Cervical Spinal Cord Injury
Conditions
Brief summary
This study is conducted to investigate the effects of low load Blood Flow Resistance exercise to improve strength and transfer in lower cervical spinal cord injury patientsCervical Spinal Cord injury patients have very less window of opportunity towards functional mode of life. In complete cervical spinal cord injuries only few muscles of upper limb are completely innervated and it is a need to gain maximum output and advantage out of that. Through conventional strength training it is possible to make him do unsupported sitting and transfer But with BFR-RE it may have a possibility to do this procedure in less time than the conventional strength training and patient will save cost of hospital stay as he may timely discharge from hospital early
Interventions
OTHERBlood flow restriction
strengthening protocol but with Blood flow restriction technique .Standard BFR Application: a standard pressure (used for all patients) for e.g. 180 mmHg; a pressure relative to the patient's systolic blood pressure, for e.g. 1.2 - or 1.5-fold greater than systolic blood pressure.40% cuff pressure as percentage of LOP.(4) And performing BFR-RE with low load exercises. So 30% of 1 RPM would be enough 4 times a week for 6 week
OTHERConventional physical therapy
Resistance exercise 75 repetitions across four sets of exercises, with30 repetitions in the first set and 15 repetitions in each subsequent set. 4 times a week for 6
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
15 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Both male and female, with age between 16-50 years. * Patients evaluated with C6 to C8 tetraplegic complete injury. * Patients classified in ASIA A, ASIA B. * At least Muscle grading of grade 2. * Patients with sub-acute, chronic stage.
Exclusion criteria
* Patients with other neurologic conditions, orthopedic problems, and uncontrolled metabolic diseases. * Patients with muscles strength grading of less than 2. * Undergone nerve transfer surgery. * Patients with acute stage. * History of DVT. * Patients who are already performing structured physical activities such as muscle Strengthening exercises.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS- Visual Analogue Scale | 6th week | To measure the intensity of pain |
| MAS- Modified Ashworth Scale | 6th week | To measure the muscular hypertrophy and increased tone. Usually used to measure increased tone in spasticity but also used to measure hypertrophy resulted from normal muscles adaptations. |
| QIF-SF -- Quadriplegia Index Of Functionality-Small Form | 6th week | To the transfer and functional ability in tetraplegic patients. |
| Hand Held Dynamometer | 6th week | To measure the strength objectively and To measure the minor but notable changes in strength change which cannot be detected by MMT |
Countries
Pakistan
Outcome results
None listed