Spinal cord injury traumatic myelopathy
Conditions
Interventions
None listed
Sponsors
Revalidatiecentrum De Hoogstraat
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: • Spinal cord injury; • Age between 28-65 years; • Age at injury between 18 and 35 years; • Time since injury: at least 10 years; • Wheelchair dependent (hand rim propelled wheelchair or electric wheelchair), at least for longer distances;
Exclusion criteria
Exclusion criteria: Overall exclusion criterion: • Insufficient mastery of the Dutch language to respond to an oral interview and test instructions.;Exclusion criteria for participation in the exercise test: - cardiovascular comorbidity: in accordance with the guidelines of the American College of Sports Medicine (ACSM) (see our research protocol). - Temporary contra-indications: decubitus or an infection with fever. - Bloodpressure: diastolic bloodpressure at rest > 90 mmHg or a systolic bloodpressure at rest > 180 mmHg. - Serious musculoskeletal complaints of the upper extremities, neck or back. - rest-ECG abnormalities: P wave: o Left atrial enlargement: negative portion of the P wave in lead V1 >= 0.1mV in depth and >= 0.04s in duration; o Right atrial enlargement: peaked P wave in leads II and III or V1 >= 0.25mV in amplitude. QRS complex: o Frontal plane axis deviation: right >= + 120° or left -30° to -90°; o Increased voltage: amplitude of R or S wave in a standard lead >= 2mV, S wave in lead V1 or V2 >= 3mV, or R wave in lead V5 or V6 >= 3mV; o Abnormal Q waves >= 0.04s in duration or >= 25% of the height of the ensuing R wave or QS pattern in two or more leads; o Right or left bundle branch block with QRS duration >= 0.12s; o R or R* wave in lead V1 >= 0.5mV in amplitude and R/S ratio >= 1. ST-segment, T-waves, and QT interval: o ST-segment depression or T-wave flattening or inversion in two or more leads; o Prolongation of heart rate corrected QT interval >= 0.44s in males and > 0.46s in females. Rhythm and conduction abnormalities: o More than one premature ventricular beat or more severe ventricular arrhythmias; o Supraventricular tachycardias, atrial flutter, or atrial fibrillation; o Short PR interval (= 0.21s), second or third degree atrioventricular block.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The overall aim of this study is to assess the prevalence of long-term secondary health conditions in persons with SCI for at least ten years. The secondary health conditions that will be evaluated are: bladder- and bowel disorders, pressure sores, spasticity, sexual function deficits, cardiovascular diseases, respiratory problems and (chronic) pain. A comprehensive anamneses (including spirometry and blood pressure measurement) on these secondary conditions will be performed. In addition, self-report measures on specific secondary health conditions will be administered in a mailed questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| The main secondary parameters are related to the impact of the long-term secondary health conditions and poor fitness on quality of life. For this the degree of active lifestyle, activity limitations, participation, (wheeled) fitness and overall well-being will be measured (components of the concept *quality of life*). • Active lifestyle will be measured with the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD). • Activity limitations will be evaluated with two measures: the Spinal Cord Independence Measure version III (SCIM-III) for defining limitations in self-care and mobility and the Wheelchair circuit for assessing wheelchair skills/capacity. • Participation will be measured with the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P). • Fitness is measured with the wheelchair submaximal and maximal exercise test. • Fatigue will be measured with the Fatigue Severity Scale (FSS). • Mood will be measured with the Mental Health Inventory-5 (MHI-5). • Overall well-being will be measured with the World Health Organization Quality of Life-5 (WHOQOL-5). | — |
Countries
Netherlands
Outcome results
None listed