Assisted movement with proprioceptive stimulation reduces impairment and restores function in incomplete spinal cord injury

Deborah Backus, Paul Cordo, Amanda Gillott, Casey Kandilakis, Motomi (Tomi) Mori, Ahmed Raslan

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective To test whether treatment with assisted movement with enhanced sensation (AMES) using vibration to the antagonist muscle would reduce impairments and restore upper limb function in people with incomplete tetraplegia. Design Prospective, pre-post study. Setting Laboratory and rehabilitation hospital. Participants We recruited 15 arms from 10 individuals (8 men; mean age, 40.5y; mean years postspinal cord injury [SCI], 3) with chronic, incomplete tetraplegia. Intervention Two or three 20-minute sessions per week over 9 to 13 weeks (25 sessions total) on the AMES device, which combines repeated movement with targeted vibration to the antagonist muscle. Main Outcome Measures Strength and active motion tests on the AMES device; International Standards for the Neurological Classification of SCI (ISNCSCI) motor and sensory examinations; Modified Ashworth Scale (MAS); grasp and release test (GRT); Van Lieshout Test (VLT); and Capabilities of Upper Extremity questionnaire (CUE). Results The AMES strength test scores improved significantly in metacarpophalangeal flexion (P=.024) and extension (P=.007) and wrist flexion (P=.001) and extension (P

Original languageEnglish (US)
Pages (from-to)1447-1453
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume95
Issue number8
DOIs
StatePublished - 2014

Fingerprint

Spinal Cord Injuries
Quadriplegia
Vibration
Upper Extremity
Equipment and Supplies
Muscles
Hospital Laboratories
Hand Strength
Wrist
Arm
Rehabilitation
Outcome Assessment (Health Care)
Wounds and Injuries
Therapeutics

Keywords

  • Feedback, sensory
  • Proprioceptive feedback
  • Rehabilitation
  • Spinal cord injuries
  • Upper extremity

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Assisted movement with proprioceptive stimulation reduces impairment and restores function in incomplete spinal cord injury. / Backus, Deborah; Cordo, Paul; Gillott, Amanda; Kandilakis, Casey; Mori, Motomi (Tomi); Raslan, Ahmed.

In: Archives of Physical Medicine and Rehabilitation, Vol. 95, No. 8, 2014, p. 1447-1453.

Research output: Contribution to journalArticle

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