ClinicalTrials.gg
RecruitingNCT07245706SHARPUpdated Jul 23, 2026

Shoulder Health After Rehabilitation and Performance Training

An interventional study of Strength training in Spinal Cord Injury, Nervous System Diseases and Musculoskeletal Diseases, sponsored by Swiss Paraplegic Research, Nottwil. Recruiting at 1 site in Switzerland. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-07-23.

Sponsored by Swiss Paraplegic Research, Nottwil · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 47 studies in Spinal Cord Injuries by Swiss Paraplegic Research, Nottwil — 8 open to participants now, 8 under way, none of them phase 3. Spinal Cord Injuries · Swiss Paraplegic Research, Nottwil.

Planned enrollment
6th of 24
40 · median 20
Started
2026
with 3 others
No phase
20 of 47
6 open now
Registered
45th of 47
by date

Among the 47 studies in Spinal Cord Injuries by Swiss Paraplegic Research, Nottwil, this one is the 6th largest by planned enrollment of the 24 interventional ones that give a count, is one of 4 that started in 2026, is one of 20 with no phase, and was the 45th registered.

Spinal Cord Injuries

2,026 studies on the registry are indexed under Spinal Cord Injuries; 538 are open to participants now.

Browse Spinal Cord Injuries studies →

Open to participants now

8 of the 47 studies in Spinal Cord Injuries by Swiss Paraplegic Research, Nottwil are open now, in 3 countries. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 8 open studies →

Where they have run

Who these studies take

Of the 375 Spinal Cord Injuries studies recruiting now, 166 (44%) set no upper age limit and 158 (42%) stop at 75 or younger; 41 take children under 18; 52 take healthy volunteers.

This study: 18 Years to 70 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 47 studies in Spinal Cord Injuries by Swiss Paraplegic Research, Nottwil, or all of them as a file.
02

Study summary

The goal of this study is to investigate the impact of a home-based shoulder strength training on the overall shoulder health in manual wheelchair users, and if the timepoint of such a training makes a difference. The study is focusing on persons with a spinal cord injury in the thoracic or lumbar region of the spine, that have only recently been injured and will soon be discharged from primary rehabilitation.

The shoulder training will take place either 3 or 12 months after discharge from primary rehabilitation and will be carried out twice a week for 12 weeks.

There are six measurements occurring every three months, which leads to an overall duration of 15 months. The measurements consist of:

  • Questionnaires about independence in daily life, participation, quality of life and physical activity
  • Assessment of shoulder strength, range of motion and function
  • Measurement of the daily wheelchair use during one week via sensors that are fixed to the wheelchair and wrist
  • one further questionnaire at the end of the measurement week about the occurrence of shoulder pain

Additionally, on four of the six measurement timepoints, a magnet resonance image (MRI) of the shoulder will be taken to assess the shoulder status (pathology, muscle volume and quality).

Though all these measurements the researchers can additionally assess the load of daily life on the shoulders, and how well this matches the preparation during the primary rehabilitation.

03

Conditions studied

  • Spinal Cord Injury
  • Nervous System Diseases
  • Musculoskeletal Diseases
  • Injury

Keywords

  • Shoulder
  • Wheelchair
  • Training
  • Activity of Daily Life
  • Load
  • Capacity
  • Functioning
  • Monitoring
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Persons with a paraplegia below T2
  • Manual wheelchair user
  • Age 18 - 70 years
  • At discharge from initial rehabilitation

Exclusion criteria

Exclusion Criteria:

  • Trauma or surgery of the shoulder with medical indication for immobilization of more than four weeks
  • Constant use of power assistance for the wheelchair
  • Any surgical implants that exclude the participant for MRI assessments of the shoulder
  • Inability to follow the study instructions, e.g., mental health problems, language problems, dementia, claustrophobia (for MRI) etc.
  • Persons with congenital conditions leading to SCI, SCI in the context of palliative care, neurodegenerative disorders, and Guillain-Barré syndrome
  • Pregnancy
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Early intervention

    This group starts the training program 3 months post discharge from primary rehabilitation after spinal cord injury

    Other: Strength training

  • Experimental
    Late intervention

    This group starts the training program 12 months post discharge from primary rehabilitation after spinal cord injury

    Other: Strength training

Interventions

  • OtherStrength training

    Individualized, home-based strength trainig consisting of 6 ecxercises that will be carried out twice a week for 12 weeks

06

What researchers measure

Primary outcomes

  1. change in experienced shoulder pain during activities of daily life

    Expressed by the Wheelchair User's Shoulder Pain Index (WUSPI) score, a validated 15-item self-report instrument measuring shoulder pain during activities of daily life. For each activity, the shoulder pain experienced during the preceding week (corresponding to the week of monitoring of external exposure) is scored using a Visual Analog Scale (0-10). Total index scores can range from zero to 150 with zero meaning no pain and 150 maximal possible pain.

    Time frame: Before and after the training intervention (3 months apart)

Secondary outcomes

  1. Experienced shoulder pain during activities of daily life

    Expressed by the Wheelchair User's Shoulder Pain Index (WUSPI) score, a validated 15-item self-report instrument measuring shoulder pain during activities of daily life. For each activity, the shoulder pain experienced during the preceding week (corresponding to the week of monitoring of external exposure) is scored using a Visual Analog Scale (0-10). Total index scores can range from zero to 150 with zero meaning no pain and 150 maximal possible pain.

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge

  2. Painful events

    Specific events that resulted in shoulder pain during the measurement week

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge

  3. Shoulder strength

    excerted peak force during six shoulder movements (abduction, adduction, flexion, extension, internal rotation, and external rotation), measured with a force sensor

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge

  4. Shoulder range of motion

    active and passive range of motion of six shoulder movements (abduction, adduction, flexion, extension, internal rotation, and external rotation), measured with a goniometer

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge

  5. Shoulder stability

    Assessed with clinical tests (provocative testing); Aggregated tests against resistance in eight different positions: * Full can test * Empty can test * Gerber's Lift off test * Neer's Test * Hawkins-Kennedy Test * Yergason's Test * Crank's Test * Belly-Press Test Rated as painful, weak, negative, or not possible

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge

  6. Heart rate during daily life

    variation over the day, assessed by a wrist sensor

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge

  7. Wheelchair use during daily life

    Quantified by characteristics such as distance covered, number of pushes and turns or propulsion on an incline, measured by inertial measurement units (IMUs)

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge, measured for one week each

  8. Shoulder loading acivities of daily life

    Classified by a machine learning algorithm including wheelchair propulsion, weight relief lift, manual material handling, transfer and deskwork, measured by inertial measurement units (IMUs) and a wheelchair cushion pressure mat

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge, measured for one week each

  9. Shoulder load during activities of daily life

    Total shoulder load calculated based on the frequency and duration of the activities and the shoulder load related to these activities

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge, measured for one week each

  10. Shoulder pathology

    Grading of MRI abnormalities of rotator cuff tendons including tendinopathy and tendon tears and determination of Total Tendon Score (range 0-40)

    Time frame: 3, 6, 12 and 15 months after discharge

  11. Shoulder muscle volume

    Quantification of the muscle volume of the rotator cuff by deep-learning-based segmentation of the MRI

    Time frame: 3, 6, 12 and 15 months after discharge

  12. Shoulder muscle quality

    Quantification of fatty infiltration (fat fraction) of the rotator cuff by deep-learning-based segmentation of the MRI

    Time frame: 3, 6, 12 and 15 months after discharge

  13. Independence during daily life

    Quantified by the Self Report Spinal Cord Independence Measure (SR-SCIM)., a valid 17-item self-report instrument measuring independence in the domains of self-care, respiration and sphincter management and mobility. Total index scores can range from zero to 100.

    Time frame: 3, 6, 12 and 15 months after discharge

  14. Participation

    Assessed with the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P), a valid 31-item instrument measuring participation in the domains of frequency, restrictions and satisfaction

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge

  15. General quality of life

    Quantified by the 12-Item Short Form Survey (SF-12), a self-reported outcome measure assessing the impact of health on an individual's everyday life. Total scores can range from zero to 100

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge

  16. Physical activity

    Assessed by the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD), a 13-item questionnaire assessing physical activity over the preceding week in the domains of leisure, household and occupational activity. Scores are quantified in Metabolic Equivalents (METS h/day) and range from 0 (no activity) to over 100 METS h/day (very high)

    Time frame: Before discharge from primary rehabilitation, 3, 6, 9, 12 and 15 months past discharge

Other outcomes

  1. Training amount

    Number of repetitions of each exercise of the shoulder training will be recorded via the PhysiApp

    Time frame: During the 12 weeks training intervention, after each session

  2. Training resistance

    Resistance used (e.g. weight) during the shoulder training will be recorded via the PhysiApp

    Time frame: During the 12 weeks training intervention, after each session

  3. Training exhaustion

    Exhaustion felt during the shoulder training will be recorded via the PhysiApp on a scale from one to ten, where ten is highest exhaustion possible

    Time frame: During the 12 weeks training intervention, after each session

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2026 (actual). Primary completion is estimated for Dec 2029, 41 months after the start.

Of 790 non-industry interventional studies with no phase under Spinal Cord Injuries, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 65. This study's planned 41 months is above that.

Counting every sponsor, half of 839 studies reached it within 36 months; a quarter within 17 and three quarters within 64.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 1, 2025
First posted
Nov 24, 2025
StartActual
Jul 16, 2026
Primary completionEst.
Dec 2029
CompletionEst.
Dec 2029
Last update
Jul 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07245706
Lead sponsor
Swiss Paraplegic Research, Nottwil
Collaborators
Swiss National Science Foundation
Responsible party
Sponsor
First posted
Nov 24, 2025
Start date
Jul 16, 2026
Primary completion
Dec 2029 (estimated)
Completion
Dec 2029 (estimated)
Last update
Jul 23, 2026

Study contacts

Dr. Ursina Arnet
Contact
ursina.arnet@paraplegie.ch
+41419396599

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion