Home-based rehabilitation using a soft robotic hand glove device leads to improvement in hand function in people with chronic spinal cord injury:a pilot study

Autor: Bethel A.C. Osuagwu, Sarah Timms, Ruth Peachment, Sarah Dowie, Helen Thrussell, Susan Cross, Rebecca Shirley, Antonio Segura-Fragoso, Julian Taylor
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of NeuroEngineering and Rehabilitation, Vol 17, Iss 1, Pp 1-15 (2020)
Druh dokumentu: article
ISSN: 1743-0003
DOI: 10.1186/s12984-020-00660-y
Popis: Abstract Background Loss of hand function following high level spinal cord injury (SCI) is perceived as a high priority area for rehabilitation. Following discharge, it is often impractical for the specialist care centre to provide ongoing therapy for people living with chronic SCI at home, which can lead to further deterioration of hand function and a direct impact on an individual’s capability to perform essential activities of daily living (ADL). Objective This pilot study investigated the therapeutic effect of a self-administered home-based hand rehabilitation programme for people with cervical SCI using the soft extra muscle (SEM) Glove by Bioservo Technologies AB. Methods Fifteen participants with chronic cervical motor incomplete (AIS C and D) SCI were recruited and provided with the glove device to use at home to complete a set task and perform their usual ADL for a minimum of 4 h a day for 12 weeks. Assessment was made at Week 0 (Initial), 6, 12 and 18 (6-week follow-up). The primary outcome measure was the Toronto Rehabilitation Institute hand function test (TRI-HFT), with secondary outcome measures including pinch dynamometry and the modified Ashworth scale. Results The TRI-HFT demonstrated improvement in hand function at Week 6 of the therapy including improvement in object manipulation (58.3 ±3.2 to 66.9 ±1.8, p ≈ 0.01), and palmar grasp assessed as the length of the wooden bar that can be held using a pronated palmar grip (29.1 ±6.0 cm to 45.8 ±6.8 cm, p
Databáze: Directory of Open Access Journals
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