Unique ID issued by UMIN | UMIN000026632 |
---|---|
Receipt number | R000030517 |
Scientific Title | Effects of orthotic therapeutic electrical stimulation in the treatment of patients with paresis associated with acute cervical spinal cord injury |
Date of disclosure of the study information | 2017/03/24 |
Last modified on | 2017/03/21 18:27:12 |
Effects of orthotic therapeutic electrical stimulation in the treatment of patients with paresis associated with acute cervical spinal cord injury
Effects of orthotic therapeutic electrical stimulation in the treatment of patients with paresis associated with acute cervical spinal cord injury
Effects of orthotic therapeutic electrical stimulation in the treatment of patients with paresis associated with acute cervical spinal cord injury
Effects of orthotic therapeutic electrical stimulation in the treatment of patients with paresis associated with acute cervical spinal cord injury
Japan |
Acute cervical spinal cord injury
Rehabilitation medicine |
Others
NO
The purpose of this study was to use orthotic therapeutic electrical stimulation (TES) for the treatment of patients with paresis associated with acute cervical spinal cord injury, and to examine the effects of the treatment.
Efficacy
Confirmatory
Not applicable
The evaluation items consisted of the total passive motion (TPM) of fingers ; and data was collected over time, namely at one week, one month, and three months after injury. For the TPM of the fingers, the total passive motion was measured separately on the right side and on the left side on the basis of the flexion-extension range of motion in the MP, PIP and DIP joints of the first finger to the fifth finger (14 joints, 28 motions: 1420 Deg in total).
The upper limb ASIA motor score and the edema.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Dose comparison
Institution is not considered as adjustment factor.
YES
No need to know
2
Treatment
Device,equipment |
Between May 2011 and December 2014
Among the 134 patients who were admitted to our hospital within one week of injury, 43 patients had spinal injuries classified as grades B or C according to the Frankel classification. From among those selected, 4 patients with dementia and mental illness and 2 patients with respiratory failure were excluded; and the remaining 37 patients were randomly assigned to each group. Eight patients were transferred to other hospitals within 3 months after admission because of an aggravation of their general condition; and as a result, the total number of patients who could be subjected to measurements for 3 months or longer was 29 . The TES group was composed of 15 patients (15 males, mean age: 57.7+-16.9 years).
For the TES training, the training time was as follows: 5 minutes twice daily after an evaluation 1 week after injury; 10 minutes twice daily at 2 weeks after injury; 15 minutes twice daily at 3 weeks after injury; and 20 minutes twice daily at 4 weeks after injury and thereafter. Finger extension and flexion movements were induced within a range in which there was no stimulus-induced pain.
The control group was composed of 14 patients (13 males and one female, mean age: 59.4+-18.5 years).
The control group underwent conventional training alone.
15 | years-old | <= |
76 | years-old | >= |
Male and Female
Acute cervical spinal injuries classified as grades B and C according to the Frankel grading system.
Those with spinal injuries classified as grades A, D and E according to the Frankel grading system were excluded. In addition, the following were also considered as exclusion criteria for TES: patients with dementia, mental illness, patients wearing ventilators, and patients with injury to the fingers or forearms.
30
1st name | |
Middle name | |
Last name | Kenji Iwahashi |
Japan Organization of Occupational Health and Safety, Spinal Injuries Center, Fukuoka, Japan
Rehabilitation
Igisu 550-4, Iizuka city, Fukuoka 820-8508, Japan
0948-24-7500
yakyumancity@yahoo.co.jp
1st name | |
Middle name | |
Last name | Kenji Iwahashi |
Japan Organization of Occupational Health and Safety, Spinal Injuries Center, Fukuoka, Japan
Rehabilitation
Igisu 550-4, Iizuka city, Fukuoka 820-8508, Japan
0948-24-7500
yakyumancity@yahoo.co.jp
Japan Organization of Occupational Health and Safety, Spinal Injuries Center, Fukuoka, Japan
None
Self funding
NO
労働者健康安全機構 総合せき損センター(福岡)
2017 | Year | 03 | Month | 24 | Day |
Unpublished
Completed
2011 | Year | 04 | Month | 30 | Day |
2011 | Year | 05 | Month | 30 | Day |
2014 | Year | 12 | Month | 27 | Day |
2014 | Year | 12 | Month | 27 | Day |
2014 | Year | 12 | Month | 27 | Day |
2016 | Year | 12 | Month | 28 | Day |
2017 | Year | 03 | Month | 21 | Day |
2017 | Year | 03 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030517