Quality of life in patients with tetraplegia and paraplegia after traumatic spinal cord injury

Frasuńska, Justyna; Tarnacka, Beata

doi:10.5114/ppn.2020.101441

Cited by 2 publications

(1 citation statement)

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“…For people with tetraplegia, trunk stability is more important than trunk mobility [13]. Individuals with tetraplegia report significantly more limitations and restrictions in their activities of daily living (ADL) than people with paraplegia [14]. Similarly, more than 60% of SCI survivors consider trunk function to be an important factor for mobility and performing ADL [15].…”

Section: Introductionmentioning

confidence: 99%

Combined Transcutaneous Electrical Spinal Cord Stimulation and Task-Specific Rehabilitation Improves Trunk and Sitting Functions in People with Chronic Tetraplegia

et al. 2022

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The aim of this study was to examine the effects of transcutaneous electrical spinal cord stimulation (TSCS) and conventional task-specific rehabilitation (TSR) on trunk control and sitting stability in people with chronic tetraplegia secondary to a spinal cord injury (SCI). Five individuals with complete cervical (C4–C7) cord injury participated in 24-week therapy that combined TSCS and TSR in the first 12 weeks, followed by TSR alone for another 12 weeks. The TSCS was delivered simultaneously at T11 and L1 spinal levels, at a frequency ranging from 20–30 Hz with 0.1–1.0 ms. pulse width biphasically. Although the neurological prognosis did not manifest after either treatment, the results show that there were significant increases in forward reach distance (10.3 ± 4.5 cm), right lateral reach distance (3.7 ± 1.8 cm), and left lateral reach distance (3.0 ± 0.9 cm) after the combinational treatment (TSCS+TSR). The stimulation also significantly improved the participants’ trunk control and function in sitting. Additionally, the trunk range of motion and the electromyographic response of the trunk muscles were significantly elevated after TSCS+TSR. The TSCS+TSR intervention improved independent trunk control with significantly increased static and dynamic sitting balance, which were maintained throughout the TSR period and the follow-up period, indicating long-term sustainable recovery.

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Section: Introductionmentioning

confidence: 99%