Injury, Occupational Diseases, Poisoning
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 18–64 years. Body Mass Index (BMI) between 17–29.9 kg/m². Traumatic spinal cord injury (SCI) confirmed by MRI. Neurological level of injury between D4–D12. Duration of injury = 3 months. Ability to participate in rehabilitation and follow instructions.
Exclusion criteria
Exclusion criteria: Associated head injury or cognitive dysfunction. Severe spasticity: Modified Ashworth Scale (MAS) = 3. Uncontrolled chronic diseases: Hypertension (resting BP = 160/100 mmHg) Diabetes (random glucose >16.7 mmol/L or HbA1C >7.0%) Severe organic disease (cardiovascular, pulmonary, liver failure, CKD stage =3) Severe peripheral vascular disease Other neurological disorders: stroke, multiple sclerosis, Parkinsonism. Poor compliance or inability to cooperate with assessment or training. Combined mental disorders. Enrollment in another rehabilitation program.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Distance walked, 6-Minute Walk Test (6MWD, total distance in meters);Oxygen consumption (VO2) using K5 Cosmed device;Metabolic cost, measured using K5 Cosmed device;Physiological Cost Index (PCI), measured using Heart rate: (Working HR – Resting HR) / walking speed;Spasticity, measured using Modified Ashworth Scale (MAS) & nerve conduction (F/M and H/M ratios);Bowel & bladder function, measured using Clinical exam & monomeric biofeedback (resting/max anal pressure);Gait & postural assessment, measured using Force platform (COP, symmetry, ground reaction forces), gait lab (stride length, speed, stance/swing times, step length, double limb support) | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional Ambulation, measured using Walking Index for Spinal Cord Injury (WISCI-II);Pain, measured using Visual Analog Scale (VAS);Fatigue, measured using Visual Analog Scale VAS;Quality of Life, measured using SF-12 Version 2 (Physical & Mental Health composite scores);Heart rate & oxygen saturation, measured during 6MWT;Adverse Events, Patient-reported; monitored by therapist | — |
Countries
Egypt
Contacts
Assistant Lecturer