This proof-of-principle study will determine if breathing an increased concentration of oxygen above the concentration in normal room air results in changes in the sensory and motor function in people with subacute or chronic, severe spinal cord injury (SCI).
This proof-of-principle study will include a small number of participants with subacute or chronic (\>3 months post-injury), severe spinal cord injury (i.e., AIS A, B or C). After screening for potential contraindications, participants will attend 4 experimental sessions. In each session, their sensory or reflex function will be tested at regular intervals. Once baseline recordings are established, participants will be given either room air or 99% oxygen to breathe through a face mask for 2 minutes. It will be determined if breathing 99% oxygen results in a change in the sensory and motor functions recorded before and shortly after breathing oxygen. Administration of a high concentration of oxygen at atmospheric pressure for a short duration has been completed without adverse effects in healthy individuals, and individuals with various forms of injury including chronic obstructive lung disease, traumatic brain injury, stroke, and spinal cord injury. Duration of administration has ranged from 3 min to 4 hours without adverse effects. If this initial trial indicates that improvements in sensory and motor function are induced by this short exposure, exploration of therapeutic ways to increase blood flow to the spinal cord will be undertaken
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
25
Participants will receive oxygen (99%) or room air (placebo) delivered through a face mask at a flow rate of 10 litres/min for 2 minutes. The participants will be exposed twice to both conditions over 4 experiments at a minimum of 2 week intervals between each testing session.
University of Alberta, Clinical Sciences Bldg
Edmonton, Alberta, Canada
RECRUITINGSkin Sensation
Quantification using von Frey Hairs at three locations above and below the level of injury.
Time frame: Pre-intervention (exposure to high oxygen)
Skin Sensation
Quantification using von Frey Hairs at three locations above and below the level of injury.
Time frame: Immediately after intervention (exposure to high oxygen)
Skin Sensation
Quantification using von Frey Hairs at three locations above and below the level of injury.
Time frame: Pre-intervention (exposure to room air)
Skin Sensation
Quantification using von Frey Hairs at three locations above and below the level of injury.
Time frame: Immediately after intervention (exposure to room air)
Reflex Excitability
Elicited by electrical stimulation of the skin on the arch of the foot and measured by surface electromyography (EMG).
Time frame: Pre-intervention (exposure to high oxygen)
Reflex Excitability
Elicited by electrical stimulation of the skin on the arch of the foot and measured by surface electromyography (EMG).
Time frame: Immediately after intervention (exposure to high oxygen)
Reflex Excitability
Elicited by electrical stimulation of the skin on the arch of the foot and measured by surface electromyography (EMG).
Time frame: Pre-intervention (exposure to room air)
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Reflex Excitability
Elicited by electrical stimulation of the skin on the arch of the foot and measured by surface electromyography (EMG).
Time frame: Immediately after intervention (exposure to room air)