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| Name | Class |
|---|---|
| Foundation for Physical Therapy, Inc. | INDUSTRY |
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The goal of this clinical trial is to examine usability of a locally built adaptive rower for people with spinal cord injury using an established and tested design.
The main questions it aims to answer are:
Participants will complete a one-time exercise session with two adaptive rower bouts (10-15 minutes each) with a rest period in between.
A single group rolling prospective cohort study with a target of 15 participants will evaluate the initial design prototype using the an existing adaptive rower design. Participants will have one visit to the University of South Carolina Rehabilitation lab. Participants will receive an orientation to the rowing machine and available handle, grip and trunk support options. Training will be provided in proper rowing technique and use of the rate of perceived exertion scale. Participants will be fitted with a heart rate monitoring device and resting heart rate established. Participants will perform two bouts of rowing exercise each with a 2-minute warm up and cool down in addition to the following: (1)10 minutes of steady state rowing with goals to achieve moderate intensity exertion levels, followed by a variable rest period to return exertion and heart rate to initial levels, (2) 10 minutes of interval rowing alternating between one minute of low-moderate intensity and 30 seconds of moderate-vigorous intensity. Participants heart rate will be monitored and recorded throughout the testing period, with rate of perceived exertion at start, midpoint and end of steady state period, and at start, at each interval, and at end in interval period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Group Intervention Arm | Experimental | Exercise intervention with adaptive rower |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adaptive Rowing Exercise | Other | Participants will perform two bouts of rowing exercise each with a 2-minute warm up and cool down in addition to the following: (1)10 minutes of steady state rowing with goals to achieve moderate intensity exertion levels, followed by a variable rest period to return exertion and heart rate to initial levels, (2) 10 minutes of interval rowing alternating between one minute of low-moderate intensity and 30 seconds of moderate-vigorous intensity. |
| Measure | Description | Time Frame |
|---|---|---|
| Heart Rate, (beats per minute), mean and range at rest, mean and range during steady state portion, mean and range during interval portion | Heart rate will be recorded at rest and throughout the exercise intervention using a polar heart rate monitor and actigraph. | During Exercise intervention |
| Rate of Perceived Exertion (RPE)-Borg 6-20 Scale | RPE will be verbally stated by participant and recorded by study personnel at beginning, mid and end of steady state portion, and at each interval for interval exercise. (RPE, 6-20, higher means higher intensity) | During Exercise intervention |
| Pain Scale (0-10 visual analog scale, higher means worse pain ) and body location of pain verbalized by participant and recorded by study personnel | participant complaints of discomfort or pain verbally stated along with location | During Exercise intervention |
| Physical Activity Enjoyment Scale (Short); average score (1-5) | A 4 item Likert scale survey to evaluate the enjoyment of the activity (1-5, higher means better outcome) | Immediately after the intervention |
| System Useability Scale, average score (1-5) | A ten question Likert scale survey to evaluate a system for ease of use (1-5, higher means better outcome) | Immediately after the intervention |
| Pain Scale (0-10 visual analog scale, higher means worse pain ) and body location of pain | participant complaints of discomfort or pain with free form location on web survey |
| Measure | Description | Time Frame |
|---|---|---|
| Exercise Time (minutes and seconds): recorded by study personnel | Steady State Portion: Total Exercise Time; Interval Portion: Exercise time for each interval | during exercise intervention |
| Rest Time minutes and seconds: recorded by study personnel |
| Measure | Description | Time Frame |
|---|---|---|
| Recommendations for changes | Free form comments from participants on any changes to rower design, setup or exercise protocols | Immediately after the intervention |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Elizabeth Regan | Contact | 803-777-5028 | eregan@mailbox.sc.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Public Health Research Center | Recruiting | Columbia | South Carolina | 29208 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29070812 | Background | Martin Ginis KA, van der Scheer JW, Latimer-Cheung AE, Barrow A, Bourne C, Carruthers P, Bernardi M, Ditor DS, Gaudet S, de Groot S, Hayes KC, Hicks AL, Leicht CA, Lexell J, Macaluso S, Manns PJ, McBride CB, Noonan VK, Pomerleau P, Rimmer JH, Shaw RB, Smith B, Smith KM, Steeves JD, Tussler D, West CR, Wolfe DL, Goosey-Tolfrey VL. Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline. Spinal Cord. 2018 Apr;56(4):308-321. doi: 10.1038/s41393-017-0017-3. Epub 2017 Oct 25. | |
| 33814890 |
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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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|
| Two days post intervention |
Steady State Portion: duration for each rest break; Interval Portion: duration for each rest break
| during exercise intervention |
| Type of Rower Handle Used | standard row, bicycle, free handles, recorded by study personnel | Immediately after the intervention |
| Grip Assist Used | none, hook, velcro, combined; recorded by study personnel | Immediately after the intervention |
| Trunk Assist Used | none, corset support, backpack harness; recorded by study personnel | Immediately after the intervention |
| Assistance Provided at Setup | minimum, moderate, maximum with description; recorded by study personnel | Immediately after the intervention |
| Background |
| Farkas GJ, Gorgey AS, Dolbow DR, Berg AS, Gater DR Jr. Energy Expenditure, Cardiorespiratory Fitness, and Body Composition Following Arm Cycling or Functional Electrical Stimulation Exercises in Spinal Cord Injury: A 16-Week Randomized Controlled Trial. Top Spinal Cord Inj Rehabil. 2021;27(1):121-134. doi: 10.46292/sci20-00065. |
| 35110695 | Background | Sawatzky B, Herrington B, Choi K, Ben Mortenson W, Borisoff J, Sparrey C, Laskin JJ. Acute physiological comparison of sub-maximal exercise on a novel adapted rowing machine and arm crank ergometry in people with a spinal cord injury. Spinal Cord. 2022 Aug;60(8):694-700. doi: 10.1038/s41393-022-00757-2. Epub 2022 Feb 3. |
| 33730952 | Background | Wong RN, Stewart AL, Sawatzky B, Laskin JJ, Borisoff J, Mattie J, Sparrey CJ, Mortenson WB. Exploring exercise participation and the usability of the adaptive rower and arm crank ergometer through wheelchair users' perspectives. Disabil Rehabil. 2022 Jul;44(15):3915-3924. doi: 10.1080/09638288.2021.1894245. Epub 2021 Mar 17. |
| 35487894 | Background | Hansen RK, de Wit JLJ, Samani A, Laessoe U, Figlewski K, Larsen RG. Wheelchair-modified ergometer rowing exercise in individuals with spinal cord injury: a feasibility, acceptability, and preliminary efficacy study. Spinal Cord Ser Cases. 2022 Apr 30;8(1):48. doi: 10.1038/s41394-022-00518-6. |
| D014947 | Wounds and Injuries |