Upper Extremity Pathologies in Spinal Cord Injuries

NCT ID: NCT06278740

Last Updated: 2025-12-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-08-05

Study Completion Date

2025-10-04

Brief Summary

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This study aims to determine the relationship between upper extremity pathologies and demographic data, duration of manual wheelchair use, duration of injury, physical examination and musculoskeletal ultrasound measurements in patients with spinal cord injuries.

Detailed Description

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Spinal cord injury is a neurological condition that can result from traumatic or non-traumatic causes, leading to motor, sensory and autonomic dysfunctions. Following a spinal cord injury, the upper extremity becomes increasingly used for mobility, weight-bearing, and transfer activities, making functionality crucial in daily life. Wheelchairs, commonly used by individuals with spinal cord injuries for daily activities, can lead to injuries and pain or degeneration in the upper extremities due to repetitive transfer activities. As a result, individuals with spinal cord injuries are at high risk for shoulder, elbow, wrist and hand injuries. Neuromuscular ultrasound (NMUS) has become increasingly important in clinical use in the evaluation of peripheral nerves and muscles in patients with spinal cord injuries in recent years, due to the advantages of ultrasonography such as providing dynamic and real-time evaluation, not containing radiation, and being painless.

This study aims to determine the relationship between upper extremity pathologies and demographic data, duration of manual wheelchair use, duration of injury, physical examination and musculoskeletal ultrasound measurements in patients with spinal cord injuries.

Conditions

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Spinal Cord Injuries Upper Extremity Problem Musculoskeletal Pain

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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SCI with Manual Wheelchair Usage

Patients with spinal cord injuries who use manual wheelchairs

Musculoskeletal Ultrasound

Intervention Type DIAGNOSTIC_TEST

Upper extremity pathologies of participants with ultrasound

SCI without Manual Wheelchair Usage

Patients with spinal cord injuries who do not use manual wheelchairs

Musculoskeletal Ultrasound

Intervention Type DIAGNOSTIC_TEST

Upper extremity pathologies of participants with ultrasound

Interventions

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Musculoskeletal Ultrasound

Upper extremity pathologies of participants with ultrasound

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Patients who have experienced spinal cord injury, can comply with two-stage verbal commands, voluntarily agree to participate in the study and are medically stable.

Exclusion Criteria

* Tetraplegia
* A significant comorbid condition such as severe heart disease and uncontrolled hypertension.
* Cognitive dysfunction
* Active infection
* Malignancy
* History of trauma to the upper extremity
* Brachial plexus and peripheral nerve injury
* History of surgery on the upper extremity
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Afyonkarahisar Health Sciences University

OTHER

Sponsor Role lead

Responsible Party

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Mahmut Sami Doğanlar

Medical Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mahmut Sami DOĞANLAR, MD

Role: PRINCIPAL_INVESTIGATOR

Afyonkarahisar Health Sciences University

Nuran EYVAZ, MD

Role: PRINCIPAL_INVESTIGATOR

Afyonkarahisar Health Sciences University

Locations

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Afyonkarahisar

Afyonkarahisar, Afyonkarahisar, Turkey (Türkiye)

Site Status

Afyonkarahisar Health Sciences University

Afyonkarahisar, Afyonkarahisar, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Ata AM, Mete Civelek G, Kara O. Relationship Between Manual Wheelchair Using Skills and Upper Limb Musculoskeletal Disorders in Patients With Spinal Cord Injury: A Musculoskeletal Ultrasonography Study. Am J Phys Med Rehabil. 2023 Nov 1;102(11):959-964. doi: 10.1097/PHM.0000000000002296. Epub 2023 May 23.

Reference Type BACKGROUND
PMID: 37256679 (View on PubMed)

Collinger JL, Fullerton B, Impink BG, Koontz AM, Boninger ML. Validation of grayscale-based quantitative ultrasound in manual wheelchair users: relationship to established clinical measures of shoulder pathology. Am J Phys Med Rehabil. 2010 May;89(5):390-400. doi: 10.1097/PHM.0b013e3181d8a238.

Reference Type BACKGROUND
PMID: 20407304 (View on PubMed)

Vives Alvarado JR, Felix ER, Gater DR Jr. Upper Extremity Overuse Injuries and Obesity After Spinal Cord Injury. Top Spinal Cord Inj Rehabil. 2021;27(1):68-74. doi: 10.46292/sci20-00061.

Reference Type BACKGROUND
PMID: 33814884 (View on PubMed)

Related Links

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https://pubmed.ncbi.nlm.nih.gov/37256679/

Relationship Between Manual Wheelchair Using Skills and Upper Limb Musculoskeletal Disorders in Patients With Spinal Cord Injury: A Musculoskeletal Ultrasonography Study

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2859462/

Validation of Greyscale-Based Quantitative Ultrasound in Manual Wheelchair Users

https://pubmed.ncbi.nlm.nih.gov/33814884/

Upper Extremity Overuse Injuries and Obesity After Spinal Cord Injury

Other Identifiers

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SCIUSG24

Identifier Type: -

Identifier Source: org_study_id

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