Spinal Cord Injury Exercise and Nutrition Conceptual Engagement

NCT ID: NCT03495986

Last Updated: 2025-12-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-10

Study Completion Date

2024-07-24

Brief Summary

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Evaluate and compare the health benefits of an at home exercise program using functional electrical stimulation (FES) for lower extremity exercise with diet versus a diet alone group in adults with spinal cord injury.

Detailed Description

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The purpose of this proposal is to evaluate and compare the health benefits of home-based functional electrical stimulation leg cycle ergometry plus diet (HBFESLCE + Diet) to home-based (HB) Diet alone. This is a randomized, baseline-controlled, prospective, interventional trial to assess the impact of a 16-week exercise and/or diet intervention on selected fitness parameters in adults with high SCI. Primary outcome measures will include body composition by iDXA, insulin sensitivity, glucose effectiveness and BMR, while secondary outcomes will include lower extremity BMC and density, lipid profiles, and hsCRP determined before and after the 16-week interventions. Subjects will be randomly assigned to either HBFES LCE + Diet on an RT300 ergometer or Home-based (HB) Diet Alone intervention. Both groups will be routinely monitored via telemedicine while at home.

Conditions

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Spinal Cord Injuries Metabolic Syndrome Dietary Modification Paraplegia Tetraplegia

Keywords

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Functional Electrical Stimulation Exercise Body Composition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Home-Based Exercise & Diet Group

16-week home based functional electrical stimulation leg cycle ergometry exercise program and diet intervention

Group Type EXPERIMENTAL

Functional Electrical Stimulation Leg Cycle Ergometry

Intervention Type DEVICE

Exercise training will consist of three to five, 40-67 minute sessions (200 minutes at target intensity) each week for a total of 16 weeks at 70% maximal heart rate; 10-minute warm-up and cool-down sessions will accompany each exercise session.

Diet

Intervention Type BEHAVIORAL

An individualized, detailed dietary plan consistent with My Healthy Plate Dietary Guidelines of America will be followed under supervision of Registered Dietitian with weekly telemedicine conferences and monitored dietary intake via MyFitnessPal.

Home-Based Diet Alone Group

Diet intervention

Group Type PLACEBO_COMPARATOR

Diet

Intervention Type BEHAVIORAL

An individualized, detailed dietary plan consistent with My Healthy Plate Dietary Guidelines of America will be followed under supervision of Registered Dietitian with weekly telemedicine conferences and monitored dietary intake via MyFitnessPal.

Interventions

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Functional Electrical Stimulation Leg Cycle Ergometry

Exercise training will consist of three to five, 40-67 minute sessions (200 minutes at target intensity) each week for a total of 16 weeks at 70% maximal heart rate; 10-minute warm-up and cool-down sessions will accompany each exercise session.

Intervention Type DEVICE

Diet

An individualized, detailed dietary plan consistent with My Healthy Plate Dietary Guidelines of America will be followed under supervision of Registered Dietitian with weekly telemedicine conferences and monitored dietary intake via MyFitnessPal.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Adults 18-65 years of age (inclusive)
* Sex: male or female
* Women of child-bearing potential who agree to refrain from getting pregnant during the trial
* C4-T4 motor complete (AIS A\&B) spinal cord injury for duration greater than 12 months
* \<5% change in body weight over the past 12 months

Exclusion Criteria

* \<22% body fat
* Unresponsive to neurostimulation
* Those who have participated in an FES or ACE exercise program (\>60 minutes/week) within the past 3 months
* Known orthopaedic limitations
* Coronary artery disease
* Type 1 diabetes mellitus, insulin-requiring Type 2 or untreated diabetes mellitus (fasting glucose\>126 or HgbA1c\>7.0)
* Uncompensated Hypothyroidism (Stable on medication \>1 year or not on medication)
* Renal disease
* Uncontrolled autonomic dysreflexia, recent (within 3 months)
* Deep vein thrombosis
* Pressure ulcers \> Grade II
* Decisional impairment
* Any potential causes of autonomic dysreflexia at the discretion of the PI
* Prisoners
* Pregnant or nursing women
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

University of Miami

OTHER

Sponsor Role lead

Responsible Party

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Eduard Tiozzo, PhD

Research Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eduard Tiozzo, PhD, MSCTI

Role: PRINCIPAL_INVESTIGATOR

University of Miami

Locations

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University of Miami

Miami, Florida, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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R01HD091278-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

6996

Identifier Type: OTHER

Identifier Source: secondary_id

20190659

Identifier Type: -

Identifier Source: org_study_id