Improving Upper Extremity Strength, Function, and Trunk Stability Using Wide-Pulse Functional Electrical Stimulation in Combination With Functional Task-Specific Practice.
To evaluate upper extremity (UE) function, strength, and dynamic sitting balance in individuals with spinal cord injury (SCI) who received an intensive outpatient therapy program focused on UE training augmented with wide pulse/high frequency functional electrical stimulation (WPHF-FES). This prospe...
| Publicado en: | Topics in Spinal Cord Injury Rehabilitation Vol. 28; no. 2; pp. 139 - 153 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
KnowledgeWorks Global, Ltd
Spring2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156269841&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156269841 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10820744 0OF jtl: Topics in Spinal Cord Injury Rehabilitation issn: 10820744 maglogo: N pubinfo: dt: Spring2022 vid: 28 iid: 2 pid: 81084 pub: KnowledgeWorks Global, Ltd place: Richmond, Virginia artinfo: ui: 156269841 156269841 156269841 10.46292/sci21-00004 156269841 ppf: 139 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Improving Upper Extremity Strength, Function, and Trunk Stability Using Wide-Pulse Functional Electrical Stimulation in Combination With Functional Task-Specific Practice. aug: au: Tefertiller, Candace Bartelt, Patricia Stobelaar, Maureen Charlifue, Susie Sevigny, Mitch Vande Griend, Eric Rozwod, Meghan affil: Research Department, Craig Hospital, Englewood, Colorado sug: subj: Spinal Cord Injuries Rehabilitation Electrical Stimulation, Functional Methods Treatment Outcomes Evaluation Upper Extremity Physiology Functional Assessment Muscle Strength Evaluation Torso Physiology Core Stability Evaluation Human Adult Middle Age Outpatients Prospective Studies Case Studies Convenience Sample Descriptive Statistics Mann-Whitney U Test Wilcoxon Signed Rank Test Confidence Intervals Pearson's Correlation Coefficient Task Performance and Analysis Balance, Postural Motor Skills Functional Status Recovery Neuromuscular Control Clinical Assessment Tools Severity of Illness Indices Scales Adult: 19-44 years Middle Aged: 45-64 years ab: To evaluate upper extremity (UE) function, strength, and dynamic sitting balance in individuals with spinal cord injury (SCI) who received an intensive outpatient therapy program focused on UE training augmented with wide pulse/high frequency functional electrical stimulation (WPHF-FES). This prospective case series was conducted in an outpatient (OP) clinic in an SCI-specific rehabilitation hospital. Participants were a convenience sample (N = 50) of individuals with tetraplegia receiving OP therapy focused on UE recovery. Individuals participated in 60 minutes of UE functional task-specific practice (FTP) in combination with WPHF-FES 5 times/week for an average of 72 sessions. The primary outcome for this analysis was the Capabilities of Upper Extremity Test (CUE-T). Secondary outcomes include UE motor score (UEMS) and the modified functional reach (MFR). Fifty individuals (13 motor complete; 37 motor incomplete SCI) completed an OP UE training program incorporating WPHF-FES and were included in this analysis. On average, participants demonstrated significant improvements in the total CUE-T score of 14.1 (SD = 10.0, p <.0001) points; significant changes were also noted in UEMS and MFR, improving an average of 4.6 (SD = 5.2, p <.0001) points and 13.6 (SD = 15.8, p <.0001) cm, respectively. Individuals with tetraplegia demonstrated significant improvements in UE strength, function, and dynamic sitting trunk balance after receiving UE training augmented with WPHF-FES. Future comparative effectiveness studies need to be completed to guide efficacious treatment interventions in OP therapy. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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