Blood Flow Restriction Resistance Exercise in Lower Cervical Spinal Cord Injury Patients

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    Riphah International University
Updated on 6 February 2023


This study is conducted to investigate the effects of low load Blood Flow Resistance exercise to improve strength and transfer in lower cervical spinal cord injury patientsCervical Spinal Cord injury patients have very less window of opportunity towards functional mode of life. In complete cervical spinal cord injuries only few muscles of upper limb are completely innervated and it is a need to gain maximum output and advantage out of that. Through conventional strength training it is possible to make him do unsupported sitting and transfer But with BFR-RE it may have a possibility to do this procedure in less time than the conventional strength training and patient will save cost of hospital stay as he may timely discharge from hospital early


Spinal cord injury is the major concern which can lead to severe impairments and lead to disability. Cervical spinal cord complete injuries patients have a very narrow window of opportunity and we have to gain maximum output and advantage out of that. C6 tetraplegic patients have muscles innervations limited to some groups of upper limb. Even triceps are not innervated in c6 tetraplegic complete injury. However we use special techniques and strengthening of innervated muscles to make him able doing unsupported sitting and transfer from bed to wheel chair. Normally to attain strengthening in a muscle group is achieved by up to 80% of 1 RM. But the spinal cord population cannot endure such heavy loads and has high risk of DVT. So on the safe side clinicians and researches use 30% to 60% 1 RM.

In our study there are two equally distributed groups of complete tetraplegic patients. One will attain strengthening with low load resistance training which conventional training program And Other will attain strengthening with Blood Flow Restriction Resistance Exercise technique with Low Loads in Short, the aim of this study is to test the use of Blood flow restriction - Resistance exercise with low loads as a surrogate for high loads conventional training for strength. BFR Pressure for tourniquet will be 1.2 to 1.5 folds greater than the SBP depending on the AOP. Exercise Guidelines for both group will be 75 repetitions in 4 sets at 4 days a week for 6 weeks. Data will be collected at 0 week and after 6 weeks also. As well as after 15 days date will be collected to see minor but notable changes in strength and hypertrophy. The tools we will use are: VAS- Visual Analogue Scale, MAS- Modified Ashworth Scale, QIF-SF -- Quadriplegia Index Of Functionality- Small Form, Hand Held Dynamometer, Manual muscle testing. The data will be analyzed using SPSS software version 25.0

Condition Cervical Spinal Cord Injury
Treatment Conventional Physical Therapy, Blood Flow Restriction
Clinical Study IdentifierNCT05425238
SponsorRiphah International University
Last Modified on6 February 2023

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