Abstract:
OBJECTIVE:To assess the effects of exercise therapy (ET) on motor control and functional ability of the upper extremity in patients with cervical spinal cord injury (SCI). METHODS:An extensive systematic literature search in five databases was performed to identify clinical and (randomized) controlled trials, evaluating the effects of ET on motor control and functional ability in patients with SCI. The methodological quality of the selected studies was systematically assessed by three reviewers. RESULTS:Eight studies were included. Seven had good-to-fair methodological quality, six reported positive effects of ET on motor control (for example, muscle strength or muscle grade) and four also reported positive effects on functional ability. Five of these studies focused on patients with long-lasting SCI. A great variety of therapeutic approaches were applied, even within ET there was a wide range of training characteristics. CONCLUSION:Although ET is a cornerstone in the treatment of the upper extremity in patients with SCI, only a small number of studies were included in the present review. Most of the included studies reported a positive effect of ET on upper extremity motor control and functional ability in SCI patients. As ET is effective in patients with SCI in the chronic stage, this might have implications for the follow up and further treatment of these patients. Future studies should be more specific in describing the characteristics of ET to verify that the ET is in accordance with the current standards for training and motor relearning.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Kloosterman MG,Snoek GJ,Jannink MJdoi
10.1038/sc.2008.113subject
Has Abstractpub_date
2009-03-01 00:00:00pages
196-203issue
3eissn
1362-4393issn
1476-5624pii
sc2008113journal_volume
47pub_type
杂志文章,评审相关文献
SPINAL CORD文献大全abstract:STUDY DESIGN:Cohort study. OBJECTIVES:First, to examine three sets of risk and protective factors for mortality after spinal cord injury (SCI), with an emphasis on health and secondary conditions. Second, to extend earlier work with several methodologic enhancements and addition of new predictors. SETTING:Twenty hosp...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2013.2
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVES:During the first rehabilitation of patients with traumatic spinal cord injuries (SCIs), professional skills are learned, which can be objectified in an independent measurement score. The aims of this study were to record the skills of patients 12 and 48 weeks after acute trauma and perform an analysis of the...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2011.171
更新日期:2012-07-01 00:00:00
abstract:STUDY DESIGN:Randomized controlled trial with single-blinded primary outcome assessment. OBJECTIVES:To determine the efficacy and safety of autologous incubated macrophage treatment for improving neurological outcome in patients with acute, complete spinal cord injury (SCI). SETTING:Six SCI treatment centers in the U...
journal_title:Spinal cord
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1038/sc.2012.39
更新日期:2012-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective study of 432 patients admitted to our institution with a spinal injury over a 5-year period. OBJECTIVES:To present epidemiological data relating to this spinal population, reporting specifically on delayed admission and length of hospitalisation. SETTING:Royal National Orthopaedic Hospital,...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101734
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVES:To quantify spinal cord perfusion by using contrast-enhanced ultrasound (CEUS) in a porcine model with acute spinal cord injury. METHODS:Microcirculatory changes of acute spinal cord injury were shown by CEUS in a porcine model with spinal cord contusion at three selected time points, coupling with conventi...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2012.111
更新日期:2013-03-01 00:00:00
abstract:STUDY DESIGN:Prospective, single centre study. OBJECTIVES:Previous studies have suggested a relationship between stress reaction and elevated levels of prolactine. The aim of the present study was to investigate if there was a relationship between s-prolactine and menstrual cycle status following spinal cord injury (S...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3102095
更新日期:2008-03-01 00:00:00
abstract:STUDY DESIGN:Neurogenic bowel dysfunction (NBD) is a common occurrence after spinal cord injury (SCI) and in patients with spina bifida or multiple sclerosis. The impact of NBD on well-being is considerable, affecting both physical and psychological aspects of quality of life. Transanal irrigation (TAI) of the colon pr...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sc.2010.5
更新日期:2010-09-01 00:00:00
abstract:STUDY DESIGN:Multicenter, open, prospective, before-after study. OBJECTIVE:To assess the efficacy and safety of sildenafil therapy for erectile dysfunction in patients with spinal cord injury, and the association between the response to sildenafil and factors such as causes and levels of spinal cord injury, grade of A...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1038/sj.sc.3101210
更新日期:2001-12-01 00:00:00
abstract:STUDY DESIGN:Retrospective study at a rehabilitation center. OBJECTIVES:Patients with spinal cord injury, even if they are wheelchair users, sometimes suffer from fractures of the lower limb bones. As their bones are too weak to have surgery, and because a precise reduction is not required for restoration, such patien...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2012.145
更新日期:2013-04-01 00:00:00
abstract:STUDY DESIGN:The study is conducted on the basis of comparative-repeated measures. OBJECTIVES:The objective of this study is to assess the reliability of non-invasive cardiac output (CO) measurements in individuals with tetraplegia (TP) at rest and during exercise using Innocor, and to test the hypothesis that CO meas...
journal_title:Spinal cord
pub_type: 杂志文章,随机对照试验
doi:10.1038/sc.2010.173
更新日期:2011-05-01 00:00:00
abstract:STUDY DESIGN:Observational study. SETTING:Centre for the Rehabilitation of the Paralysed (CRP), Dhaka, Bangladesh. METHODS:This observational study was conducted on 84 patients of Cervical spinal cord injury (CSCI) due to fall while carrying heavy load on head. They were admitted at the CRP, Dhaka, Bangladesh between...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2011.153
更新日期:2012-04-01 00:00:00
abstract:UNLABELLED:Deep vein thrombosis (DVT) is a common complication of paraplegia despite prophylactic anticoagulant therapy. The diagnosis relies primarily on ultrasonography or phlebography; these investigations are difficult, expensive and can be time-consuming in paraplegic patients. STUDY DESIGN:To evaluate the useful...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3100891
更新日期:1999-08-01 00:00:00
abstract:STUDY DESIGN:Review. OBJECTIVES:To explore the concept of quality of life (QOL), critique the practice and problems of assessing QOL following spinal cord injury (SCI) and to review the findings of studies into QOL for people with SCI both below and above the level of C4. METHODS:Relevant articles were identified fro...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sj.sc.3101636
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVES:To report the simultaneous occurrence of generalised spinal cord atrophy, Chiari-I malformation, and syringomyelia. SETTING:Vienna, Austria. CASE DESCRIPTION:An 83-year old woman presented with predominantly lower limb and distal tetraparesis, diffuse wasting, spasticity of both lower limbs, contractures, ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101138
更新日期:2001-03-01 00:00:00
abstract:STUDY DESIGN:The excitability of the vestibular apparatus and pathways was studied in 10 patients with acute spinal cord injury (ASCI) and in 7 patients with chronic spinal cord injury (CHSCI). OBJECTIVES:Proprioceptive input that may be lost after spinal cord injury (SCI) is needed for integration with vestibular sig...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2008.163
更新日期:2009-05-01 00:00:00
abstract:STUDY DESIGN:Prospective repeated measures. OBJECTIVES:Evaluate intra-rater agreement of repeated motor and sensory scores at individual spinal levels. SETTING:Non-profit pediatric rehabilitation center. METHODS:Fifty-eight youth with complete spinal cord injury undergoing two neurological exams. Agreement between e...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2008.66
更新日期:2009-01-01 00:00:00
abstract:INTRODUCTION:Spinal cord injury (SCI) is associated with significant and life-long disability. Yet, despite decades of research, no regenerative treatment has reached clinical practice. Cell-based therapies are one possible regenerative strategy beginning to transfer to human trials from a more extensive pre-clinical b...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/s41393-020-0455-1
更新日期:2020-08-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional survey. OBJECTIVES:To document bowel care practices of chronic spinal cord injury (SCI) patients in Pakistan. SETTINGS:Outpatient Department, Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, Pakistan. METHODS:A total of 50 adult patients (18-65 years) with SCI of duration...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2010.46
更新日期:2010-12-01 00:00:00
abstract:STUDY DESIGN:Intra- and inter-rater reliability study. OBJECTIVES:To assess intra- and inter-rater reliability of the Modified Ashworth Scale (MAS) and Spasm Frequency Score (SFS) in lower extremities in a population of spinal cord-injured persons, as well as correlations between the two scales. SETTING:Clinic for Sp...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2015.230
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To include a larger number of tetraplegics than in previous studies, in order to more reliably characterize the pathogenesis and predisposing factors of sleep apnea in tetraplegia. METHODS:Sleep breathing data and oxymetric values were investigated in 50 randomly selected tetraplegic patients and discussed i...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101301
更新日期:2002-06-01 00:00:00
abstract:STUDY DESIGN:A randomized, blinded, crossover clinical trial comparing sildenafil versus tadalafil for erectile dysfunction (ED) in male spinal cord-injured (SCI) patients. OBJECTIVES:To compare the safety, time/duration effectiveness, and the impact on the quality of life (QoL) of tadalafil 10 mg versus sildenafil 50...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1038/sj.sc.3101617
更新日期:2004-11-01 00:00:00
abstract:STUDY DESIGN:Case report of two subjects. OBJECTIVE:Charcot joints of the spine as a cause of Autonomic Dysreflexia in spinal cord lesions. SETTING:Stoke Mandeville Hospital, UK. METHOD:Two patients with long standing spinal cord lesions developed symptoms of headaches and sweating associated with sitting up and tra...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101345
更新日期:2002-09-01 00:00:00
abstract::The aim of this study was to quantify the energy cost and the cardiorespiratory response while walking at free speed with an Advanced Reciprocating Gait Orthosis (ARGO). The study was conducted on a group of six male paraplegic patients, age range 16-31 years (median = 22.50), with complete traumatic injuries ranging ...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3100564
更新日期:1998-04-01 00:00:00
abstract:BACKGROUND:Management of MRSA infection includes immediate isolation of the patient. Long periods of isolation are considered to be psychologically detrimental, though little information is available about the impact of isolation as an infection control procedure. The purpose of this study is to examine the psychologic...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3100469
更新日期:1997-09-01 00:00:00
abstract:STUDY DESIGN:Prospective multicenter cohort study. OBJECTIVES:To compare the neurological recovery and functional outcomes between traumatic central cord syndrome (TCCS) patients and motor incomplete tetraplegic patients. SETTING:European Multicenter Study of human spinal cord injury. METHODS:In 248 traumatic motor ...
journal_title:Spinal cord
pub_type: 杂志文章,多中心研究
doi:10.1038/sc.2010.171
更新日期:2011-05-01 00:00:00
abstract::This corrects the article DOI: 10.1038/sc.2016.7. ...
journal_title:Spinal cord
pub_type: 已发布勘误
doi:10.1038/sc.2017.32
更新日期:2017-07-01 00:00:00
abstract:STUDY DESIGN:Determination of fat oxidation at three different intensities in trained wheelchair athletes on the treadmill. OBJECTIVE:The aim of the study was to assess the level and highest rate of fat oxidation in endurance-trained wheelchair athletes for recommendation on endurance training. SETTING:Institute of S...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101548
更新日期:2004-01-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional questionnaire study. OBJECTIVES:The aim of the study was to demonstrate the value of common general health-related quality of life (HRQL) instruments, readily available for cross-cultural comparisons, in persons with spinal cord lesion (SCL) treated at spinal units in Melbourne, Australia ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101692
更新日期:2005-02-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVES:To investigate the kinematic, kinetic and electromyographic (EMG) aspects of postural control during falling with rapid reach-and-grasp balance reaction in thoracic cord-injured individuals wearing knee-ankle-foot orthoses (KAFOs). SETTING:Institutional Motion Analysis L...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3102100
更新日期:2008-03-01 00:00:00
abstract:STUDY DESIGN:Experimental laboratory investigation of the effects of serotonergic and glutamatergic drugs in early paraplegic mice. OBJECTIVES:To examine whether NMDA and 5-HT receptors synergistically participate to generate basic stepping movements in paraplegic mice. SETTING:Laval University Medical Center, Quebec...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101580
更新日期:2004-03-01 00:00:00