The relationship between sitting stability and functional performance in patients with paraplegia11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

Chen, Chiung-Ling; Yeung, Kwok-Tak; Bih, Liu-Ing; Wang, Chun-Hou; Chen, Ming-I; Chien, Jung-Chung

doi:10.1016/s0003-9993(03)00200-4

Cited by 112 publications

(40 citation statements)

References 28 publications

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“…It is known that persons with a lack of trunk muscle strength can compensate with the recruitment of shoulder and arm muscles [37,46,47]; therefore, the difference in arm position can have caused bias in these results. Also, there were differences in seating position from the use of a flat surface with the knees and the hips in 90 ° flexion with feet supported [29,30] to sitting in a standardised wheelchair [35,36]. Although no evidence for the impact of seating position was found in the present review, there is anecdotal evidence suggesting that seating position does impact on the execution of wheelchair activities [18].…”

Section: Discussionmentioning

confidence: 82%

“…If a single measure for each direction was given, there was better reaching in almost all single directions in able-bodied persons compared to persons with SCI [31,32]. Also, there was better reach in persons low thoracic SCI than in persons with high SCI [30]. Similarly, persons with SCI with voluntary trunk muscle contractions could reach further than persons with SCI without trunk muscle contractions [32].…”

Section: Resultsmentioning

confidence: 99%

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ACTN3 R577X polymorphism is not associated with team sport athletic status in Italians

et al. 2015

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BackgroundTrunk impairment seems to impact significantly on performance in wheelchair court sports, but evidence to support this impression has never been systematically assessed. The objective of this study is to systematically review, describe and synthesise the literature investigating the impact of trunk impairment on wheelchair activities in court sports.MethodsThis systematic review was performed according to the consensus statement for the meta-analysis of observational studies in epidemiology (MOOSE). The search strategy for original articles comprised Medline (1950- November 2014), Cinahl (1981-November 2014), and Embase (1980- November 2014), using the search terms: trunk, trunk muscles, postural balance, posture and wheelchair.Eligibility criteria for further review were 1) participants included experienced wheelchair users, 2) comparisons were made between a) participants with different levels of trunk impairment or b) between able bodied participants and participants with trunk impairment, or c) between participants with trunk impairment with and without compensatory equipment, and 3) outcome measures were quantitative data on wheelchair activities. For methodological quality assessment, the STROBE (Strengthening the reporting of observational studies in epidemiology) checklist was used.ResultsAfter assessment of 358 potentially relevant studies for the eligibility criteria, 25 studies were appropriate for methodological assessment. Twelve articles fulfilled the predetermined minimum of 15 reported items on the 22-item STROBE checklist. These studies were limited to observational studies with small populations. All but one study were restricted to patients with spinal cord injury (SCI).ConclusionsLimited evidence was found about the impact of trunk impairment on wheelchair activities. Reach to the front and multidirectional reach was further in able bodied persons than in persons with SCI. In a perturbation that equals deceleration in wheelchair court sports, able bodied persons maintain balance, whereas persons with SCI lose balance. No evidence was found to support a difference in acceleration between persons with partial trunk muscle strength and persons with full trunk muscle strength. For future research, there is a need for a test that includes all types of trunk impairment and identification of activities that determine performance in wheelchair court sports. Furthermore, populations of athletes with all trunk impairment types should be included.

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Section: Discussionmentioning

confidence: 82%

Section: Resultsmentioning

confidence: 99%

ACTN3 R577X polymorphism is not associated with team sport athletic status in Italians

et al. 2015

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“…Although we found no studies that related the occurrence of scoliosis to UE function, it can be expected that deformity of the spine has a negative effect on sitting balance and reduced sitting balance has a negative influence on UE function [5, 10, 11]. The negative relation of UE function with pain and stiffness is not surprising as pain and stiffness complaints are known to have a negative impact on general physical functioning [29].…”

Section: Discussionmentioning

confidence: 99%

Variables associated with upper extremity function in patients with Duchenne muscular dystrophy

Janssen

Hendriks²,

Geurts

et al. 2016

J Neurol

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Preserving upper extremity (UE) function in patients with Duchenne muscular dystrophy (DMD) is extremely important as it is related to independence and quality of life. For clinical decision making, knowledge of variables associated with UE function is necessary. This knowledge is, however, limited. Therefore, this study aims to gain more insight into the variables associated with UE function in DMD. Data from an international web-based questionnaire on UE function, obtained from 213 DMD patients, were used. Six dependent variables regarding UE function were used in multivariable linear regression analyses. In addition, 26 independent variables regarding patient characteristics, medication, therapy, supportive aids, pain, stiffness and participation were used. Twelve independent variables showed a significant relation to UE function. Variables with a negative relation to UE function were: later disease stage, occurrence of scoliosis, higher age, use of UE splints, more frequent stiffness complaints, more limitations due to stiffness, more frequent elbow pain, and having physical therapy. A positive relation with UE function was seen for going to school or work, use of corticosteroids, higher BMI, and higher age at diagnosis. These variables explained 56-81 % of the variation of the different measures of UE function. Knowledge of variables associated with UE function is very important in the clinical management of DMD patients. The results of this study suggest that corticosteroid use and participation in school and work related activities are positively related to UE function in DMD patients, as well as reducing pain and stiffness and preventing scoliosis.

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“…SCI patients need static or dynamic balance for sitting, wheelchair manipulation, and daily living skills [34]. Thus, the difference in balance contributed to the difference in SCIM-III-S between the improved and non-improved groups.…”

Section: Discussionmentioning

confidence: 99%

Improved Gait Speed After Robot-Assisted Gait Training in Patients With Motor Incomplete Spinal Cord Injury: A Preliminary Study

et al. 2017

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ObjectiveTo evaluate the clinical features that could serve as predictive factors for improvement in gait speed after robotic treatment.MethodsA total of 29 patients with motor incomplete spinal cord injury received 4-week robot-assisted gait training (RAGT) on the Lokomat (Hocoma AG, Volketswil, Switzerland) for 30 minutes, once a day, 5 times a week, for a total of 20 sessions. All subjects were evaluated for general characteristics, the 10-Meter Walk Test (10MWT), the Lower Extremity Motor Score (LEMS), the Functional Ambulatory Category (FAC), the Walking Index for Spinal Cord Injury version II (WISCI-II), the Berg Balance Scale (BBS), and the Spinal Cord Independence Measure version III (SCIM-III) every 0, and 4 weeks. After all the interventions, subjects were stratified using the 10MWT score at 4 weeks into improved group and non-improved group for statistical analysis.ResultsThe improved group had younger age and shorter disease duration than the non-improved group. All subjects with the American Spinal Injury Association Impairment Scale level C (AIS-C) tetraplegia belonged to the non-improved group, while most subjects with AIS-C paraplegia, AIS-D tetraplegia, and AIS-D paraplegia belonged to the improved group. The improved group showed greater baseline lower extremity strength, balance, and daily living function than the non-improved group.ConclusionAssessment of SCIM-III, BBS, and trunk control, in addition to LEMS, have potential for predicting the effects of robotic treatment in patients with motor incomplete spinal cord injury.

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Cited by 112 publications

References 28 publications

ACTN3 R577X polymorphism is not associated with team sport athletic status in Italians

ACTN3 R577X polymorphism is not associated with team sport athletic status in Italians

Variables associated with upper extremity function in patients with Duchenne muscular dystrophy

Improved Gait Speed After Robot-Assisted Gait Training in Patients With Motor Incomplete Spinal Cord Injury: A Preliminary Study

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