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KMID : 1143320180070010063
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Therapeutic Science for Neurorehabilitation
2018 Volume.7 No. 1 p.63 ~ p.77
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Effects of Task-Oriented Training With Functional Electrical Stimulation on Cervical Spinal Cord Injury Patients’ Hand Function: A Single-Subject Experimental Design
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Ko Seok-Beom
Park Ha-Eun
Kim Jong-Bae
Kim Jung-Ran
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Abstract
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Objective : The purpose of this study was to investigate the effects of task-oriented training with functional electrical stimulation on hand function in incomplete cervical cord injury.
Method : The subjects of the study were 3 adults diagnosed as incomplete cervical cord injury. The design of this study was ABA single-subject research design to compare dominant hand function of before and after intervention and detect individual effects. The experiment consisted of 30sessions, in which baseline process A1 and A2 were implemented 5 sessions each for 10sessions. Intervention B was implemented 20 sessions. The dependent variable was converted to the change of hand function every session, and Canadian Occupational Performance Measure(COPM), Jebsen-Taylor Hand Function Test(JTHFT), Wolf Motor Function Test(WMFT) were selected for outcome measurements. Result analysis was suggested through visual analysis using a graph and comparison of pre, post and follow-up intervention measurements.
Results : As a result, the quality and quantity of dominant hand function increased during intervention B compared to the baseline A1 for all subjects. Baseline A2 was also maintained without training. Additionally, JTHFT, WMFT and COPM scores demonstrated improvement and maintain. The follow up JTHFT and WMFT showed increased required time on all subjects and decrease or maintain task performance and satisfaction in COPM.
Conclusion : The task-oriented training with function electrical stimulation in this study has been positive effects on hand function and task performance and satisfaction.
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KEYWORD
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Cervical cord injury, Functional Electrical Stimulation, Hand function, Occupational Therapy, Spinal Cord Injury, Task-oriented training
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