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Titre : | Assisted Movement With Proprioceptive Stimulation Reduces Impairment and Restores Function in Incomplete Spinal Cord Injury (2014) |
Auteurs : | Deborah Backus ; Paul Cordo ; Amanda Gillott |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/8, 2014) |
Article en page(s) : | p. 1447-1453 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Membre supérieur ; Rééducation et réadaptation ; Rétroaction ; Traumatismes de la moelle épinière |
Mots-clés: | sensory ; Rétroaction sensorielle ; Spinal cord injuries ; Upper extremity |
Résumé : |
Objective To test whether treatment with assisted movement with enhanced sensation (AMES) using vibration to the antagonist muscle would reduce impairments and restore upper limb function in people with incomplete tetraplegia. Design Prospective, pre-post study. Setting Laboratory and rehabilitation hospital. Participants We recruited 15 arms from 10 individuals (8 men; mean age, 40.5y; mean years postspinal cord injury [SCI], 3) with chronic, incomplete tetraplegia. Intervention Two or three 20-minute sessions per week over 9 to 13 weeks (25 sessions total) on the AMES device, which combines repeated movement with targeted vibration to the antagonist muscle. Main Outcome Measures Strength and active motion tests on the AMES device; International Standards for the Neurological Classification of SCI (ISNCSCI) motor and sensory examinations; Modified Ashworth Scale (MAS); grasp and release test (GRT); Van Lieshout Test (VLT); and Capabilities of Upper Extremity questionnaire (CUE). Results The AMES strength test scores improved significantly in metacarpophalangeal flexion (P=.024) and extension (P=.007) and wrist flexion (P=.001) and extension (P<.000 the ames active motion scores improved in hand and wrist mas isncsci remained unchanged whereas grt increased post hoc analysis showed a trend from pre- to posttreatment significant change pretreatment follow-up there was no vlt or cue five of participants reported return sensation digits after first second third treatment session.> Conclusions People with chronic, incomplete tetraplegia may experience improvements in impairments and function after treatment on a device combining assisted movement and proprioceptive stimulation. Further investigation is warranted. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314002184 |