Occupational Therapy for Spinal Cord Compression
Palo Alto (17 mi)Age: 18+
Sex: Any
Travel: May be covered
Time Reimbursement: Varies
Trial Phase: N/A
Recruiting
Sponsor: Western University, Canada
No Placebo Group
Approved in 3 jurisdictions
Trial Summary
What is the purpose of this trial?The investigators have spent the last decade uncovering unique metabolic and functional abnormalities in the brains of patients with spinal cord compression. Degenerative spinal cord compression represents a unique model of reversible spinal cord injury. In the investigator's previous work, they have demonstrated that cortical reorganization and recruitment is associated with metabolic changes in the brains of patients recovering from spinal cord compression and is correlated with recovery and improved neurological scores.
The goal of this study is to combine a rigorous platform of clinical care that includes preoperative evaluation, surgery, and rehabilitation, with state of the art imaging techniques to demonstrate how rehabilitative therapy can increase brain plasticity and recovery of neurological function in patients with spinal cord injury. Neurological function will be carefully evaluated in two groups of patients, those receiving rehabilitation and those not receiving rehabilitation after spine surgery, and will be correlated with the results of advanced imaging.
Is occupational therapy rehabilitation a promising treatment for spinal cord compression?Yes, occupational therapy rehabilitation is a promising treatment for spinal cord compression. It helps patients regain independence by focusing on practical skills and using creative activities. It also includes modern techniques like computer-based technology to improve function and prepare for work.12345
What safety data is available for occupational therapy in spinal cord compression treatment?The provided research does not directly address safety data for occupational therapy in spinal cord compression treatment. However, it includes studies on occupational therapy's role in spinal cord injury rehabilitation, patient safety in academic settings, and quality assurance in equipment ordering. These studies may indirectly contribute to understanding safety considerations in occupational therapy for spinal cord injuries.24578
What data supports the idea that Occupational Therapy for Spinal Cord Compression is an effective treatment?The available research shows that Occupational Therapy (OT) is effective in helping patients with spinal cord injuries improve their ability to perform daily activities. For example, one study focused on patients with complete cervical tetraplegia, a condition where all four limbs are affected, and found that OT significantly improved their daily living skills. Another study from the SCIRehab project highlighted that OT is a crucial part of the rehabilitation process for spinal cord injuries, showing positive outcomes both at discharge and one year after the injury. These findings suggest that OT is beneficial in helping patients regain independence and improve their quality of life after a spinal cord injury.34569
Do I have to stop taking my current medications for this trial?The trial protocol does not specify whether you need to stop taking your current medications.
Eligibility Criteria
This trial is for right-handed individuals with progressive neurological deficits lasting less than 24 months, who are eligible for MRI scans. It's designed to help those recovering from non-traumatic spinal cord injuries like spondylosis and cervical myelopathy.Treatment Details
The study tests how occupational therapy rehabilitation after spine surgery can improve brain plasticity and recovery of neurological function in patients with spinal cord injury, using advanced imaging techniques to track progress.
2Treatment groups
Experimental Treatment
Active Control
Group I: RehabilitationExperimental Treatment1 Intervention
Group II: No rehabilitationActive Control1 Intervention
Occupational therapy rehabilitation is already approved in United States, European Union, Canada for the following indications:
🇺🇸 Approved in United States as Occupational therapy for:
- Spinal cord injury rehabilitation
- Neurological function recovery
🇪🇺 Approved in European Union as Occupational therapy for:
- Spinal cord injury rehabilitation
- Neurological function recovery
🇨🇦 Approved in Canada as Occupational therapy for:
- Spinal cord injury rehabilitation
- Neurological function recovery
Find a clinic near you
Research locations nearbySelect from list below to view details:
LHSC - University HospitalLondon, Canada
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Who is running the clinical trial?
Western University, CanadaLead Sponsor
References
[Between creativity and functional use--development and determination of the status of ergotherapy in rehabilitation of the spinal cord injured patient]. [2012]In the 60s, Occupational Therapy (OT) with spinal cord injured patients had primarily been based on manual activities, aimed at improving functional levels. Gradually, attainment of the highest possible level of independence became a central emphasis of OT care. While creative development of the patient seemed to conflict with this foremost objective of independence, practical experience in the meantime has taught that creative activity can be an avenue toward independence. Also, the OT regimen for SCI patients has for several years now been extended to include computer-based technology for functional treatment as well as prevocational measures.
Quality assurance in equipment ordering for the spinal cord-injured client. [2019]Occupational therapy for spinal cord-injured clients is based on training in the use of adapted techniques and adapted equipment to optimize functioning. Two factors, the need for equipment to enhance the client's potential and the demand for cost containment in equipment ordering, spurred a quality assurance study of equipment ordering. Through a follow-up survey of persons who had received equipment while they were patients of the New England Regional Spinal Cord Injury Center, suspected problems were identified and defined. A plan was formulated and implemented to resolve the problems; then the outcomes of this plan were evaluated by a telephone survey 1 year later. This quality assurance study helped establish accountability for cost containment in equipment ordering based on the client's perceived need, the client's level of spinal cord injury, equipment durability, and the timeliness of ordering.
Occupational therapy management of the acute spinal cord-injured patient. [2019]This report describes an occupational therapy program for the patient with an acute spinal cord injury. The program includes guidelines for evaluation and treatment, criteria for early orthotic selection, and psychological considerations. The program was developed by the occupational therapy staff at Northwestern Memorial Hospital, Chicago, in conjunction with a medical team and occupational therapy staff from the Rehabilitation Institute of Chicago. The intent of the program is to implement rehabilitation in the acute care environment immediately.
Occupational therapy for patients with spinal cord injury in early rehabilitation. [2018]To determine factors influencing the effectiveness of occupational therapy of patients with spinal cord injury in early rehabilitation.
The SCIRehab project: treatment time spent in SCI rehabilitation. Occupational therapy treatment time during inpatient spinal cord injury rehabilitation. [2023]Occupational therapy (OT) is a critical component of the rehabilitation process after spinal cord injury (SCI), the constitution of which has not been studied or documented in full detail previously.
Relationship of occupational therapy inpatient rehabilitation interventions and patient characteristics to outcomes following spinal cord injury: the SCIRehab project. [2021]Describe associations of occupational therapy (OT) interventions delivered during inpatient spinal cord injury (SCI) rehabilitation and patient characteristics with outcomes at the time of discharge and 1-year post-injury.
Physical activity outside of structured therapy during inpatient spinal cord injury rehabilitation. [2018]Little information exists on the content of inpatient rehabilitation stay when individuals with spinal cord injury (SCI) are not engaged in structured rehabilitation therapy sessions. Investigation of inpatient therapy content is incomplete without the context of activities outside of this time. We sought to quantify physical activity occurring outside of physical therapy (PT) and occupational therapy (OT) sessions during inpatient SCI rehabilitation and examine how this activity changes over time from admission to discharge.
[Patient safety in the training practices of an undergraduate program in Occupational Therapy]. [2022]To identify conditions and experiences about the patient safety in the academic practices of the Occupational therapy program of the Universidad Nacional de Colombia.
Effectiveness of occupational therapy in improving activities of daily living performance in complete cervical tetraplegic patients; A quasi experimental study. [2023]To determine the effectiveness of Occupational therapy (OT) in improving activities of daily living performance in complete cervical tetraplegic patients.