Protocol summary

Study aim
1. To compare the effect of baclofen, TENS & sustain stretch for spasticity management in spinal cord injury. 2. To determine the Range of Motion of ankle joint
Design
Randomized Clinical Trail
Settings and conduct
Paraplagic Centre Peshawar. single blinded
Participants/Inclusion and exclusion criteria
Inclusion criteria: 1. Spasticity (Grade ≥1 and ≤4 as per MAS) 2. Have sustained a traumatic spinal cord injury a Minimum of 3 months before consent. 3. Age = 20 - 45 years Exclusion criteria: 1. Have chronic systemic diseases and have any other serious co-morbidity, e.g. hepatitis C, infections and Deep vein thrombosis etc. 2. Have extensive fixed contractures in the lower limbs 3. Have any contraindications to Baclofen, TENS and sustain stretch such as experience clinically significant orthostatic Hypo-tension in response to electrical stimulation or allergies or Have a history of bone fracture or family history of fragility fractures
Intervention groups
1. Group (I) (oral anti-spasticity drug treatment group): 2. Group (II) (TENS treatment group): 3. Group (III) (Sustain stretch treatment group):
Main outcome variables
Spasticity

General information

Reason for update
Acronym
Spasticity Management in Spinal Cord Injury (SMSCI)
IRCT registration information
IRCT registration number: IRCT20210615051585N1
Registration date: 2021-07-01, 1400/04/10
Registration timing: retrospective

Last update: 2021-07-01, 1400/04/10
Update count: 0
Registration date
2021-07-01, 1400/04/10
Registrant information
Name
Saima Gul
Name of organization / entity
Shifa Tameer - e - Millat University
Country
Pakistan
Phone
+92 51 8441751
Email address
saimagul.ahs@stmu.edu.pk
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-03-12, 1399/12/22
Expected recruitment end date
2021-06-15, 1400/03/25
Actual recruitment start date
2021-03-12, 1399/12/22
Actual recruitment end date
2021-06-09, 1400/03/19
Trial completion date
2021-06-09, 1400/03/19
Scientific title
Comparisons of the effects of Baclofen, Transcutaneous Electrical Nerve Stimulation and sustain stretch for the treatment of spasticity in the traumatic spinal cord injury
Public title
Comparisons of the effects of Baclofen, Transcutaneous Electrical Nerve Stimulation and sustain stretch for the treatment of spasticity in the traumatic spinal cord injury
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
1. Spasticity (Grade ≥1 and ≤4 as per MAS) 2. Have sustained a traumatic spinal cord injury a Minimum of 3 months before consent 3. Age = 20 - 45 years
Exclusion criteria:
1. Have chronic systemic diseases and have any other serious co-morbidity, e.g. hepatitis C, infections and Deep vein thrombosis etc. 2. Have extensive fixed contractures in the lower limb 3. Have any contraindications to Baclofen, TENS and sustain stretch such as experience clinically significant orthostatic Hypo-tension in response to electrical stimulation or allergies or Have a history of bone fracture or family history of fragility fractures
Age
From 20 years old to 45 years old
Gender
Both
Phase
N/A
Groups that have been masked
  • Participant
Sample size
Target sample size: 127
Actual sample size reached: 63
Randomization (investigator's opinion)
Randomized
Randomization description
Random assignment for traetment
Blinding (investigator's opinion)
Single blinded
Blinding description
Only the researcher doing the study knows which treatment or intervention the participant is receiving. It makes results less likely to be biased.
Placebo
Not used
Assignment
Other
Other design features
N/A

Secondary Ids

1

Registry name
N/A
Secondary trial Id
N/A
Registration date
2021-06-09, 1400/03/19

Ethics committees

1

Ethics committee
Name of ethics committee
Institutional Review Board and Ethics Committee (IRB and EC) Shifa International Hospital and Shifa
Street address
Department of Rehabilitation Sciences, Dar ul Shifa Campus, Shifa Tameer e Millat University
City
Islamabad
Postal code
25000
Approval date
2021-05-18, 1400/02/28
Ethics committee reference number
IRB#082-21

Health conditions studied

1

Description of health condition studied
Traumatic Spinal Cord Injury
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
Spasticity
Timepoint
baseline, 1st week, 2nd week, 3rd week & 4th week after intervention
Method of measurement
Modified Ashworth Scale

Secondary outcomes

1

Description
To determine the Range of Motion (ROM) of ankle joint
Timepoint
4th week
Method of measurement
secondary outcome will be measured through Goniometer

Intervention groups

1

Description
Intervention group: Baclofen
Category
Treatment - Drugs

2

Description
Intervention group: Transcutaneous Electrical Nerve Stimulation (TENS)
Category
Treatment - Devices

3

Description
Intervention group: Sustain Stretch
Category
Rehabilitation

Recruitment centers

1

Recruitment center
Name of recruitment center
Paraplegic Centre Peshawar
Full name of responsible person
Dr. Bazmeer Afridi
Street address
Sector P 1، Street 10, Phase 4 Hayatabad, Peshawar Khyber Pakhtunkhwa, Pakistan
City
Peshawar
Postal code
25000
Phone
+92 91 9217901
Fax
+92 91 9217901
Email
bazmeer.afridi786@gmail.com
Web page address
https://paraplegiccenter.org/

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Shifa Tameer e Millat University
Full name of responsible person
Dr. Saima Gul
Street address
Department of Rehabilitation Sciences, Dar ul Shifa Campus, Shifa Tameer e Millat University
City
Islamabad
Postal code
44000
Phone
+92 51 8441751
Email
saimaa.gul@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Shifa Tameer e Millat University
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Shifa Tameer e Millat University
Full name of responsible person
Dr. Saima Gul
Position
Associate Professor
Latest degree
Ph.D.
Other areas of specialty/work
Rehabilitation management
Street address
Department of Rehabilitation Sciences, Dar ul Shifa Campus, Shifa Tameer e Millat University
City
Islamabad
Province
Federal
Postal code
44000
Phone
+92 51 8441751
Fax
Email
saimaa.gul@gmail.com
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Shifa Tameer e Millat University
Full name of responsible person
Dr. Saima Gul
Position
Associate Professor
Latest degree
Ph.D.
Other areas of specialty/work
Rehabilitation Management
Street address
House # 2 , Sector I-8 Islamabad
City
Islamabad
Province
Federal
Postal code
44000
Phone
+92 332 1964158
Email
saimaa.gul@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Shifa Tameer e Millat University
Full name of responsible person
Dr. Saima Gul
Position
Associate Professor
Latest degree
Ph.D.
Other areas of specialty/work
Rehabilitation Management
Street address
Department of Rehabilitation Sciences, Dar ul Shifa Campus, Shifa Tameer e Millat University
City
Islamabad
Province
Federal
Postal code
44000
Phone
+92 51 8441751
Email
saimagul.ahs@stmu.edu.pk

Sharing plan

Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD
Due to Ethical Considerations
Study Protocol
No - There is not a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
No - There is not a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
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