Synchronous Tele-Resistance Training to Improve Upper Extremity Function in Patients With Spinal Cord Injury

Comparison of Upper Extremity Resistance Exercises as Synchronous Tele and Home Programs in Paraplegic Patients: a Randomized, Controlled, Double-blind Study

This study investigated the effects of resistive exercises applied with synchronized telerehabilitation on upper extremity functions in patients with SCI who use wheelchairs. A randomized controlled trial included 21 patients with SCI between the ages of between18 and 60. Participants were divided into two groups: the Study Group (n=11) and the Control Group (n=10). Participants in the study group applied resistive exercise with a synchronized telerehabilitation method, while participants in the control group applied a home exercise program. The upper extremity muscle strength of the participants was evaluated with hand-held dynamometer before and after the treatment, physical performance with a 20-meter push test, and physical activity level with Physical Activity Scale for Disabled Individuals.

Inclusion Criteria:

• Aged between 18 and 60 years
• Diagnosed with spinal cord injury classified as ASIA A, B, or C
• Cooperative and able to follow verbal instructions
• Has access to online communication devices
• Partially or fully dependent on a wheelchair
• Sufficient upper extremity strength to operate a wheelchair
• Has not undergone surgery in the past 6 months
• Willing to participate and provided informed consent

Exclusion Criteria:

• Unwilling or unmotivated to participate
• Presence of a progressive disease
• Fully bedridden
• Significant cognitive impairment