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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Synchronous Telerehabilitation with Resistance Exercises | Experimental | Participants received live, video-based supervised resistance training 3x/week for 6 weeks. |
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| Home-Based Exercise Program | Active Comparator | Participants followed an unsupervised exercise program at home for 6 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telerehabilitation-Based Resistance Exercise Program | Behavioral | Participants received synchronous telerehabilitation sessions three times per week for six weeks. Each session lasted 45 minutes and included supervised resistance exercises for upper extremity muscle groups. Exercise bands were chosen based on baseline strength. Pulse oximeters were used to monitor heart rate and oxygen saturation. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in upper extremity muscle strength measured by hand-held dynamometer | Muscle strength of the shoulder flexors, extensors, abductors, and wrist flexors and extensors will be measured bilaterally using a hand-held dynamometer. The outcome is reported in Newtons (N). | Baseline and after 6 weeks of intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Turkish Spinal Cord Paralytics Association at Hüsnü Ayık Special Care Center | Diyarbakır | Kayapınar | 21070 | Turkey (Türkiye) |
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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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| Home Exercise Program | Behavioral | Participants were given a home-based, unsupervised exercise program to follow three times per week for six weeks. The exercises were taught at the beginning, and adherence was monitored using a physical activity diary. No tele-supervision was provided. |
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| D014947 | Wounds and Injuries |