Student Competition (Knowledge Generation) ID 1985170

IF 2.4 Q1 REHABILITATION
Darren J. Mann, Jane A. Porter, Deborah O. Okusanya, Justin Lee, Zahra Karamzadeh, Monique Yuan, Trevor S. Barss, Vivian K. Mushahwar
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引用次数: 0

Abstract

Functional electrical stimulation (FES)-assisted arm and leg (A&L) cycling is an effective rehabilitative intervention for improving walking following an incomplete spinal cord injury (SCI). The goal of this study was to assess the potential benefits of combining transcutaneous spinal cord stimulation (tSCS) with A&L cycling to potentially improve functional mobility and activities of daily living for persons living with motor complete SCI. This is a case study of a participant with AIS B SCI. The participant has been undergoing FES-assisted A&L cycling training combined with cervical and lumbar tSCS (1 hr/day, 5 days/week) for 37 weeks. Assessments were performed pre-training and every 6 weeks thereafter and include the International Standards for Neurological Classification of SCI (ISNCSCI), time able to stand while assisted, and training load of each exercise session. Although there were no changes in the ISNCSCI scores, the duration of assisted standing increased from 10s per-training to 33.5s at 36 weeks post-training. Interestingly, the addition of tSCS enhanced standing duration to 38.5s. Moreover, the total power output exerted by the participant consistently increased over time. This study provides, for the first time, evidence that FES-assisted A&L cycling paired with non-invasive tSCS can be safely completed after severe SCI and leads to improvements in training load and assisted standing. Additional assessments will be incorporated to further identify improvements in function and quality of life. Future work will assess the benefits of using epidural spinal cord stimulation combined with A&L cycling after motor complete SCI.
学生竞赛(知识生成) ID 1985170
功能性电刺激(FES)辅助手臂和腿部(A&L)骑车是一种有效的康复干预措施,可改善不完全脊髓损伤(SCI)后的行走能力。本研究旨在评估经皮脊髓刺激(tSCS)与手脚并用自行车运动相结合的潜在益处,以改善运动性完全性脊髓损伤患者的功能活动能力和日常活动。 这是一项关于 AIS B SCI 患者的案例研究。该患者已接受了 37 周的 FES 辅助 A&L 骑行训练,并结合了颈椎和腰椎的 tSCS(每天 1 小时,每周 5 天)。训练前和训练后每 6 周进行一次评估,评估内容包括国际 SCI 神经系统分类标准(ISNCSCI)、在辅助下能够站立的时间以及每次训练的训练负荷。 虽然ISNCSCI评分没有变化,但辅助站立的时间从每次训练10秒增加到训练后36周的33.5秒。有趣的是,添加 tSCS 后,站立时间延长至 38.5 秒。此外,随着时间的推移,参与者的总功率输出也在持续增加。 这项研究首次提供了证据,证明在重度 SCI 后可以安全地完成 FES 辅助 A&L 骑行和无创 tSCS,并能改善训练负荷和辅助站立。还将纳入其他评估,以进一步确定功能和生活质量的改善情况。未来的工作将评估在运动性完全性 SCI 后使用硬膜外脊髓刺激结合 A&L 骑自行车的益处。
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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