OBJECTIVE: Evaluate the effectiveness of electrical stimulation and biofeedback on the recovery of tenodesis grasp in tetraplegic individuals during the initial phase of acute rehabilitation. DESIGN: A 2 x 2 block design was used with subjects randomized to treatment groups. Forty-five subjects completed the study. SETTING: Inpatient occupational therapy department. SUBJECTS:Inpatients with tetraplegia, first admission for rehabilitation after an acute spinal cord injury. INTERVENTIONS: The four treatment groups were: conventional treatment, electrical stimulation, biofeedback, and combined electrical stimulation and biofeedback. The treatment period was between 5 and 6 weeks. MAIN OUTCOME MEASURES: Manual muscle testing and scoring of activities of daily living performance by a blinded evaluator. RESULTS: All four treatment groups showed improvements. No treatment group was superior to the others. CONCLUSIONS:Biofeedback and electrical stimulation alone or in combination offer no advantages over conventional rehabilitation treatment of wrist extensors in tetraplegic patients after spinal cord injury.
RCT Entities:
OBJECTIVE: Evaluate the effectiveness of electrical stimulation and biofeedback on the recovery of tenodesis grasp in tetraplegic individuals during the initial phase of acute rehabilitation. DESIGN: A 2 x 2 block design was used with subjects randomized to treatment groups. Forty-five subjects completed the study. SETTING: Inpatient occupational therapy department. SUBJECTS: Inpatients with tetraplegia, first admission for rehabilitation after an acute spinal cord injury. INTERVENTIONS: The four treatment groups were: conventional treatment, electrical stimulation, biofeedback, and combined electrical stimulation and biofeedback. The treatment period was between 5 and 6 weeks. MAIN OUTCOME MEASURES: Manual muscle testing and scoring of activities of daily living performance by a blinded evaluator. RESULTS: All four treatment groups showed improvements. No treatment group was superior to the others. CONCLUSIONS: Biofeedback and electrical stimulation alone or in combination offer no advantages over conventional rehabilitation treatment of wrist extensors in tetraplegic patients after spinal cord injury.
Authors: Nuray Yozbatiran; Zafer Keser; Khader Hasan; Argyrios Stampas; Radha Korupolu; Sam Kim; Marcia K O'Malley; Felipe Fregni; Gerard E Francisco Journal: Spinal Cord Ser Cases Date: 2017-06-15
Authors: Wei Wang; Jennifer L Collinger; Monica A Perez; Elizabeth C Tyler-Kabara; Leonardo G Cohen; Niels Birbaumer; Steven W Brose; Andrew B Schwartz; Michael L Boninger; Douglas J Weber Journal: Phys Med Rehabil Clin N Am Date: 2010-02 Impact factor: 1.784
Authors: Anthony S Burns; Ralph J Marino; Sukhvinder Kalsi-Ryan; James W Middleton; Lindsay A Tetreault; Joseph R Dettori; Kathryn E Mihalovich; Michael G Fehlings Journal: Global Spine J Date: 2017-09-05
Authors: Michael G Fehlings; Lindsay A Tetreault; Bizhan Aarabi; Paul Anderson; Paul M Arnold; Darrel S Brodke; Kazuhiro Chiba; Joseph R Dettori; Julio C Furlan; James S Harrop; Gregory Hawryluk; Langston T Holly; Susan Howley; Tara Jeji; Sukhvinder Kalsi-Ryan; Mark Kotter; Shekar Kurpad; Brian K Kwon; Ralph J Marino; Allan R Martin; Eric Massicotte; Geno Merli; James W Middleton; Hiroaki Nakashima; Narihito Nagoshi; Katherine Palmieri; Anoushka Singh; Andrea C Skelly; Eve C Tsai; Alexander Vaccaro; Jefferson R Wilson; Albert Yee; Anthony S Burns Journal: Global Spine J Date: 2017-09-05