Home-based rehabilitation using a soft robotic hand glove device leads to improvement in hand function in people with chronic spinal cord injury:a pilot study.

摘要: Loss of hand function following high level spinal cord injury (SCI) is perceived as a priority area for rehabilitation. Following discharge, it often impractical the specialist care centre to provide ongoing therapy people living with chronic SCI at home, which can lead further deterioration and direct impact on an individual’s capability perform essential activities daily (ADL). This pilot study investigated therapeutic effect self-administered home-based rehabilitation programme cervical using soft extra muscle (SEM) Glove by Bioservo Technologies AB. Fifteen participants motor incomplete (AIS C D) were recruited provided glove device use home complete set task their usual ADL minimum 4 h day 12 weeks. Assessment was made Week 0 (Initial), 6, 18 (6-week follow-up). The primary outcome measure Toronto Rehabilitation Institute test (TRI-HFT), secondary measures including pinch dynamometry modified Ashworth scale. TRI-HFT demonstrated improvement in 6 object manipulation (58.3 ±3.2 66.9 ±1.8, p ≈ 0.01), palmar grasp assessed length wooden bar that be held pronated grip (29.1 ±6.0 cm 45.8 ±6.8 cm, <0.01). A significant strength, reduced thumb hypertonia also detected. Improvements present during assessment follow-up. Self-administered SEM effective improving retaining gross fine home. Retention improved suggests intensive activity-based specific individuals sufficient improve long-term neuromuscular activity. Future studies should characterise mechanism action minimal necessary assistive tasks SCI. Trial registration: ISRCTN, ISRCTN98677526, Registered 01/June/2017 - Retrospectively registered, http://www.isrctn.com/ISRCTN98677526