CERVICAL SPINAL CORD INJURY AND UPPER LIMB ROBOTIC THERAPY

Abstract

Abstract. A major debilitating factor of sustaining a cervical level spinal cord injury is the loss of independence in completing activities of daily living as a result of impaired upper limb function. Early intervention has been hypothesised to preserve upper limb function in this population and enhance capacity to perform functional tasks. The use of robotics as an upper limb therapy modality is increasing in the neurorehabilitation field, however there is limited evidence to support their use in the cervical spinal cord injury population. Despite this, occupational therapists are using them as part of a therapy program. Aim: This study aimed to explore the upper limb outcomes of using a computer assisted robotic device in acute therapy for people who have sustained a cervical spinal cord injury. Methods: A single case pre-post study design was performed with one middle aged male who had who was an inpatient at a public metropolitan hospital in Australia. They undertook a three week therapy program using the Diego by Tyromotion in conjunction with standard occupational therapy interventions. Range of motion, muscular strength, pain, fatigue the Spinal Cord Independence Measure, and the Canadian Occupational Performance Measure were used as outcome measures. Results: Increases were seen in range of motion and muscular strength and functional status; objective and subjectively. Conclusion: Preliminary findings suggest that the Diego may be a useful tool for improving upper limb outcomes when combined with occupational therapy in this population, however greater research and participants are required for definitive data.