Intervention on Bone Health in Wheelchair Users (BoneWheel)
Bone Loss, Spinal Cord Injuries, Cerebral Palsy
About this trial
This is an interventional treatment trial for Bone Loss
Eligibility Criteria
Inclusion Criteria: BMD Z-score of the spine ≤ 0 SD primary aid for mobility being a manual wheelchair, i.e. ≥50% of the time 18-50 Y congenital (i.e., CP, spina bifida, dysmelia, hip dysplasia) and acquired disabilities (i.e., SCI, amputation) paraplegic wheelchair users with SCI level at Th6 or lower (or higher partial SCI) ability to perform key exercises (e.g., overhead press) Exclusion Criteria: tetraplegic wheelchair users injury acquired <2 Y ago change in health and/or medication within the last 3 months fracture within the last 6 months pregnancy or planned pregnancy during the study period language or cognitive barriers affecting the ability to understand all aspects of the study patients with progressive neurological disease, serious or uncontrollable epilepsy, endocrine diseases (including diabetes mellitus type 1 or 2, thyroid disorders, calcium homeostasis disorders and metabolic bone disease, pituitary gland disorder, sex hormone disorders), cancer, serious mental disorder, or comorbid medical conditions affecting either a) nutritional function: i.e., malabsorption problems due to previous surgery in the gastrointestinal tract, inflammatory bowel disease, coeliac disease, eating disorders, chronic pancreatitis, liver or kidney disease (those that cannot convert vitamin D to its active form in the body), other conditions affecting vitamin D or calcium absorption; b) musculoskeletal system: i.e., congenital systemic skeletal dysplasia affecting bone density, inflammatory arthritis conditions (such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and lupus), ongoing tendinitis or muscle injuries not compatible with the exercise intervention; c) cardiovascular system: i.e. congenital heart failure, congenital connective tissue disorders affecting the aorta and/or arteries, other cardiovascular conditions not compatible with the exercise intervention the use of certain medications: bisphosphonates, PTH (teriparatide), Denosumab, Raloksiphen, Prednisolone/steroids/androgenic steroids, high dose oestrogen (including medroxyprogesterone acetate contraceptives) immunosuppressive medications/ chemotherapies, vitamin K, anti-epileptic medication (Lamotrigine, Phenytoin, Phenobarbital, Carbamazepine, Primidone), proton pump inhibitors (PPIs), selective serotonin receptor inhibitors (SSRIs), thiazolidinediones (TZDs), anticonvulsants, hormone deprivation therapy, calcineurin inhibitors, and isotretinoin other therapies that aim to increase bone mineral density, e.g., vibration therapy, functional electrical stimulation (FES) alternative medicine that interfere with vitamin D or calcium metabolism or affect bone mineral density
Sites / Locations
- Norwegian School of Sport SciencesRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Training group
Nutrition group
Group A: strength training 3x/week + nutrition optimalisation
Group B: nutrition optimalisation