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  4. A multimodality intervention to improve musculoskeletal health, function, metabolism, and well‑being in spinal cord injury: study protocol for the FIT‑SCI randomized controlled trial

A multimodality intervention to improve musculoskeletal health, function, metabolism, and well‑being in spinal cord injury: study protocol for the FIT‑SCI randomized controlled trial

BMC Musculoskeletal Disorders, 2022 · DOI: https://doi.org/10.1186/s12891-022-05441-3 · Published: May 16, 2022

Spinal Cord InjuryEndocrinologyRehabilitation

Simple Explanation

This study aims to see if a combination of exercise (functional electrical stimulation leg cycling and arm ergometry) and testosterone treatment can improve health outcomes for people with spinal cord injuries. The study will involve 88 participants who will be randomly assigned to either receive the combined treatment or exercise with a placebo. Researchers will monitor aerobic capacity, muscle health, metabolic function, and overall well-being to determine the effectiveness of the intervention.

Study Duration
16 weeks
Participants
88 community-dwelling men and women with SCI, age 19 to 70 years
Evidence Level
Level 1: Randomized, placebo-controlled, double-blind parallel group trial

Key Findings

  • 1
    The study hypothesizes that combining FES-LC plus AE with testosterone treatment will be more effective than FES-LC, AE, and a placebo in improving various health parameters.
  • 2
    The primary outcome is the change in peak aerobic capacity, with secondary outcomes including body composition, muscle strength, metabolic profiles, and patient-reported well-being.
  • 3
    The researchers anticipate that the multimodality intervention will result in increased aerobic capacity and greater improvements in musculoskeletal, metabolic, functional, and patient-reported outcomes.

Research Summary

The FIT-SCI trial is designed to evaluate the efficacy of a home-based multimodality intervention combining FES-LC, AE, and androgen therapy for individuals with SCI. The study employs a randomized, placebo-controlled, double-blind design with 88 participants to compare the multimodality intervention against FES-LC and AE alone. The expected outcomes include improvements in aerobic capacity, musculoskeletal health, metabolism, and overall function, potentially leading to better care and well-being for people with SCI.

Practical Implications

Improved SCI Treatment Strategies

The study's findings could inform the development of more effective treatment strategies for individuals with SCI by demonstrating the benefits of a multimodality approach.

Home-Based Intervention Scalability

The use of a home-based intervention increases the potential for scalability and accessibility of the treatment, making it easier for patients to adhere to the program.

Policy and Therapeutic Impact

Positive results from this study could lead to changes in policy and therapeutic approaches, improving the standard of care for individuals living with SCI.

Study Limitations

  • 1
    Single-site study
  • 2
    Potential for loss-to-follow-up
  • 3
    Generalizability may be limited

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