Performance and Nutrition Program for Athletes in Adaptive Sports

Study Overview
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Brief Summary
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Researchers are trying to evaluate and recommend sustainable and effective health and wellness programs for people with spinal cord injury (SCI) and other physical disabilities.

Official Title
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The Effectiveness of a Performance and Nutrition Program for Athletes in Adaptive Sports

Conditions
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Spinal Cord Injuries, Physical Disability

Intervention / Treatment
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* Behavioral: Training & Nutrition


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Group1 (Group with spinal cord injury): Participants with traumatic or non-traumatic spinal cord injury Able to perform progressive exercise program Willingness to participate in study Group 2 (Able-bodied group): Functional upper extremity range of motion Able to perform progressive exercise program Willingness to participate in study Group3 (Other physical disability group): Participants with a physical disability other than spinal cord injury Able to perform progressive exercise program Willingness to participate in study Exclusion Criteria: All groups: • Any documented or reported health condition that would be contraindicated to a progressive exercise program

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Training & Nutrition<br>Participants receive performance training twice a week for 12 weeks and group and individual nutritional counseling during the 12 weeks. | Behavioral: Training & Nutrition<br>* Exercise at moderate to high intensities and diet education/counseling<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in The World Health Organization Quality of Life Score (WHOQOL-BREF) | The World Health Organization (WHOQOL-BREF) is a self-report questionnaire that contains 26 items and addresses 4 QOL domains: physical health (7 items), psychological health (6 items), social relationships (3 items) and environment (8 items). Two other items measure overall QOL and general health. Each domain's mean score can range between 4 and 20 and a higher score indicates a higher quality of life. | Baseline (during week 1-2 of study), After intervention (week 16), 12 weeks after completion of study (week 28) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in exercise self-efficacy score (for participants not living with spinal cord injury) | The Barriers Specific Self-Efficacy Scale is a self-reported survey and was designed to measure subjects' perceived capabilities to exercise even if faced with barriers to exercise. Scores can range from zero to 100 with higher numbers indicating better confidence that the subject has the capability to exercise. | Baseline (during week 1-2 of study), After intervention (week 16), 12 weeks after completion of study (week 28) | 
| Change in exercise self-efficacy score (for participants living with spinal cord injury) | The Spinal Cord Injury Exercise Self-Efficacy Scale (ESES) is a self-reported survey and includes 10 questions and a maximum score of 40 with higher scores indicating more confidence to exercise. | Baseline (during week 1-2 of study), After intervention (week 16), 12 weeks after completion of study (week 28) | 
| Change in self-reported un-weighed food records | Self-reported un-weighed food records are collected by participant interview with a registered dietician and also with digital photography of full food plates and left-overs. Improvement in dietary intake is indicated from a yes or no of whether study participants have met individual goals that are determined during baseline session with dietician. | Baseline (during week 1-2 of study), After intervention (week 16), 12 weeks after completion of study (week 28) |