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Functional electrical stimulation therapy of voluntary grasping versus only conventional rehabilitation for patients with subacute incomplete tetraplegia: a randomized clinical trial.
Neurorehabil Neural Repair. 2011 Jun; 25(5):433-42.NN

Abstract

BACKGROUND

Functional electrical stimulation therapy (FET) has a potential to improve voluntary grasping among individuals with tetraplegia secondary to traumatic spinal cord injury (SCI).

OBJECTIVE

This single-site, randomized controlled trial examined the efficacy of 40 hours of FET with conventional occupational therapy (COT) compared with COT alone to improve grasping.

METHODS

Twenty-four subjects with subacute traumatic incomplete SCI (C4-C7, AIS B-D) consented to participate in 40 hours of therapy over 8 weeks, beyond the conventional rehabilitation program. Subjects were randomized to receive FET + COT (n = 9) or COT (n = 12). The key outcomes were changes in Functional Independence Measure (FIM) self-care subscores, Spinal Cord Independence Measure (SCIM) self-care subscores, and Toronto Rehabilitation Institute Hand Function Test (TRI-HFT) performed at baseline and follow-up.

RESULTS

At the end of the treatments, the change in mean FIM self-care subscore for the FET + COT group was 20.1 versus 10 (P = .015) for the COT group. Subjects randomized to FET + COT also had greater improvements in the SCIM and TRI-HFT. No longer term follow-up was feasible.

CONCLUSION

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

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Popovic MR
University of Toronto, Toronto, Ontario, Canada. milos.popovic@utoronto.ca
Kapadia N
No affiliation info available
Zivanovic V
No affiliation info available
Furlan JC
No affiliation info available
Craven BC
No affiliation info available
McGillivray C
No affiliation info available

MeSH

AdolescentAdultAgedDisability EvaluationElectric Stimulation TherapyFemaleHand StrengthHumansMaleMiddle AgedOccupational TherapyQuadriplegiaSpinal Cord InjuriesTime FactorsTreatment OutcomeYoung Adult

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21304020

Citation

Popovic, Milos R., et al. "Functional Electrical Stimulation Therapy of Voluntary Grasping Versus Only Conventional Rehabilitation for Patients With Subacute Incomplete Tetraplegia: a Randomized Clinical Trial." Neurorehabilitation and Neural Repair, vol. 25, no. 5, 2011, pp. 433-42.
Popovic MR, Kapadia N, Zivanovic V, et al. Functional electrical stimulation therapy of voluntary grasping versus only conventional rehabilitation for patients with subacute incomplete tetraplegia: a randomized clinical trial. Neurorehabil Neural Repair. 2011;25(5):433-42.
Popovic, M. R., Kapadia, N., Zivanovic, V., Furlan, J. C., Craven, B. C., & McGillivray, C. (2011). Functional electrical stimulation therapy of voluntary grasping versus only conventional rehabilitation for patients with subacute incomplete tetraplegia: a randomized clinical trial. Neurorehabilitation and Neural Repair, 25(5), 433-42. https://doi.org/10.1177/1545968310392924
Popovic MR, et al. Functional Electrical Stimulation Therapy of Voluntary Grasping Versus Only Conventional Rehabilitation for Patients With Subacute Incomplete Tetraplegia: a Randomized Clinical Trial. Neurorehabil Neural Repair. 2011;25(5):433-42. PubMed PMID: 21304020.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Functional electrical stimulation therapy of voluntary grasping versus only conventional rehabilitation for patients with subacute incomplete tetraplegia: a randomized clinical trial. AU - Popovic,Milos R, AU - Kapadia,Naaz, AU - Zivanovic,Vera, AU - Furlan,Julio C, AU - Craven,B Cathy, AU - McGillivray,Colleen, Y1 - 2011/02/08/ PY - 2011/2/10/entrez PY - 2011/2/10/pubmed PY - 2011/9/7/medline SP - 433 EP - 42 JF - Neurorehabilitation and neural repair JO - Neurorehabil Neural Repair VL - 25 IS - 5 N2 - BACKGROUND: Functional electrical stimulation therapy (FET) has a potential to improve voluntary grasping among individuals with tetraplegia secondary to traumatic spinal cord injury (SCI). OBJECTIVE: This single-site, randomized controlled trial examined the efficacy of 40 hours of FET with conventional occupational therapy (COT) compared with COT alone to improve grasping. METHODS: Twenty-four subjects with subacute traumatic incomplete SCI (C4-C7, AIS B-D) consented to participate in 40 hours of therapy over 8 weeks, beyond the conventional rehabilitation program. Subjects were randomized to receive FET + COT (n = 9) or COT (n = 12). The key outcomes were changes in Functional Independence Measure (FIM) self-care subscores, Spinal Cord Independence Measure (SCIM) self-care subscores, and Toronto Rehabilitation Institute Hand Function Test (TRI-HFT) performed at baseline and follow-up. RESULTS: At the end of the treatments, the change in mean FIM self-care subscore for the FET + COT group was 20.1 versus 10 (P = .015) for the COT group. Subjects randomized to FET + COT also had greater improvements in the SCIM and TRI-HFT. No longer term follow-up was feasible. CONCLUSION: FET significantly reduced disability and improved voluntary grasping beyond the effects of considerable conventional upper extremity therapy in individuals with tetraplegia. SN - 1552-6844 UR - https://www.unboundmedicine.com/medline/citation/21304020/abstract/Functional_Electrical_Stimulation_Therapy_of_Voluntary_Grasping_Versus_Only_Conventional_Rehabilitation_for_Patients_With_Subacute_Incomplete_Tetraplegia:_A_Randomized_Clinical_Trial_ DB - PRIME DP - Unbound Medicine ER -