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Project

Safety of early in-bed cycling for improving outcomes after traumatic SCI

Funder: Craig H Neilsen Foundation

Funding period
USD 300 K
Funding amount
Abstract
There is a general consensus that initiating movement/activity early after a spinal cord injury (SCI) leads to improved care, decreased complications and better recovery. However, there are currently no standard protocol or guidelines for early movement/activity therapy of patients, despite compelling animal studies demonstrating the benefits of early activity-based therapy after SCI. Several studies have already shown that multiple sessions of leg cycling during the chronic phase (>1 year) after a SCI provides significant benefits on the cardiovascular, musculoskeletal and neurological systems. Moreover, early in-bed leg cycling was shown to be safe and feasible within the first day after admission for critically ill patients in the intensive care unit. Surprisingly, in-bed leg cycling has never been applied during the acute phase after severe SCI when patients are otherwise immobilized between surgery and admission to a rehabilitation unit. We will therefore assess the feasibility, safety and benefits of early in-bed leg cycling following spine surgery for severe SCI. The intervention cohort will receive daily 30-minute sessions of in-bed cycling for 14 consecutive days, starting within 48 hours after spine surgery. We will compare the rate of patients recovering the ability to walk independently between a cohort of 45 patients receiving in-bed leg cycling, and a matched cohort of 45 individuals with similar baseline characteristics retrieved from our current SCI database. This project proposes a novel concept of “acute neurorehabilitation” for improving care and recovery for those affected by an acute SCI. It has a potential to completely transform the current paradigm that mainly focuses on surgery to improve the outcomes during the acute care of patients following a SCI. Potential high impacts/gains could be achieved in terms of functional and neurological recovery, care pathway (length of stay in acute and rehabilitation centers), and quality of life. (CHN: SCIRTS chn:wdg)
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System

Categories
  • FOR (ANZSRC)

    1103 Clinical Sciences

  • RCDC

    Injury (total) Accidents/Adverse Effects

  • RCDC

    Injury - Trauma - (Head and Spine)

  • RCDC

    Neurosciences

  • RCDC

    Rehabilitation

  • RCDC

    Spinal Cord Injury

  • RCDC

    Clinical Research

  • RCDC

    Neurodegenerative

  • RCDC

    Patient Safety

  • RCDC

    Physical Rehabilitation

  • HRCS RAC

    6.7 Physical

  • Health Research Areas

    Clinical

  • Broad Research Areas

    Clinical Medicine and Science