Student Competition (Knowledge Generation) ID 1985159

IF 2.4 Q1 REHABILITATION Topics in Spinal Cord Injury Rehabilitation Pub Date : 2023-09-01 DOI:10.46292/sci23-1985159s
Deborah O. Okusanya, Jane A. Porter, Darren J. Mann, Zahra Karamzadeh, Sisuri G. Hemakumara, Trevor S. Barss, Vivian K. Mushahwar
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Abstract

When we walk, we swing our arms in rhythm with our legs due to neural connections in the spinal cord. Currently, rehabilitation protocols primarily focus on leg training to improve walking function. However, past research has highlighted the importance of engaging the arms in rehabilitative interventions through arm and leg cycling following an incomplete spinal cord injury (iSCI). The objective of this study is to determine if the application of non-invasive transcutaneous spinal cord stimulation (tSCS) paired with arm and leg cycling can improve walking for individuals with an iSCI. It is hypothesized that the addition of tSCS will activate previously inaccessible neural circuits within the spinal cord to produce significant improvements in walking capacity. Individuals with an iSCI underwent arm and leg cycling training that was assisted by functional electrical stimulation applied to the main extensor muscles of the leg. tSCS was applied over the cervical and lumbar regions of the spinal cord. Training consisted of 1 hour of cycling, 5 days/week for 12 weeks. A series of clinical and biomechanical assessments were performed to assess changes in functional mobility. Preliminary results in three participants showed increases in maximal walking speed on the 10-metre walk test, increases in walking endurance on the 6-minute walk test, and improved balance on the Berg Balance Scale. Preliminary biomechanical results suggested that the addition of tSCS may reduce left-right asymmetry. Arm and leg cycling paired with tSCS offers tremendous potential for improvements in walking function following an iSCI.
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学生竞赛(知识生成) ID 1985159
当我们行走时,由于脊髓中的神经连接,我们的手臂会随着腿部的节奏摆动。目前,康复方案主要侧重于腿部训练,以改善行走功能。然而,过去的研究强调了在不完全脊髓损伤(iSCI)后,通过手臂和腿部骑行让手臂参与康复干预的重要性。 本研究的目的是确定非侵入性经皮脊髓刺激(tSCS)与手臂和腿部自行车运动的搭配应用能否改善不完全脊髓损伤患者的行走能力。根据假设,经皮脊髓刺激将激活脊髓内以前无法进入的神经回路,从而显著提高行走能力。 在对腿部主要伸肌进行功能性电刺激的辅助下,患有 iSCI 的患者接受了手臂和腿部骑车训练。训练包括每周 5 天、每次 1 小时的自行车运动,为期 12 周。为评估功能活动度的变化,进行了一系列临床和生物力学评估。 三名参与者的初步结果显示,10 米步行测试中的最大步行速度提高了,6 分钟步行测试中的步行耐力提高了,伯格平衡量表中的平衡能力提高了。初步的生物力学结果表明,添加 tSCS 可减少左右不对称。 手臂和腿部自行车运动与 tSCS 相结合,为改善 iSCI 后的行走功能提供了巨大的潜力。
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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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