The Use of Functional Electrical Stimulation in Conjunction With Respiratory Muscle Training to Improve Unaided Cough in Individuals With Acute Spinal Cord Injury
University of Miami
50 participants
Jul 21, 2023
INTERVENTIONAL
Conditions
Summary
The overall objective of this study is to improve unaided cough with abdominal and latissimus dorsi functional electrical stimulation in conjunction with respiratory muscle training in individuals with acute spinal cord injuries.
Eligibility
Inclusion Criteria12
- Traumatic and atraumatic C2- T12 Spinal cord injury (AIS A, B, and C motor incomplete and complete injuries) currently admitted to inpatient rehabilitation with an injury date \< 12 months prior to enrollment
- Positive response to electrical stimulation through a palpable contraction
- Fluent in written and spoken English
- Prisoners
- Concurrent traumatic brain injury determined by Rancho level of cognitive functioning \< VI
- Individuals with open tracheostomy
- Persons with pacemakers
- Pregnant women
- Persons with epilepsy
- Open wounds or metal implants at site of electrode placement
- Unresponsive to functional electrical stimulation
- Current diagnosis or history of thoraco-abdomino-pelvic cancer
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Interventions
The abdominal functional electrical stimulation (AFES) will be conducted using the Xcite system. This is a battery-powered stimulator with up to 12 channels of cyclical stimulation. It is a task-specific modality to enhance mass practice during neurological re-education. The electrical stimulation will be applied to the abdominal and back muscles. In addition, participants will receive two specific respiratory muscle training exercises performed 3 days per week.
Locations(1)
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NCT05745298