Spinal Cord Injuries
Conditions
Brief summary
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: 1. What exercise intensity of activity do users achieve on the rower for steady state and interval rowing plans? 2. What assistance is required for setup and usage of the adaptive rower? 3. What do users think about the ease of use and what is their satisfaction with the adaptive rower? Participants will complete a one-time exercise session with two adaptive rower bouts (10-15 minutes each) with a rest period in between.
Detailed description
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.
Interventions
OTHERAdaptive Rowing Exercise
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.
Sponsors
Foundation for Physical Therapy, Inc.
University of South Carolina
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* use a wheelchair for mobility, * can perform the rowing motion with their arms * have enough grip strength to maintain grip on the rower handle with or without grip assist straps * are cleared to exercise through the electronic physical readiness questionnaire or physician release
Exclusion criteria
* current self-reported pressure wounds * pain with rowing motion.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Scale (0-10 visual analog scale, higher means worse pain ) and body location of pain verbalized by participant and recorded by study personnel | During Exercise intervention | participant complaints of discomfort or pain verbally stated along with location |
| Physical Activity Enjoyment Scale (Short); average score (1-5) | Immediately after the intervention | A 4 item Likert scale survey to evaluate the enjoyment of the activity (1-5, higher means better outcome) |
| System Useability Scale, average score (1-5) | Immediately after the intervention | A ten question Likert scale survey to evaluate a system for ease of use (1-5, higher means better outcome) |
| Pain Scale (0-10 visual analog scale, higher means worse pain ) and body location of pain | Two days post intervention | participant complaints of discomfort or pain with free form location on web survey |
| Heart Rate, (beats per minute), mean and range at rest, mean and range during steady state portion, mean and range during interval portion | During Exercise intervention | Heart rate will be recorded at rest and throughout the exercise intervention using a polar heart rate monitor and actigraph. |
| Rate of Perceived Exertion (RPE)-Borg 6-20 Scale | During Exercise intervention | 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) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assistance Provided at Setup | Immediately after the intervention | minimum, moderate, maximum with description; recorded by study personnel |
| Exercise Time (minutes and seconds): recorded by study personnel | during exercise intervention | Steady State Portion: Total Exercise Time; Interval Portion: Exercise time for each interval |
| Rest Time minutes and seconds: recorded by study personnel | during exercise intervention | Steady State Portion: duration for each rest break; Interval Portion: duration for each rest break |
| Type of Rower Handle Used | Immediately after the intervention | standard row, bicycle, free handles, recorded by study personnel |
| Grip Assist Used | Immediately after the intervention | none, hook, velcro, combined; recorded by study personnel |
| Trunk Assist Used | Immediately after the intervention | none, corset support, backpack harness; recorded by study personnel |
Other
| Measure | Time frame | Description |
|---|---|---|
| Recommendations for changes | Immediately after the intervention | Free form comments from participants on any changes to rower design, setup or exercise protocols |
Countries
United States
Contacts
Primary ContactElizabeth Regan
Outcome results
None listed