Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/21403
Title: Advanced weight-bearing mat exercises combined with functional electrical stimulation to improve the ability of wheelchair-dependent people with spinal cord injury to transfer and attain independence in activities of daily living: a randomized controlled trial.
Austin Authors: Rahimi, Mostafa;Torkaman, Giti;Ghabaee, Mojdeh;Ghasem-Zadeh, Ali 
Affiliation: Department of Physiotherapy, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Department of Medicine, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
Department of Endocrinology, Austin Health, Heidelberg, Victoria, Australia
Issue Date: Jan-2020
metadata.dc.date: 2019-07-16
Publication information: Spinal Cord 2020; 58(1): 78-85
Abstract: Randomized controlled trial. To determine the effects of advanced weight-bearing mat exercises (AWMEs) with/without functional electrical stimulation (FES) of the quadriceps and gastrocnemius muscles on the ability of wheelchair-dependent people with spinal cord injury (SCI) to transfer and attain independence in activities of daily living (ADLs). An outpatient clinic, Iran. People with traumatic chronic paraplegia (N = 16) were randomly allocated to three groups. The exercise group (EX; N = 5) performed AWMEs of quadruped unilateral reaching and tall-kneeling for 24 weeks (3 days/week). Sessions were increased from 10 min to 54 min over the 24-week period. The exercise-FES group (EX + FES; N = 5) performed AWMEs simultaneously with FES of the quadriceps and gastrocnemius muscles. The control group performed no exercise and no FES (N = 6). The primary outcomes were the total Spinal Cord Independence Measure-III (SCIM-III) to reflect independence with ADL, and the sum of the four SCIM-III transfer items to reflect ability to transfer. There were six other outcomes. The mean (95% CI) between-group differences of the four transfer items of the SCIM-III for the EX vs. control group was 1.8 points (0.2-3.4), and for the EX + FES vs. control group was 2 points (0.4-3.6). The equivalent differences for the total SCIM-III scores were 2.7 points (-0.6-6.0) and 4.1 points (0.8-7.4), respectively. There were no significant between-group differences for any other outcomes. Advanced weight-bearing mat exercises improve the ability of wheelchair-dependent people with SCI to transfer and attain independence in ADL.
URI: http://ahro.austin.org.au/austinjspui/handle/1/21403
DOI: 10.1038/s41393-019-0328-7
PubMed URL: 31312016
Type: Journal Article
Appears in Collections:Journal articles

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