Rehabilitation of hand function after spinal cord injury using a novel handgrip device: a pilot study.
Background: Activity-based therapy (ABT) for patients with spinal cord injury (SCI), which consists of repetitive use of muscles above and below the spinal lesion, improves locomotion and arm strength. Less data has been published regarding its effects on hand function. We sought to evaluate the eff...
| Published in: | Journal of NeuroEngineering & Rehabilitation (JNER) Vol. 14; no. 1; pp. 1 - 8 |
|---|---|
| Main Authors: | , , , , , , , , |
| Format: | clinical trial research Journal Article |
| Published: |
BioMed Central
3/21/2017
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122029608&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 122029608 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17430003 1CUC jtl: Journal of NeuroEngineering & Rehabilitation (JNER) issn: 17430003 maglogo: N pubinfo: dt: 3/21/2017 vid: 14 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 122029608 122029608 NLM28327161 122029608 10.1186/s12984-017-0234-1 NLM28327161 122029608 ppf: 1 ppct: 7 formats: tig: atl: Rehabilitation of hand function after spinal cord injury using a novel handgrip device: a pilot study. aug: au: Hoffman, Haydn Sierro, Tiffany Tianyi Niu Sarino, Melanie E. Sarrafzadeh, Majid McArthur, David Edgerton, V. Reggie Lu, Daniel C. Niu, Tianyi affil: Department of Neurosurgery, University of California, Los Angeles, 300 Stein Plaza, Ste. 536, Los Angeles, CA 90095-6901, USA sug: subj: Spinal Cord Injuries Rehabilitation Assistive Technology Devices Male Adult Grip Strength Human Pilot Studies Female Middle Age Clinical Trials Validation Studies Comparative Studies Evaluation Research Multicenter Studies Funding Source Scales Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Activity-based therapy (ABT) for patients with spinal cord injury (SCI), which consists of repetitive use of muscles above and below the spinal lesion, improves locomotion and arm strength. Less data has been published regarding its effects on hand function. We sought to evaluate the effects of a weekly hand-focused therapy program using a novel handgrip device on grip strength and hand function in a SCI cohort.Methods: Patients with SCI were enrolled in a weekly program that involved activities with the MediSens (Los Angeles, CA) handgrip. These included maximum voluntary contraction (MVC) and a tracking task that required each subject to adjust his/her grip strength according to a pattern displayed on a computer screen. For the latter, performance was measured as mean absolute accuracy (MAA). The Spinal Cord Independence Measure (SCIM) was used to measure each subject's independence prior to and after therapy.Results: Seventeen patients completed the program with average participation duration of 21.3 weeks. The cohort included patients with American Spinal Injury Association (ASIA) Impairment Scale (AIS) A (n = 12), AIS B (n = 1), AIS C (n = 2), and AIS D (n = 2) injuries. The average MVC for the cohort increased from 4.1 N to 21.2 N over 20 weeks, but did not reach statistical significance. The average MAA for the cohort increased from 9.01 to 21.7% at the end of the study (p = .02). The cohort's average SCIM at the end of the study was unchanged compared to baseline.Conclusions: A weekly handgrip-based ABT program is feasible and efficacious at increasing hand task performance in subjects with SCI. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|