About this trial
The aim of the project is to test the effectiveness of robot-assisted upper-limb exercise in persons after cervical spinal cord injury. In a randomised controlled two-arm trial, the effect of adding two types of robot-assisted upper-limb exercise to standard occupational therapy will be tested. Three primary and two secondary outcomes will be assessed using well-established measures.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
ability to move unloaded upper limbs
at least 18 years of age
ability to sit for one hour
ability to understand the instructions for robot-assisted exercise
Disqualifiers
inability to sit for one hour
presence of hospital-acquired infection that requires isolation
bodily impairment other than spinal cord injury
inability to understand the instructions for robot-assisted exercise
Trial design
Parallel
Treatments tested in this trial
Standard occupational therapy
BehavioralStandard occupational therapy as part of inpatient rehabilitation
Robot-assisted exercise using Amadeo device and Armeo Spring exoskeleton
DeviceExercise for fingers and hand using Amadeo device plus gross-motor exercise using Armeo Spring exoskeleton
Treatment groups
Trial outcomes
Primary outcomes
Difference in Graded Redefined Assessment of Strength, Sensibility and Prehension Version 2 (GRASSP V2) score
Clinical impairment measure specific to the upper limb for use after tetraplegia that measures sensorimotor and prehension function through three domains; total score for each body side ranges from 0 to 94; higher scores mean a better outcome
Difference in Graded Redefined Assessment of Strength, Sensibility and Prehension - Mielopathy (GRASSP-M) score
Objective tool designed to characterize patients' functional impairment related to the upper limb, useful for diagnosing and quantifying mild dysfunction and monitoring patients for deterioration; total score for each body side ranges from 0 to 74; higher scores mean a better outcome
Secondary outcomes
Difference in Spinal Cord Independence Measure (SCIM) score
Assessement of performance in activities of daily living and mobility for individuals with spinal cord injury; score ranges from 0 to 100; higher scores mean a better outcome
Difference in Canadian Occupational Performance Measure (COPM) results
Individualized, client-centred outcome measure designed to capture a client's self-perception of performance in everyday living, over time; performance and satisfaction scores range from 1 to 10; higher scores mean a better outcome
Sponsors and contacts
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