Spinal Cord Injury
Conditions
Brief summary
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.
Interventions
BEHAVIORALTelerehabilitation-Based Resistance Exercise Program
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.
BEHAVIORALHome Exercise Program
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.
Sponsors
Hacer Önen Tekin
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in upper extremity muscle strength measured by hand-held dynamometer | Baseline and after 6 weeks of intervention | 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). |
Countries
Turkey (Türkiye)
Outcome results
None listed