Effects of Continuous Passive Motion on Reversing the Adapted Spinal Circuit in Humans With Chronic Spinal Cord Injury

被引：27
作者：
Chang, Ya-Ju [1 ,2 ,3 ]
Liang, Jing-Nong [1 ,2 ]
Hsu, Miao-Ju [4 ,5 ]
Lien, Hen-Yu [1 ,2 ,3 ]
Fang, Chia-Ying [1 ,2 ,6 ]
Lin, Cheng-Hsiang [7 ]
机构：
[1] Chang Gung Univ, Coll Med, Dept Phys Therapy, Tao Yuan, Taiwan
[2] Chang Gung Univ, Coll Med, Grad Inst Rehabil Sci, Tao Yuan, Taiwan
[3] Chang Gung Univ, Hlth Aging Res Ctr, Tao Yuan, Taiwan
[4] Kaohsiung Med Univ, Coll Hlth Sci, Dept Phys Therapy, Kaohsiung, Taiwan
[5] Kaohsiung Med Univ Hosp, Dept Phys Med & Rehabil, Kaohsiung, Taiwan
[6] Tzu Hui Inst Technol, Dept Rehabil Technol, Pingtung, Taiwan
[7] Tunghai Univ, Dept Stat, Taichung 40704, Taiwan
来源：
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2013年 / 94卷 / 05期
关键词：
H-reflex; Motion therapy; continuous passive; Muscle spasticity; Rehabilitation; Spinal cord injuries; LOW-FREQUENCY DEPRESSION; SOLEUS H-REFLEX; PRESYNAPTIC INHIBITION; HOMOSYNAPTIC DEPRESSION; EXERCISE; MUSCLE; RATS; ADAPTATIONS; SPASTICITY; ACTIVATION;
D O I：
10.1016/j.apmr.2012.11.035
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
Objective: To investigate the possibility of restoring the adapted spinal circuit after spinal cord injury (SCI) by means of long-term continuous passive motion (CPM) of the ankle joint. Design: Randomized controlled trial with repeated measures. Setting: Research laboratory in a general hospital. Participants: Individuals with motor complete SCI (N=14) were recruited from a community. Intervention: CPM of the ankle joint for 1 hour a day, 5 days a week for 4 weeks. Main Outcome Measures: Modified Ashworth Scale (MAS) scores for evaluation of spasticity and postactivation depression (PAD) were documented prior to and after intervention. Results: MAS scores improved after 4 weeks of CPM intervention, indicating a reduction in spasticity of the ankle joint. PAD was restored after 4 weeks of training. Conclusions: Passive motion of the ankle joint alone was sufficient in reversing the adapted spinal circuit, and therefore indicates that spasticity after SCI could possibly be managed by CPM intervention. The results of this study support the use of the passive mode of robot-assisted therapy for humans with complete SCI who cannot exercise actively. Archives of Physical Medicine and Rehabilitation 2013;94:822-8 (C) 2013 by the American Congress of Rehabilitation Medicine
引用
收藏
页码：822 / 828
页数：7
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