Effects of Continuous Passive Motion on Reversing the Adapted Spinal Circuit in Humans With Chronic Spinal Cord Injury
| Autor: | Jing Nong Liang, Miao-Ju Hsu, Hen-Yu Lien, Cheng-Hsiang Lin, Chia-Ying Fang, Ya-Ju Chang |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors medicine.medical_treatment Modified Ashworth scale Physical Therapy Sports Therapy and Rehabilitation Thoracic Vertebrae Continuous passive motion law.invention Young Adult Physical medicine and rehabilitation Randomized controlled trial law medicine Humans Single-Blind Method Spasticity Muscle Skeletal Spinal cord injury Spinal Cord Injuries Motor Neurons Rehabilitation business.industry Motion Therapy Continuous Passive Repeated measures design Middle Aged Synaptic Potentials medicine.disease Adaptation Physiological medicine.anatomical_structure Muscle Spasticity Chronic Disease Synapses Physical therapy medicine.symptom Ankle business Ankle Joint |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 94:822-828 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2012.11.035 |
| Popis: | Objective To investigate the possibility of restoring the adapted spinal circuit after spinal cord injury (SCI) by means of long-term continuous passive motion (CPM) of the ankle joint. Design Randomized controlled trial with repeated measures. Setting Research laboratory in a general hospital. Participants Individuals with motor complete SCI (N=14) were recruited from a community. Intervention CPM of the ankle joint for 1 hour a day, 5 days a week for 4 weeks. Main Outcome Measures Modified Ashworth Scale (MAS) scores for evaluation of spasticity and postactivation depression (PAD) were documented prior to and after intervention. Results MAS scores improved after 4 weeks of CPM intervention, indicating a reduction in spasticity of the ankle joint. PAD was restored after 4 weeks of training. Conclusions Passive motion of the ankle joint alone was sufficient in reversing the adapted spinal circuit, and therefore indicates that spasticity after SCI could possibly be managed by CPM intervention. The results of this study support the use of the passive mode of robot-assisted therapy for humans with complete SCI who cannot exercise actively. |
| Databáze: | OpenAIRE |
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