Early intensive hand rehabilitation after spinal cord injury ("Hands On"): a protocol for a randomised controlled trial

Harvey, L A; Dunlop, Sarah; Чурилов, Леонид; Hsueh, Y; Galea, Mary P.

doi:10.1186/1745-6215-12-14

Cited by 13 publications

(10 citation statements)

References 27 publications

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“…Furthermore, the patients reported a high level of satisfaction, resulting in greater adherence to the treatment on the patient’s part. The success of Wii-based movement therapy has been demonstrated previously in patients in the early subacute period (<3 months) after stroke [ 19 ]. However, its application in patients with SCI is limited.…”

Section: Discussionmentioning

confidence: 99%

“…The result obtained from our study suggests the following benefits of using the Nintendo Wii as part of the rehabilitation process: it provides increased motivation leading to greater adherence to treatment; the patient receives positive feedback seeing results in the form of scores and moving to higher levels of difficulty. It also allows the individual to learn new self-improvement strategies [ 19 ], which was reflected by the feedback scores of the patients who underwent Wii-based therapy and also by the consistent improvement in their scores while playing the games. It expedites interest and motor learning, promoting motivation through the in-built commentary, prizes, visual and verbal cues, and tapping into patients’ competitive nature and their desire for interaction, thereby further facilitating compliance and motivation [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…The patients work with functional movements that are to be performed at a specific time determined by a visual stimulus, which further leads to visual-motor integration. Being fairly inexpensive, Nintendo Wii can be used on a long-term basis as an adjunct to outpatient rehabilitation tool or even at home to address the leisure needs of patients, even in those with high levels of injury [ 19 , 21 ]. The automated nature of stimulus delivery within the virtual environment enables the therapist to focus more on providing maximum physical support to the patient, when needed, without being distracted by the complexity of the task and withdrawing their support as the function improves [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Virtual Reality in Upper Limb Rehabilitation in Patients with Spinal Cord Injury: A Pilot Randomized Controlled Trial

et al. 2018

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Study DesignPilot randomized controlled trial.PurposeTo compare the efficacy between virtual reality intervention (using Nintendo Wii) along with conventional occupational therapy and conventional occupational therapy alone in improving upper limb function in patients with spinal cord injury (SCI).Overview of LiteratureThe use of virtual reality has gained importance in the rehabilitation sector over the last few years. Nintendo Wii has the potential to encourage upper limb function while engaging in an interesting activity, which is important in long-term interventions, such as the treatment of SCI.MethodsOverall, 22 patients with SCI participated in the study. They were randomly assigned to two groups. Group I received 30 minutes of virtual reality intervention (using Nintendo Wii) and 30 minutes of conventional therapy, whereas group II received conventional therapy only for 30 minutes. Both groups received therapy 3 days a week for 4 weeks. One hand of each patient was identified as the target hand based on the inclusion criteria. All patients were assessed at baseline, 2 weeks and 4 weeks (post-intervention), and 6 weeks (follow-up). The functional ability of the target hand was assessed using the Capabilities of Upper Extremity (CUE) questionnaire. Gross motor dexterity was assessed using the Box and Block Test (BBT). The level of independence in activities of daily living was assessed by the Spinal Cord Independence Measure-Self Report and quality of life by the World Health Organization Quality of Life-BREF.ResultsAfter 4 weeks of intervention, there was no significant difference in improved hand function between the groups. Mean scores were higher for group I than for group II, with a higher percent change (31.5% in CUE questionnaire and 51.7% in BBT) in group I.ConclusionsVirtual reality along with conventional therapy produces similar results in upper limb function as does conventional therapy alone.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Efficacy of Virtual Reality in Upper Limb Rehabilitation in Patients with Spinal Cord Injury: A Pilot Randomized Controlled Trial

et al. 2018

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“…Stata Statistical Software: Release 13, College Station, TX, USA: StataCorp LP) by an independent statistician (JS) into two groups, using permuted blocks of random sizes, stratifying on gender and age (below 73 years/73+ years) to ensure even distribution of these variables. The block sizes will not be disclosed to ensure concealment [ 34 , 35 ]. When either of a couple is randomized to a different group (one to the control group and one to the intervention group), a fair coin toss will be used to decide which group they will both be assigned to (heads = control; tails = intervention).…”

Section: Methodsmentioning

confidence: 99%

Targeting functional fitness, hearing and health-related quality of life in older adults with hearing loss: Walk, Talk 'n' Listen, study protocol for a pilot randomized controlled trial

Lambert

Ghadry-Tavi

Knuff

et al. 2017

Trials

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BackgroundHearing loss (HL) is a disability associated with poorer health-related quality of life including an increased risk for loneliness, isolation, functional fitness declines, falls, hospitalization and premature mortality. The purpose of this pilot trial is to determine the feasibility and acceptability of a novel intervention to reduce loneliness, improve functional fitness, social connectedness, hearing and health-related quality of life in older adults with HL.MethodsThis 10-week, single-blind, pilot randomized control trial (RCT) will include a convenience sample of ambulatory adults aged 65 years or older with self-reported HL. Following baseline assessments, participants will be randomized to either intervention (exercise, health education, socialization and group auditory rehabilitation (GAR)) or control (GAR only) groups. The intervention group will attend a local YMCA twice a week and the control group once a week. Intervention sessions will include 45 min of strengthening, balance and resistance exercises, 30 min of group walking at a self-selected pace and 60 min of interactive health education or GAR. The control group will attend 60-min GAR sessions. GAR sessions will include education about hearing, hearing technologies, enhancing communication skills, and psychosocial support. Pre-post trial data collection and measures will include: functional fitness (gait speed, 30-s Sit to Stand Test), hearing and health-related quality of life, loneliness, depression, social participation and social support. At trial end, feasibility (recruitment, randomization, retention, acceptability) and GAR will be evaluated.DiscussionDespite evidence suggesting that HL is associated with declines in functional fitness, there are no studies aimed at addressing functional fitness declines associated with the disability of HL. This pilot trial will provide knowledge about the physical, mental and social impacts on health related to HL as a disability. This will inform the feasibility of a larger RCT and preliminary evidence about the initial effects of a novel, community-based, holistic intervention addressing both the negative psychosocial and functional physical effects of HL among older adults.Trial registrationClinicalTrials.gov, NCT02662192. Registered on 14 January 2016Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-1792-z) contains supplementary material, which is available to authorized users.

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“…Recently, also the more general Action Research Arm Test (ARAT) [21] has been used in studies targeting the tetraplegic hand [22]. …”

Section: Introductionmentioning

confidence: 99%

A Noninvasive Neuroprosthesis Augments Hand Grasp Force in Individuals with Cervical Spinal Cord Injury: The Functional and Therapeutic Effects

Thorsen

Costa

Chiaramonte

et al. 2013

The Scientific World Journal

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Objectives. The primary purpose of this study was to evaluate myoelectrically controlled functional electrical stimulation (MeCFES) for enhancing the tenodesis grip in people with tetraplegia. The second aim was to estimate the potential number of candidates for the MeCFES device. The application of MeCFES provides the user with direct control of the grasp force as opposed to triggered FES systems. Methods. Screening 253 medical records of C5 to C7 spinal cord injury resulted in 27 participants who trained activities of daily living for 12 × 2 hours, using the MeCFES. Hand function was evaluated by the Action Research Arm Test (ARAT). Primary outcome was the ARAT change score with/without the device, before/after the intervention period. Secondary outcome was the number of positive or clinically relevant change scores with respect to the cohort. Results. The MeCFES improved hand test score in 63% of the subjects at first application. Training resulted in a significant therapeutic effect, which resulted in an overall increase of hand function in 89% of the participants and 30% experienced a clinically relevant change (6 points or more). Conclusions. Clinical relevance was found both as an assistive aid and as a therapeutic tool in rehabilitation. The therapeutic effect deserves further investigation in clinical studies.

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Early intensive hand rehabilitation after spinal cord injury ("Hands On"): a protocol for a randomised controlled trial

Cited by 13 publications

References 27 publications

Efficacy of Virtual Reality in Upper Limb Rehabilitation in Patients with Spinal Cord Injury: A Pilot Randomized Controlled Trial

Efficacy of Virtual Reality in Upper Limb Rehabilitation in Patients with Spinal Cord Injury: A Pilot Randomized Controlled Trial

Targeting functional fitness, hearing and health-related quality of life in older adults with hearing loss: Walk, Talk 'n' Listen, study protocol for a pilot randomized controlled trial

A Noninvasive Neuroprosthesis Augments Hand Grasp Force in Individuals with Cervical Spinal Cord Injury: The Functional and Therapeutic Effects

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