly, initiating the standing-up movement by pulling back and down the springs, trying to maintain the standing position for as long as possible, balancing the trunk and transferring the supporting force from the upper limbs to the lower limbs. |
| Measure | Description | Time Frame |
|---|---|---|
| Torque change ( assessed by dynamometry.) | Torque is an expression of the muscular strength and was assessed by dynamometry. | Torque was measured 2 times during the study: Pre-intervention/control and post-intervention/control (8 weeks after the first assessment). |
| Measure | Description | Time Frame |
|---|---|---|
| Muscular electrical activation change (assessed by electromyography (EMG) | Electrical activation was assessed by electromyography (EMG). | Muscular electrical activation was measured 2 times during the study: Pre-intervention/control and post-intervention/control (8 weeks after the first assessment). |
| Measure | Description | Time Frame |
|---|---|---|
| Muscle thickness change (assessed by ultrasonography) | Muscle thickness was assessed by ultrasonography | Muscle thickness was measured 2 times during the study: Pre-intervention/control and post-intervention/control (8 weeks after the first assessment). |
| Functional performance change (assessed by Functional Reach Adapted Test) |
Inclusion Criteria:
- Patients that suffered traumatic spinal cord injury in the last 42 months, capable of transporting themselves for rehabilitation at the physical therapy clinic and for the neuromuscular tests at the laboratory where measurements were performed.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Carlos A Netto, PhD | Federal University of Rio Grande do Sul | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Exercise Research Laboratory, School of Physical Education, Federal University of Rio Grande do Sul | Porto Alegre | Rio Grande do Sul | 90690-200 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30952032 | Derived | Frison VB, Lanferdini FJ, Geremia JM, de Oliveira CB, Radaelli R, Netto CA, Franco AR, Vaz MA. Effect of corporal suspension and pendulum exercises on neuromuscular properties and functionality in patients with medullar thoracic injury. Clin Biomech (Bristol). 2019 Mar;63:214-220. doi: 10.1016/j.clinbiomech.2019.02.012. Epub 2019 Feb 23. |
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| ID | Term |
|---|---|
| D013119 | Spinal Cord Injuries |
| D014947 | Wounds and Injuries |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
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| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| ID | Term |
|---|---|
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
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|
Functional performance was assessed by Functional Reach Adapted Test |
| Functional performace was measured 2 times during the study: Pre-intervention/control and post-intervention/control (8 weeks after the first assessment). |
| D006296 |
| Health Services |
| D005159 | Health Care Facilities Workforce and Services |