Functional Electrical Stimulation Therapy of Voluntary Grasping Versus Only Conventional Rehabilitation for Patients With Subacute Incomplete Tetraplegia

Popović, Miloš R.; Kapadia, Naaz; Zivanovic, Vera; Furlan, Julio C.; Craven, B. Catharine; McGillivray, Colleen

doi:10.1177/1545968310392924

Cited by 152 publications

(192 citation statements)

References 18 publications

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“…Hence, the hope was that TRI-HFT will be used to help detect improvements in function secondary to neuroplasticity. Recent articles published by our team 2,8,27,28 suggest that TRI-HFT is very effective in detecting improvements in function secondary to neuroplasticity.…”

Section: Graded Redefined Assessment Of Strength Sensibility and Prementioning

confidence: 99%

“…Individuals may or may not use a neuroprosthesis to assist them in manipulating the objects during the TRI-HFT. The TRI-HFT has been designed to be used to assess the effectiveness of (a) hand therapies; (b) neuroprosthesis for grasping as an orthosis (ie, as a permanent assistive device) in ADLs; (c) FES therapy for restoring voluntary grasping function 1,2,8 ; and (d) surgical restoration options such as tendon transfer surgeries. 29 The purpose of this study was to establish the reliability, construct validity, and sensitivity of the TRI-HFT as an evaluation tool for use in patients with SCI and to assess the unilateral gross motor function of their hand to perform lateral pinch, pulp pinch, and palmar grasp.…”

Section: Auspinalmentioning

confidence: 99%

“…Conventional occupational and physiotherapeutic techniques and other rehabilitation modalities such as functional electrical stimulation (FES) and robotic-assisted therapies are focusing on restoring reach and grasp function in individuals with tetraplegia. [1][2][3][4][5][6][7][8] Lateral pinch, pulp pinch, and palmar grasps are the primary motor hand functions these therapies are trying to improve or restore, as they are necessary to perform various activities of daily living (ADLs) that may improve independence and quality of life. With the evolution of new therapies, there has been development of novel assessment tools to evaluate the efficacy of these therapies.…”

mentioning

confidence: 99%

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Toronto Rehabilitation Institute–Hand Function Test: Assessment of Gross Motor Function in Individuals With Spinal Cord Injury

Kapadia

Zivanovic

Verrier

et al. 2012

Topics in Spinal Cord Injury Rehabilitation

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Section: Graded Redefined Assessment Of Strength Sensibility and Prementioning

confidence: 99%

Section: Auspinalmentioning

confidence: 99%

mentioning

confidence: 99%

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Toronto Rehabilitation Institute–Hand Function Test: Assessment of Gross Motor Function in Individuals With Spinal Cord Injury

Kapadia

Zivanovic

Verrier

et al. 2012

Topics in Spinal Cord Injury Rehabilitation

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“…By stimulating a specific set of muscles and employing specific stimulation sequences FES can generate movements in individuals with impaired neuromuscular function, or even with paralysis. To date, FES systems have been used extensively as assistive devices, which patients could use in order to perform specific motor tasks such as standing [13], walking [14], and grasping [15]. In addition, FES is known as a countermeasure to musculoskeletal atrophy the training device, which was inserted in the side bearings allowing for smooth rotation.…”

Section: Introductionmentioning

confidence: 99%

Video Game-Based Approach in Calf Muscle Training: Lessons from Pilot Study.

Sayenko¹,

Robinson²,

Milosevic

et al. 2013

Clin Res Foot Ankle

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Gaming technology is a popular application for physical rehabilitation. However, the key problem with a considerable group of patients is that their muscle function is extensively compromised, which significantly narrows the population eligible for video game-based rehabilitation. We designed a training system to integrate gaming and functional electrical stimulation for the lower leg muscles. Such a system is expected to motivate individuals to exercise more, to assist muscle control, and to promote muscle strengthening. In our previous study, we demonstrated that the training improved the lower leg muscles' strength and increased the range of motion of the ankle joints. Here we discuss some issues associated with a video game-based approach in rehabilitation, which need to be addressed. In particular, one of the biggest challenges is in maintaining a proper balance between flexibility of the game application to allow adaptation to the patient's needs from physiological and functional perspectives, and attractiveness of the game interface, all while assuring the most efficient and motivating rehabilitation. As the next step, we decided to design different types of game-based exercises and to expand the variety of game strategies in order to promote and maintain activity of peripheral and central structures of the neuromuscular system, and to avoid the monotony of repetitive tasks. Our ultimate goal is to transfer re-training of movement skills practiced during video game-based interventions to the ability to complete real world tasks and participate in functional activities outside of therapy.

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“…Improvement in motor and walking ability [2], [3], a possibility of improving gait pattern [3], and motor recovery of upper limb [4] have also been reported as the therapeutic effects of FES. Furthermore, FES therapy has been found to reduce disability and improve voluntary grasping beyond the effects of conventional upper extremity therapy [5]. The combination of voluntary effort and FES has also been suggested to have great potential to Manuscript received December 7, 2012;revised February 15, 2013.…”

Section: Introductionmentioning

confidence: 99%

A Measurement of Lower Limb Angles Using Wireless Inertial Sensors during FES Assisted Foot Drop Correction with and without Voluntary Effort

Watanabe¹,

Endo²,

Murakami³

et al. 2013

IJBBB

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Abstract-An integrated wireless system of lower limb angle measurement and Functional Electrical Stimulation (FES) control was developed in our previous study for application to motor rehabilitation. In the motor rehabilitation, it is also considered that voluntary effort to move their limbs is effective. In this paper, gait movements of a hemiplegic subject were measured with and without voluntary effort of ankle dorsiflexion during FES assisted foot drop correction as a preliminary test for gait rehabilitation with FES. Some characteristics of hemiplegic gait and differences in joint angles between the paralyzed and the non-paralyzed sides were found in the measurement. The foot and the shank inclination angles at the toe off timing showed small change with the voluntary effort of dorsiflexion during FES control. In addition, variations of the inclination angles of some segments of the paralyzed side were larger than those with only FES at the toe off timing, maximum angle point and the foot contact timing in the case of the voluntary effort. These results suggested that voluntary effort could change movement in FES control. However, these changes with voluntary effort were not seen with larger stimulation intensity. Therefore, it was considered that the movement changes with voluntary effort were small because the subject could not produce further voluntary muscle force in excess of the muscle force production by FES. It would be necessary to determine appropriate intensity of electrical stimulation for rehabilitation use.

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Functional Electrical Stimulation Therapy of Voluntary Grasping Versus Only Conventional Rehabilitation for Patients With Subacute Incomplete Tetraplegia

Abstract: FET significantly reduced disability and improved voluntary grasping beyond the effects of considerable conventional upper extremity therapy in individuals with tetraplegia.

Cited by 152 publications

References 18 publications

Toronto Rehabilitation Institute–Hand Function Test: Assessment of Gross Motor Function in Individuals With Spinal Cord Injury

Toronto Rehabilitation Institute–Hand Function Test: Assessment of Gross Motor Function in Individuals With Spinal Cord Injury

Video Game-Based Approach in Calf Muscle Training: Lessons from Pilot Study.

A Measurement of Lower Limb Angles Using Wireless Inertial Sensors during FES Assisted Foot Drop Correction with and without Voluntary Effort

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