Restoration of hand function with long-term paired associative stimulation after chronic incomplete tetraplegia: a case study.

ABSTRACT:

Introduction

This case study explores the gains in hand function in an individual with a chronic spinal cord injury (SCI). The intervention was long-term paired associative simulation (PAS). We aimed to provide PAS until full recovery of hand muscle strength occurred, or until improvements ceased.

Case presentation

A 46-year-old man with traumatic C7 AIS B tetraplegia was administered PAS three times per week. After 24 weeks, PAS was combined with concomitant motor training of the remaining weak hand muscles. Outcome measures included the manual muscle test (MMT), motor-evoked potentials (MEPs), F-responses, hand functional tests, and the spinal cord independence measure (SCIM).

Discussion

After 47 weeks of PAS the subject had improved self-care and indoor mobility an

SUBMITTER: Rodionov A 

PROVIDER: S-EPMC6786383 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature