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| Name | Class |
|---|---|
| The Craig H. Neilsen Foundation | OTHER |
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Persons with spinal cord injury (SCI) are confronted with a multitude of psychological and physiological changes post-injury leading to seemingly insurmountable barriers to participating in daily life. After injury persons with SCI engage in fewer social interactions, spend more time sedentary, and are less likely to leave the home. This leads to restricted social participation that, in turn, contributes to greater psychological problems and negatively impacts the lives of adults with SCI. Intense, structured exercise has substantial potential benefits for improving psychosocial wellbeing among persons with SCI, but accessible exercise options are few and cannot achieve high intensities of whole-body exercise. This work will use approaches to overcome the barriers to intense exercise. The investigators will use hybrid functional electrical stimulation row training (FESRT) to allow for a more intense exercise stimulus, potentially having a greater impact on psychosocial wellbeing. There is initial evidence that persons with mobility impairments who are highly physically active demonstrate better psychosocial wellbeing compared with those who have low levels of physical activity. A limitation to understanding the influence of exercise on psychosocial wellbeing is the lack of robust and time-dependent measures. The investigators will use a smartphone-based research application to measure psychosocial well-being, thus decreasing self-report bias and capturing in-the-moment behavioral and self-report data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FES-row-training | Experimental | Subjects will perform 4 months of FES-row-raining |
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| Wait-list time control | Other | Subjects will wait 4 months before performing being allowed to engage in 4 months of FES-row-training |
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| Arms-only-row-training | Active Comparator | Subjects will perform 4 months of arms-only row training before being allowed to engage in 4 months of FES-row-training |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FES Row Training | Other | Hybrid FES Row Training using voluntary upper body and electrically-stimulated lower body |
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| Measure | Description | Time Frame |
|---|---|---|
| Depression | Difference between groups in depression symptom severity (Patient Health Questionnaire-9); Within-individual Correlation of exercise intensity with depression | Each week during the 4 months |
| Pain Severity | Difference between groups in pain severity, rated on a 0-10 scale ("0 being no pain and 10 being pain so severe you couldn't stand it"); Within-individual Correlation of exercise intensity with pain. | Each week during the 4 months |
| Pain Interference | Difference between groups in pain interference in daily life activities ("0. Not at all 1. A little bit 2. Moderately 3. Quite a bit 4. Extremely"); Within-individual Correlation of exercise intensity with pain. | Each week during the 4 months |
| Anxiety | Difference between groups in anxiety (Spinal Cord Injury Quality of Life Anxiety Short Form); Within-individual Correlation of exercise intensity with anxiety. Minimum score is 9, Maximum score is 45. Higher scores indicate higher anxiety. | Each week during the 4 months |
| Satisfaction with Social Participation | Difference between groups in satisfaction with social roles and activities (Spinal Cord Injury Quality of Life Satisfaction with Social Roles and Activities Short Form); Within-individual Correlation of exercise intensity with satisfaction with social participation. The Minimum score is 20 and the maximum score is 50. Higher values indicate greater satisfaction with social participation. | Each week during the 4 months |
| Ability to participate in social roles |
| Measure | Description | Time Frame |
|---|---|---|
| Health Complications | Difference between groups in frequency of secondary health complications; Within-individual Correlation of exercise intensity with secondary health complications. | Each week during the 4 months |
| Community Mobility |
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Inclusion Criteria:
Adults (>18 years of age)
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| J. Andrew Taylor | Spaulding Rehabilitation Hospital/Harvard Medical School | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Spaulding Rehabilitation Network | Cambridge | Massachusetts | 02139 | United States |
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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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Difference between groups in ability to participate in social roles and activities. Spinal Cord Injury Quality of Life Ability to Participate in Social Roles and Activities Short Form. Within-individual Correlation of exercise intensity with ability to participate in social roles. The Minimum score is 20 and the maximum score is 50. Higher values indicate greater satisfaction with social participation.
| Each week during the 4 months |
Difference between groups in community mobility (Distance traveled each week); Within-individual Correlation of exercise intensity with community mobility.
| Each week during the 4 months |
| Social Connectivity: Frequency | Difference between groups in social connectivity (Frequency of phone calls and text messages); Within-individual Correlation of exercise intensity with frequency of social connectivity. | Each week during the 4 months |
| Social Connectivity: Reciprocity | Difference between groups in social connectivity (Reciprocity of phone calls and text messages); Within-individual Correlation of exercise intensity with reciprocity of social connectivity. | Each week during the 4 months |
| D014947 | Wounds and Injuries |