Combinatorial Effects of Transcutaneous Spinal Stimulation and Task-Specific Training to Enhance Hand Motor Output after Paralysis.
Despite the positive results in upper limb (UL) motor recovery after using electrical neuromodulation in individuals after cervical spinal cord injury (SCI) or stroke, there has been limited exploration of potential benefits of combining task-specific hand grip training with transcutaneous electrica...
| Publicado en: | Topics in Spinal Cord Injury Rehabilitation Vol. 29; pp. 15 - 23 |
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| Autores principales: | , , , , , , , , |
| Formato: | clinical trial pictorial research tables/charts Journal Article |
| Publicado: |
KnowledgeWorks Global, Ltd
2023Suppl
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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=173605440&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173605440 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: 2023Suppl vid: 29 pid: 81084 pub: KnowledgeWorks Global, Ltd place: Richmond, Virginia artinfo: ui: 173605440 173605440 173605440 10.46292/sci23-00040S 173605440 ppf: 15 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Combinatorial Effects of Transcutaneous Spinal Stimulation and Task-Specific Training to Enhance Hand Motor Output after Paralysis. aug: au: Oh, Jeonghoon Scheffler, Michelle S. Mahan, Erin E. King, Shane T. Martin, Catherine A. Dinh, Jenny Steele, Alexander G. O'Malley, Marcia K. Sayenko, Dimitry G. affil: Department of Neurosurgery, Center for Translational Neural Prosthetics and Interfaces, Center for Neuroregeneration, Houston Methodist Research Institute, Houston, Texas, USA sug: subj: Task Performance and Analysis Paralysis Rehabilitation Transcutaneous Electric Nerve Stimulation Methods Evoked Potentials, Motor Physiology Hand Physiology Training Effect (Physiology) Evaluation Noninvasive Procedures Grip Strength Human Funding Source Spinal Cord Injuries Stroke Dynamometry Electromyography Feedback Treatment Outcomes Clinical Trials Crossover Design Adult Middle Age Female Male Repeated Measures Analysis of Variance Kruskal-Wallis Test Pretest-Posttest Design Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Despite the positive results in upper limb (UL) motor recovery after using electrical neuromodulation in individuals after cervical spinal cord injury (SCI) or stroke, there has been limited exploration of potential benefits of combining task-specific hand grip training with transcutaneous electrical spinal stimulation (TSS) for individuals with UL paralysis. This study investigates the combinatorial effects of task-specific hand grip training and noninvasive TSS to enhance hand motor output after paralysis. Four participants with cervical SCI classified as AIS A and B and two participants with cerebral stroke were recruited in this study. The effects of cervical TSS without grip training and during training with sham stimulation were contrasted with hand grip training with TSS. TSS was applied at midline over cervical spinal cord. During hand grip training, 5 to 10 seconds of voluntary contraction were repeated at a submaximum strength for approximately 10 minutes, three days per week for 4 weeks. Signals from hand grip dynamometer along with the electromyography (EMG) activity from UL muscles were recorded and displayed as visual feedback. Our case study series demonstrated that combined task-specific hand grip training and cervical TSS targeting the motor pools of distal muscles in the UL resulted in significant improvements in maximum hand grip strength. However, TSS alone or hand grip training alone showed limited effectiveness in improving grip strength. Task-specific hand grip training combined with TSS can result in restoration of hand motor function in paralyzed upper limbs in individuals with cervical SCI and stroke. pubtype: Academic Journal doctype: clinical trial pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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