Spinal cord injury (SCI), traumatic spinal cord injury, non-traumatic spinal cord injury, paraplegia, tetraplegia, quadriplegia, neurological impairment due to spinal cord lesion Spinal injury, damage to the spinal cord, nerve damage in the back, paralysis from a back injury, back injury causing loss of movement or feeling, problem with the nerves in the spine
Conditions
Interventions
The wheelchair users undergo practise sessions on the wheelchair ergometer using their own wheelchair, with feedback and interval-based approaches. This includes five sessions of 30 minutes with twelv
Sponsors
Universitair Medisch Centrum Groningen
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: Age = 18 yearsShould be able to sit up in a wheelchair for 2 hours’Should be able to safely propel their wheelchair without risk of injuryShould use a wheelchair that provides proper seat and foot support Is in the inpatient or outpatient rehabilitation process for the 4 weeks of the study
Exclusion criteria
Exclusion criteria: The participant does not speak Dutch or English sufficiently to understand study procedures.The participant has diagnosed cognitive impairments that would interfere with their ability to follow instructions or complete study tasksThe participant is medically advised to avoid physical exertion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Subjective outcomes at pre- and post-test: Questionnaires and a semi-structured interview for the wheelchair user and the clinician (rehabilitation physician or physician assistant, physiotherapist and occupational therapist) about the usability and feasibility of the training on the wheelchair ergometer (see attachment F). The wheelchair users will complete these at their pre- and post-test and the three clinicians before the first session of the first participant and after the last session of the last participant. Objective outcomes at pre- and post-test: sprint test measures - peak velocity (m/s) and mean power output (W) - and submaximal test outcomes, which were divided into propulsion technique variables (push time [s], cycle time [s], mean power per push [W], peak power per push [W], negative work per cycle [W], push frequency [push/min], and contact angle [degrees]) and physiological variables (energy expenditure [W], mechanical efficiency [%], heart rate [bpm], and Rate of Perceived Exertion [1–10 scale]). The outcomes will be assessed using Smallest Detectable Change values to determine whether changes observed in the post-test results reflect a meaningful difference according to Janssen et al. (2025) (Janssen et al., n.d.). | — |
Secondary
| Measure | Time frame |
|---|---|
| - | — |
Countries
Netherlands
Contacts
Public ContactRJF Janssen
Universitair Medisch Centrum Groningen
Outcome results
None listed