The Effects of Adding Transcutaneous Spinal Cord Stimulation (tSCS) to Sit-To-Stand Training in People with Spinal Cord Injury: A Pilot Study
| Autor: | Sarah J. Massey, Nick Donaldson, Sarah L. Knight, Lynsey D. Duffell, Yazi Al’joboori |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
non-invasive lcsh:Medicine Spinal cord stimulation Article transcutaneous spinal cord stimulation 03 medical and health sciences 0302 clinical medicine Lower limb muscle Physical medicine and rehabilitation Intervention (counseling) medicine human Spinal cord injury Neurorehabilitation 030304 developmental biology 0303 health sciences neurorehabilitation Sit to stand business.industry lcsh:R Motor control General Medicine medicine.disease Neuromodulation (medicine) spinal cord injury neuromodulation business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Clinical Medicine Journal of Clinical Medicine, Vol 9, Iss 2765, p 2765 (2020) Volume 9 Issue 9 |
| ISSN: | 2077-0383 |
| Popis: | Spinal cord stimulation may enable recovery of volitional motor control in people with chronic Spinal Cord Injury (SCI). In this study we explored the effects of adding SCS, applied transcutaneously (tSCS) at vertebral levels T10/11, to a sit-to-stand training intervention in people with motor complete and incomplete SCI. Nine people with chronic SCI (six motor complete three motor incomplete) participated in an 8-week intervention, incorporating three training sessions per week. Participants received either tSCS combined with sit-to-stand training (STIM) or sit-to-stand training alone (NON-STIM). Outcome measures were carried out before and after the intervention. Seven participants completed the intervention (STIM N = 5 NON-STIM N = 2). Post training, improvements in International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) motor scores were noted in three STIM participants (range 1.0&ndash 7.0), with no change in NON-STIM participants. Recovery of volitional lower limb muscle activity and/or movement (with tSCS off) was noted in three STIM participants. Unassisted standing was not achieved in any participant, although standing with minimal assistance was achieved in one STIM participant. This pilot study has shown that the recruitment of participants, intervention and outcome measures were all feasible in this study design. However, some modifications are recommended for a larger trial. |
| Databáze: | OpenAIRE |
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