Up to 15 individuals living with chronic SCI will be recruited for this study. Each participant will complete an initial clinical assessment before starting a 10-week training program. The training program will consist of three 45-minute Whole-Body Electrical Muscle Stimulation (WBEMS)-augmented exercise training sessions for 10 weeks. At each training session, all adverse events (pain, redness, injury, etc.) will be recorded along with participants' comments concerning comfort (i.e. Objective 1). The investigators hypothesize that the use of a WBEMS will result in no serious adverse effect during and following the training sessions and that it will take less than 10 minutes to don and doff the suit. At the fifth session, after participants have had the opportunity to become familiar with the WBEMS intervention, the immediate effects of the intervention on physiological responses will be assessed (i.e. Objective 2). It is hypothesized that during a single training session consisting of WBEMS and exercise, physiological responses and energy expenditure (EE) will be significantly improved in participants with SCI compared to a training session consisting solely of exercises without WBEMS. At the end of the training program, participants will complete the final clinical assessment to evaluate the therapeutic benefit of the WBEMS-augmented exercise intervention (i.e. Objective 3). Three months after the end of the training program, the participants will be asked to complete a semi-structured interview and questionnaire to evaluate the perceived benefits of the training program (i.e. Objective 3).It is also hypothesized that participants will perceive benefits of the 10-week training program such as decreased spasticity, increased energy and improved mood.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
1
The StimaWell®EMS device is a 12-channel medium-frequency device with modulated low frequency using a high-tech stimulation suit for the trunk and strap electrodes for the arms and legs allowing whole-body stimulation. The device has 70 preprogramed training programs based on goals (e.g., strengthening, endurance training, aerobic training).
Lyndhurst Centre, Toronto Rehabilitation Institute-UHN
Toronto, Ontario, Canada
Duration of Training Session
Time in minutes
Time frame: For the 30 training sessions spread over 10 weeks
Intensity of Training Session
Type of activity; repetitions; weight resistance
Time frame: For the 30 training sessions spread over 10 weeks
Adverse Events
All adverse events, even minor, will be reported in the intervention CRF, and compiled in a specific document (Adverse Event Report Form) all along the study to be analyzed as an outcome of the study
Time frame: For the 30 training sessions spread over 10 weeks, if necessary
Weight
Time frame: Up to 10 weeks
Height
Time frame: Up to 10 weeks
Body Mass Index
Time frame: Up to 10 weeks
Anthropometric data
Circumference of the waist, abdominal region, thighs, legs, arms and forearms
Time frame: Up to 10 weeks
Maximal Isometric Voluntary Strength
Maximal strength of the major muscle groups of upper extremity (i.e., flexors, extensors and abductors of the shoulder, and flexors and extensors of the elbow) will be measured using hand-held dynamometer
Time frame: Up to 10 weeks
Exercise Self-Efficacy Questionnaire
Used to assess the perception and confidence to do leisure time physical activity
Time frame: Up to 10 weeks
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