Long-term effects of an intensive interventional training program based on activities for individuals with spinal cord injury: a pilot study

Padula, Natália; Costa, Mariana; Batista, Ana Paula de Lima; Gaspar, Roberta Caveiro; Motta, C; Palma, Gisele; Torriani‐Pasin, Camila

doi:10.3109/09593985.2015.1070938

Cited by 8 publications

(9 citation statements)

References 37 publications

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“…The results showed no neurological recovery after ABT and no significant differences between groups for functional or behavioural variables. 43 Similarly, a case series conducted by Padula et al 44 investigated the long-term effects of an 18-month multimodal ABT program and showed no effects of ABT on activities of daily living or participation outcomes.…”

Section: Discussionmentioning

confidence: 99%

Activity-Based Therapy in a Community Setting for Independence, Mobility, and Sitting Balance for People With Spinal Cord Injuries

Oliveira

Middleton

Refshauge

et al. 2019

J Cent Nerv Syst Dis

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Introduction: Activity-based therapy (ABT) aims to activate the neuromuscular system below the level of the spinal cord lesion and promote recovery of motor tasks through spinal reorganisation, motor learning and changes to muscles and sensory system. We investigated the effects of a multimodal ABT program on mobility, independence and sitting balance in individuals with spinal cord injury (SCI). Methods: Retrospective clinical data from 91 adults who independently enrolled in four community-based ABT centres in Australia were analysed. The multimodal ABT program was delivered for 3 to 12 months, one to four times per week. Assessments were undertaken every 3 months and included the Modified Rivermead Mobility Index (MRMI), Spinal Cord Independence Measure (SCIM) and seated reach distance (SRD). A linear mixed model analysis was used to determine time-based and other predictors of change. Results: There was a significant improvement after 12 months for all outcome measures, with a mean change score of 4 points in the SCIM (95% confidence interval [CI]: 2.7-5.3, d = 0.19), 2 points in the MRMI (95% CI: 1-2.3, d = 0.19) and 0.2 in the SRD (95% CI: 0.1-2.2, d = 0.52). Greater improvements occurred in the first 3 months of intervention. There were no interaction effects between time and the neurological level of injury, American Spinal Injury Association Impairment Scale classification, or duration post-injury for most outcomes. Conclusions: A community-based ABT exercise program for people with SCI can lead to small improvements in mobility, independence and balance in sitting, with greater improvements occurring early during intervention.

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Section: Discussionmentioning

confidence: 99%

Activity-Based Therapy in a Community Setting for Independence, Mobility, and Sitting Balance for People With Spinal Cord Injuries

Oliveira

Middleton

Refshauge

et al. 2019

J Cent Nerv Syst Dis

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“…Similarly, improved PQOL occurred in patients undergoing 12 weeks of FES ambulation training despite no change in depression [29] . Nevertheless, in persons with complete SCI, 18 months of incorporation of ABT into daily activities had no effect on functional independence or quality of life (measured with the Short Form-36) [45] . Jones et al [23] reported no change in quality of life despite increased walking speed in men and women with incomplete SCI undergoing six months of ABT.…”

Section: Discussionmentioning

confidence: 89%

Improved quality of life and body satisfaction in response to activity-based therapy in adults with spinal cord injury

Astorino¹,

Harness²

2020

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“…Small clinically significant improvement in the SCIM score has been defined as four points, and substantial clinical improvement has been defined as ten points on the SCIM scale [29]. Other studies also failed to show significant improvements in independence after ABT [30]. This is unexpected, since SCIM scores correlate well with assessments of hand and arm motor strength and capacity [31–33].…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation of hand function after spinal cord injury using a novel handgrip device: a pilot study

Hoffman

Sierro

Niu

et al. 2017

J NeuroEngineering Rehabil

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BackgroundActivity-based therapy (ABT) for patients with spinal cord injury (SCI), which consists of repetitive use of muscles above and below the spinal lesion, improves locomotion and arm strength. Less data has been published regarding its effects on hand function. We sought to evaluate the effects of a weekly hand-focused therapy program using a novel handgrip device on grip strength and hand function in a SCI cohort.MethodsPatients with SCI were enrolled in a weekly program that involved activities with the MediSens (Los Angeles, CA) handgrip. These included maximum voluntary contraction (MVC) and a tracking task that required each subject to adjust his/her grip strength according to a pattern displayed on a computer screen. For the latter, performance was measured as mean absolute accuracy (MAA). The Spinal Cord Independence Measure (SCIM) was used to measure each subject’s independence prior to and after therapy.ResultsSeventeen patients completed the program with average participation duration of 21.3 weeks. The cohort included patients with American Spinal Injury Association (ASIA) Impairment Scale (AIS) A (n = 12), AIS B (n = 1), AIS C (n = 2), and AIS D (n = 2) injuries. The average MVC for the cohort increased from 4.1 N to 21.2 N over 20 weeks, but did not reach statistical significance. The average MAA for the cohort increased from 9.01 to 21.7% at the end of the study (p = .02). The cohort’s average SCIM at the end of the study was unchanged compared to baseline.ConclusionsA weekly handgrip-based ABT program is feasible and efficacious at increasing hand task performance in subjects with SCI.

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Long-term effects of an intensive interventional training program based on activities for individuals with spinal cord injury: a pilot study

Abstract: For trained individuals with chronic SCIs, classified "A" according to the American Spinal Injury Association (ASIA), an ABT program did not significantly affect the scores of the scales used to assess quality of life (SF-36) and functional independence (FIM).

Cited by 8 publications

References 37 publications

Activity-Based Therapy in a Community Setting for Independence, Mobility, and Sitting Balance for People With Spinal Cord Injuries

Activity-Based Therapy in a Community Setting for Independence, Mobility, and Sitting Balance for People With Spinal Cord Injuries

Improved quality of life and body satisfaction in response to activity-based therapy in adults with spinal cord injury

Rehabilitation of hand function after spinal cord injury using a novel handgrip device: a pilot study

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