Functional Electrical Stimulations With and Without Motor Priming Exercises in Spinal Cord Injury
Spinal Cord Injury
About this trial
This is an interventional treatment trial for Spinal Cord Injury
Eligibility Criteria
Inclusion Criteria:
- Both male and female with age group (15 50)
- Patient with C6-C7 neurological level of injury
- Patient with incomplete ASIA- D grading
- Clinically stable patients with normal vital signs and mental status
- Patient in acute and sub-acute stage ( usually < 18 months post injury
- Patients without active palmer and lateral grasp function (except tenodesis grasp function)
- Patients having intact wrist extensors in Grade 3 or higher manual muscle test i.e. can perform tenodesis action
Exclusion Criteria:
- Patients with Neurological level of injury C8 or above
- Patient with chronic stage > 18 months
- Patients with Spastic hands
- Patients with implants in body
- Patients with history of Epilepsy
- Patients with Cardiovascular problems
Sites / Locations
- Lahore general Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Placebo Comparator
Functional electrical stimulations and motor priming exercise
Functional electrical stimulations
Convetional phyusical therapy
Functional electrical stimulations and motor priming exercise • Palmar Grasp (holding a ball) of Lateral Grasp (holding a tray),Tripod grip (thumb, index, and middle finger: holding a pen), Two finger opposition (thumb and index finger: holding a peg, Lateral Pinch (thumb and index finger: holding a credit card), lateral pinch, two fingers (index and middle finger: smoker's grip
Stimulation parameters are (1) balanced, biphasic, current-regulated electrical pulses; (2) pulse amplitude from 8 to 50 mA (typical values 17- 26 mA); (3) pulse width 250 ms; and (4) pulse frequency from 20 to 70 Hz (18). Trancutaneous stimulation will be delivered bilaterally with surface electrodes placed on the volar aspect of each wrist targeting the distribution of the median nerve
The prescription of resistance load for strength training will be performed with fine motor exercise , based on sub maximal repetitions