Effects of Remote Ischemic Conditioning on Hand Use in Individuals With Spinal Cord Injury and Amyotrophic Lateral Sclerosis

Arm/hand function
Online since 4 November 2021, updated 895 days ago

About this trial

This trial is recruiting individuals with chronic incomplete cervical (neck area) spinal cord injuries to test the effect of remote ischemic conditioning (RIC) during hand exercises. RIC temporarily restricts blood flow by inflating a blood pressure cuff around the arm. This restriction is thought to increase the benefits of the exercises. If included, participants will perform 2 sets of hand exercise, pinching a dynamometer with thumb and index finger at different intensities and durations (10% - 50% of maximal voluntary contraction and durations (2-6 seconds). The exercise will be combined with either 1) the active RIC (5 cycles of 5-minutes inflation and 5-minutes deflation on the non-target arm using higher cuff pressure); or 2) the sham RIC protocol (5 cycles of 5-minutes inflation at lower pressure).

Included participants

Gender
All
Age
18 - 65 years
Injury level
C2 - C8
  • Severity (AIS)?
  • AIS-C
    AIS-D
    Time since injury
    ≥ 12 months
  • Injury type
  • Traumatic

    Non-traumatic

    Healthy volunteers
    Yes
    C2-C8
    Additionally, participants must
    NOT have history of seizures
    NOT have other implanted device, e.g. pacemaker
    NOT have significant coronary artery or cardiac disease

    What’s involved

    Type

    Observational

    Details

    The participant will perform 2 sets of hand exercise at different intensities (10% - 50% of maximal voluntary contraction) and durations (2-6s) with either 1) the active RIC ( 5x5 min inflation of 200mmHg cuff pressure) or 2) the sham RIC protocol (5x5min inflation of 10mmHg below the participant’s diastolic blood pressure). Testing will be performed immediately before, immediately after, and 15 minutes after each session.

    Potential benefits

    Main benefits

    Arm/hand function

    Additional benefits

    General health

    Good to know: Potential benefits are defined as outcomes that are being measured during and/or after the trial.

    Wings for Life supports SCITrialsFinder

    Wings for Life has proudly initiated, led and funded the new version of the SCI Trials Finder website. Wings for Life aims to find a cure for spinal cord injuries. The not-for-profit foundation funds world-class scientific research and clinical trials around the globe.

    Learn more

    • Trial recruitment status
    • Ended
    • Trial start date
    • 28 Oct 2019
    • Organisation
    • Bronx VA Medical Center
    • Trial recruitment status
    • Ended
    • Trial start date
    • 28 Oct 2019
    • Organisation
    • Bronx VA Medical Center

    Wings for Life supports SCITrialsFinder

    Wings for Life has proudly initiated, led and funded the new version of the SCI Trials Finder website. Wings for Life aims to find a cure for spinal cord injuries. The not-for-profit foundation funds world-class scientific research and clinical trials around the globe.

    Learn more