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Using “functional hand” protocol to improve hand function following a spinal cord injury: An explorative study

BACKGROUND AND AIM OF THE WORK: A cervical spinal cord injury often affects hand control, causing ineffective grasping and handling functions, with a negative impact on patient’s independence and quality of life. Literature recognises scientific evidence only for surgical or instrumental re-educatio...

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Autores principales: Ciardi, Gianluca, Lamberti, Gianfranco, Avanzi, Martina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10644936/
https://www.ncbi.nlm.nih.gov/pubmed/37850774
http://dx.doi.org/10.23750/abm.v94i5.14408
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author Ciardi, Gianluca
Lamberti, Gianfranco
Avanzi, Martina
author_facet Ciardi, Gianluca
Lamberti, Gianfranco
Avanzi, Martina
author_sort Ciardi, Gianluca
collection PubMed
description BACKGROUND AND AIM OF THE WORK: A cervical spinal cord injury often affects hand control, causing ineffective grasping and handling functions, with a negative impact on patient’s independence and quality of life. Literature recognises scientific evidence only for surgical or instrumental re-education approaches. The purpose of this study is to present the “functional hand” protocol, a physiotherapy tool that, to date, represents a good clinical practice but has no supporting literature. RESEARCH DESIGN AND METHODS: a longitudinal-single cohort study was conducted at Spinal Unit- Azienda Usl Piacenza. Patients with spinal cord injury at C5-C7 neurologic level, older than 18 years, with correct comprehension of Italian language were recruited. All patients were evaluated with Action Research Arm Test (ARAT) scale to state hand functionality; positive/negative history of Functional Hand protocol was deducted by physiotherapy discharge letters on first spinal unit hospitalisation. RESULTS: six patients were involved in the study; three of them had a positive history of protocol application. ARAT scores differences showed that patients who underwent functional hand protocol had a lower impairment, a better ability to produce cylindrical and cuboid sockets. CONCLUSIONS: Functional hand protocol reached a preliminary evidence as effective tool to improve hand recovery in tetraplegic patients; future studies should confirm these conclusions on larger samples, and verify protocol effectiveness in addition to other treatment strategies (functional electric stimulation/ transcranial direct current stimulation/robotic assisted therapy). (www.actabiomedica.it)
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spelling pubmed-106449362023-11-15 Using “functional hand” protocol to improve hand function following a spinal cord injury: An explorative study Ciardi, Gianluca Lamberti, Gianfranco Avanzi, Martina Acta Biomed Health Professions BACKGROUND AND AIM OF THE WORK: A cervical spinal cord injury often affects hand control, causing ineffective grasping and handling functions, with a negative impact on patient’s independence and quality of life. Literature recognises scientific evidence only for surgical or instrumental re-education approaches. The purpose of this study is to present the “functional hand” protocol, a physiotherapy tool that, to date, represents a good clinical practice but has no supporting literature. RESEARCH DESIGN AND METHODS: a longitudinal-single cohort study was conducted at Spinal Unit- Azienda Usl Piacenza. Patients with spinal cord injury at C5-C7 neurologic level, older than 18 years, with correct comprehension of Italian language were recruited. All patients were evaluated with Action Research Arm Test (ARAT) scale to state hand functionality; positive/negative history of Functional Hand protocol was deducted by physiotherapy discharge letters on first spinal unit hospitalisation. RESULTS: six patients were involved in the study; three of them had a positive history of protocol application. ARAT scores differences showed that patients who underwent functional hand protocol had a lower impairment, a better ability to produce cylindrical and cuboid sockets. CONCLUSIONS: Functional hand protocol reached a preliminary evidence as effective tool to improve hand recovery in tetraplegic patients; future studies should confirm these conclusions on larger samples, and verify protocol effectiveness in addition to other treatment strategies (functional electric stimulation/ transcranial direct current stimulation/robotic assisted therapy). (www.actabiomedica.it) Mattioli 1885 2023 2023-10-17 /pmc/articles/PMC10644936/ /pubmed/37850774 http://dx.doi.org/10.23750/abm.v94i5.14408 Text en Copyright: © 2023 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA https://creativecommons.org/licenses/by-nc-sa/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Health Professions
Ciardi, Gianluca
Lamberti, Gianfranco
Avanzi, Martina
Using “functional hand” protocol to improve hand function following a spinal cord injury: An explorative study
title Using “functional hand” protocol to improve hand function following a spinal cord injury: An explorative study
title_full Using “functional hand” protocol to improve hand function following a spinal cord injury: An explorative study
title_fullStr Using “functional hand” protocol to improve hand function following a spinal cord injury: An explorative study
title_full_unstemmed Using “functional hand” protocol to improve hand function following a spinal cord injury: An explorative study
title_short Using “functional hand” protocol to improve hand function following a spinal cord injury: An explorative study
title_sort using “functional hand” protocol to improve hand function following a spinal cord injury: an explorative study
topic Health Professions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10644936/
https://www.ncbi.nlm.nih.gov/pubmed/37850774
http://dx.doi.org/10.23750/abm.v94i5.14408
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