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  4. Home-based rehabilitation using a soft robotic hand glove device leads to improvement in hand function in people with chronic spinal cord injury: a pilot study

Home-based rehabilitation using a soft robotic hand glove device leads to improvement in hand function in people with chronic spinal cord injury: a pilot study

Journal of NeuroEngineering and Rehabilitation, 2020 · DOI: https://doi.org/10.1186/s12984-020-00660-y · Published: February 13, 2020

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study examines if a soft robotic glove can help people with spinal cord injuries improve their hand function at home. Participants used the glove for at least 4 hours a day for 12 weeks, performing tasks like grasping objects and eating. The results showed improvements in hand function, pinch strength, and reduced muscle stiffness in the thumb.

Study Duration
18 weeks (12 weeks intervention, 6 weeks follow-up)
Participants
15 participants with chronic cervical motor incomplete (AIS C and D) SCI
Evidence Level
Not specified

Key Findings

  • 1
    The TRI-HFT demonstrated improvement in hand function at Week 6 of the therapy including improvement in object manipulation.
  • 2
    A significant improvement in pinch strength, with reduced thumb muscle hypertonia was also detected.
  • 3
    Self-administered rehabilitation using the SEM Glove is effective for improving and retaining gross and fine hand motor function for people living with chronic spinal cord injury at home.

Research Summary

This study investigated the use of a soft robotic glove (SEM Glove) for home-based hand rehabilitation in individuals with chronic spinal cord injury (SCI). The results showed significant improvements in hand function, pinch strength, and thumb muscle tone after using the glove for 12 weeks. The study suggests that home-based rehabilitation with the SEM Glove is a feasible and effective approach for improving hand function in people with chronic SCI.

Practical Implications

Home-based therapy

The study supports the use of home-based, self-administered therapy programs for individuals with chronic SCI, offering a convenient and accessible option for rehabilitation.

Assistive device

The SEM Glove shows promise as an assistive device for improving hand function and independence in ADL for people with SCI.

Further research

The findings call for further research to explore the neuromuscular mechanisms of action and optimal parameters for using assistive devices in SCI rehabilitation.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of a control group
  • 3
    Potential overestimation of glove usage time

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