Condition: Spinal Cord Injuries · Spinal Cord Injury (SCI), Initial Encounter · Sponsor: Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal
Spinal cord injuries (SCI) are among the most catastrophic survivable events experienced by human beings. Affected individuals remain with lifelong neurological impairment involving motor, sensory, bladder and bowel functions, which in turn impacts quality of life and independence. Currently, patients have no access to exercise therapy for weeks to months after the injury because clinicians remain fearful that early initiation of exercise therapy may be harmful to patients, and could lead to neurological deterioration. Patients are therefore mostly immobilized during the first weeks after the injury, and are at high risk of complications associated with immobility. In addition, there are compelling preclinical evidence showing that early exercise therapy is effective for promoting neurofunctional recovery. The PROMPT-SCI trial was the first to initiate early exercise therapy in the form of in-bed leg cycling within days after SCI. This trial has shown that it is safe and does not lead to neurological deterioration. However, in-bed leg cycling remains difficult to translate into the clinical environment of acute SCI, and its potential to decrease complications and improve neurofunctional recovery seems limited by the positioning in bed. The PROMPT-SCI II trial will therefore evaluate the potential of sitting leg cycling initiated within the first week of a SCI to decrease complications and improve neurofunctional recovery up to one year after the injury, in comparison to our p…
This description comes directly from the study's public registry record.
Jean-Marc Mac-Thiong, MD, PhD · 514-338-2222 · jean-marc.mac-thiong@umontreal.ca
Andreane Richard-Denis, MD, MSc · 514-338-2222 · andreane.rdenis@umontreal.ca
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| Hopital du Sacre-Coeur de Montreal | Montreal, Quebec, Canada | Recruiting |
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Source record: clinicaltrials.gov/study/NCT07472985