Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The goal of this feasibility study is to explore the feasibility and effectiveness of a 12-week online rehabilitation programme in people with Spinal Cord Injury during the transition from hospital to home.
The main question[s] it aims to answer are:
Participants will be given a personalised online rehabilitation programme to complete two times a week. It will consist of a warm up two exercise components (cardiorespiratory fitness and muscle strength) and a cool down.
Bridging the gap between the inpatient setting to the home environment is essential to promote Physical Activity (PA) adherence, improve functional independence and enhance quality of life by implementing lifelong exercise habits. To our knowledge, no study has investigated the feasibility of an online rehabilitation programme among sub-acute Spinal Cord Injury (SCI) patients during this important discharge period from hospital to home. Therefore, this study will explore the feasibility and effectiveness of a 12-week online rehabilitation programme in people with SCI during the transition from hospital to home.
All subacute inpatients who are undergoing their first episode of inpatient rehabilitation post SCI at the Queen Elizabeth National Spinal Injuries Unit (QENSIU) who fulfil the inclusion criteria will be invited to take part in the current study. A rehabilitation programme will be prescribed individually for each participant. Each programme will align with the current PA guidelines for adults with SCI and will be tailored to the participants ability. Participants will be advised to complete the programme twice per week. It will consist of 20 mins cardiorespiratory followed by a strengthening session. Therefore, the participants will engage in the programme for roughly 40 minutes twice per week. The participants will be instructed to log all completed sessions in an online diary so adherence and duration of PA can be monitored.
Assessment will consist of 4 phases, two in person assessments at baseline and 6 weeks post discharge and two remote (online) assessments at 2 and 12 weeks post discharge. Each assessment will consist of quantitative outcome measures. Additionally, a subset of the study sample will take part in a qualitative structured video interview at the end of their intervention period.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Online Exercise | Experimental | Online personalised rehabilitation consisting of strengthening, aerobic and stretching. 40mins per session, twice per week, for 12 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Giraffe Healthcare | Other | An online personalised rehabilitation platform consisting of exercise videos with written and audio instruction, an exercise diary, advice and in-built messaging system between therapist and participant. The exercise prescription consists of strengthening, aerobic and stretching. 40mins per session, twice per week, for 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence | Adherence will be monitored remotely by the number of online diary entries per participant.á Adherence will then be calculated based on percentage of completed sessions per week over the 12 weeks.Following the guidelines, the optimum number of completed sessions per participant is 2 x 20 mins cardiorespiratory and 2 strengthening per week. >75% = excellent , 50-75% = good, <50% = satisfactory, <25% = low. | 12 weeks |
| Acceptability | Acceptability will be captured by the structured online video interview. Thematic analysis will be used to assess the qualitative data. | Week 6 to week 12 |
| Participant recruitment and retention | Measured by assessing participant eligibility (number of those approached and those who meet the inclusion criteria), recruitment rate per month and retention of recruited participants. | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Self-report Physical Activity Scale for individuals with Physical Disabilities (PASIPD) | Captures information about leisure, household and work-related activity over the preceding 7 days.The PASIPD calculates scores by multiplying the time spent on each activity by a metabolic equivalent value (MET) and then adding the results together with a maximum score of 199.5. Individuals respond to 2 ordinally ranked responses. Frequency responses range from 1 (never) to 4 (often) while duration responses range from 1 (less than 1) hour to 4 (greater than 4 hours). |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Elaine Coulter, PhD | Glasgow Caledonian University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Queen Elizabeth National Spinal Injuries Unit | Glasgow | Scotland | G51 4TF | United Kingdom |
Not provided
| ID | Term |
|---|---|
| D013119 | Spinal Cord Injuries |
| D057185 | Sedentary Behavior |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| Baseline, Week 2, Week 6 and week 12 |
| 6-minute wheelchair test (6minWCT) OR 6-minute walk test (6MinWT) | Assesses functional capacity and endurance | Baseline and week 6 |
| Muscle Strength in kg | Via manual muscle dynamometer | Baseline and week 6 |
| Borg Rate of Perceived Exertion (RPE) Scale | Collected after 6 minute test. 6-20 point self-reported scale based on rate of perceived exertion with 6 being minimum and 20 being maximum. | Baseline and week 6 |
| Walking Index for Spinal Cord Injury (WISCI II) | Assesses improvement in walking ability. Measures type and level of assistance required for walking 10m. Minimum = 0, Maximum = 20. | Baseline and week 6 |
| Spinal Cord Independence Measure Self Report (SCIM III SR) | Performance in activities of daily living and mobility questionnaire.The SCIM-SR assesses the degree of independence an individual with SCI has in 3 categories; self-care, respiration and sphincter management and mobility. A higher score indicates greater functional independence. Maximum = 100. | Baseline, Week 2, Week 6 and week 12 |
| World Health Organisation Quality of Life-Bref Scale (WHOQoL-Bref) | Quality of life questionnaire measures 4 domains: physical, psychological, social and environmental health. Higher score indicates greater quality of life. Maximum = 400. | Baseline, Week 2, Week 6 and week 12 |
| D014947 | Wounds and Injuries |
| D001519 | Behavior |