Reconditioning program during the chronic phase of the spinal cord-injury is well known for its beneficial effects, but there is no investigation in early rehabilitation consequences. Nevertheless, it may be justified : to increase oxygen uptake; to decrease the risks of medical complications; or to improve the mobility. The restrictive autonomy is due to different factors: firstly wheelchair users reduce their movement because they need technical or human help to achieve transfers; and secondly, locomotion is performed by the upper limbs. Without specific practice, the upper limbs mechanical and physiological properties do not permit exercises that are long and intense. Then, the purpose of this research is to evaluate the effects of an 8 weeks interval training program on wheelchair independance during inpatient early rehabilitation for spinal cord injury (3 to 6 months post injury) compared to a control group (classical rehabilitation program in a physical medicine and rehabilitation department).
Study Type
OBSERVATIONAL
Enrollment
20
CHU Besançon
Besançon, France
Centre de Rééducation de la Tour de Gassie
Bruges, France
Groupe Hospitalier Raymond Poincaré - APHP
Garches, France
Service MPR des Kermes - Hôpital René Sabran
Giens, France
Centre mutualiste neurologique Propara
Montpellier, France
CHU Nantes
Nantes, France
Centre mutualiste de Rééducation et de Réadaptation Fonctionnelles de Kerpape
Ploemeur, France
Centre de Réadaptation fonctionnelle - UGECAM
Strasbourg, France
wheelchair independence and mobility
adapted 6-minutes walk test (maximal distance ran in 6 minutes with patient's personal wheelchair) crossing a 5% slope functional independence measure (FIM) quality of life
Time frame: inclusion and 6 month
Cardiovascular parameters
Maximal exercise test (maximal oxygen uptake, maximal tolerated power (MTP), ventilatory threshold (VS), maximal heart rate, blood pressure, blood lactate) Three exercise tests to exhaustion (work rate fixed at 90, 100 and 110 % MTP, to determine the critical power (power which can be sustained without fatigue)
Time frame: inclusion and 6 month
Biomechanic parameters during manuel wheelchair propulsion
Push phases push frequency total cycle time
Time frame: inclusion and 6 month
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