Transcutaneous Spinal Stimulation: Safety and Feasibility for Upper Limb Function in Children With Spinal Cord Injury
Transcutaneous Spinal Stimulation Promoting Recovery of Hand and Arm Function After Pediatric-onset Spinal Cord Injury
University of Louisville
10 participants
Nov 14, 2019
INTERVENTIONAL
Conditions
Summary
Children who suffer a spinal cord injury in the neck region have difficulty using their hands due to paralysis and/or weakness of their arms and hand muscles. The purpose of this project is to test the safety, comfort, and practicality of a new therapy that stimulates the spinal cord to facilitate activation of arm and hand muscles while practicing grasping, pinching, and reaching movements. The long-term goal is to provide better therapies that will improve the ability of children with SCI to more successfully play and accomplish everyday tasks using their arms and hands, similar to before their injury.
Eligibility
Inclusion Criteria4
- history of chronic, acquired SCI, (>1 year since injury);
- SCI involves cervical and/or high thoracic (T1) levels
- moderate to severe upper extremity deficit as assessed by the Pediatric Neuromuscular Recovery Upper Extremity Scale (scores less than 4A out of a 12 point range from 1A-4C on upper extremity tasks, e.g. including inability to fully reach overhead, grasp, or pinch without compensation)
- discharged from in-patient rehabilitation
Exclusion Criteria6
- botox use within past 3 months;
- current baclofen use
- unhealed upper extremity fracture
- any other medical complication limiting participation in the assessments and/or activity- based upper extremity training;
- congenital SCI
- total ventilator dependence
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Interventions
Safety and feasibility will be monitored during transcutaneous spinal stimulation in children with spinal cord injury
Locations(1)
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NCT04032990