In animal and human studies, histochemical and physiological evidences showed that the muscle transferred from slow, fatigue-resistant muscle to fast, fatigable muscle after spinal cord injury. The alternation of muscular property was accompanied by the alternation of spinal circuitry property, and was related to the immobilization adaptation. Previous study showed that remobilization by continuous passive motion (CPM) for one month would restore the function of spinal circuitry in individual with chronic SCI. It is possible that long term application of CPM can reverse the adaptation of contractile properties of the paralyzed muscle after SCI. The purpose of this study is to investigate the effect of a four month CPM training on muscular properties in individuals with chronic SCI.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
7
A rehabilitation program of machine driven passive stretch exercise on ankle.
Chang Gung University
Taoyuan District, Taiwan
The contractile properties of the muscles
Measure of changes in contractile properties of soleus and tibialis anterior
Time frame: Baseline, 1 month, 2 months, 3 months, and 4 months
Fatigue index
Measure of changes in Fatigue index of soleus and tibialis anterior.
Time frame: Baseline, 1 month, 2 months, 3 months, and 4 months
Clinical muscle tone tests
Measure of changes in clinical muscle tone tests of soleus and tibialis anterior by Modified Ashworth Scale.
Time frame: Baseline, 1 month, 2 months, 3 months, and 4 months
Patient Reported Impact of Spasticity Measure (PRISM)
Measure of changes in PRISM.
Time frame: Baseline, 1 month, 2 months, 3 months, and 4 months
The potential adverse effects of ankle swelling
Measure of changes in the potential adverse effects of ankle swelling.
Time frame: Baseline, 1 month, 2 months, 3 months, and 4 months
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