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Using "functional hand" protocol to improve hand function following a spinal cord injury: an explorative study.

Gianluca Ciardi1, Gianfranco Lamberti2, Martina Avanzi3

  • 1University of Parma. gianluca.ciardi@unipr.it.

Acta Bio-Medica : Atenei Parmensis
|October 18, 2023
PubMed
Summary

The functional hand protocol shows promise in improving hand function for individuals with cervical spinal cord injuries. This physiotherapy approach may enhance grasping and handling abilities, positively impacting patient independence.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Physical Therapy

Background:

  • Cervical spinal cord injuries frequently impair hand control, affecting grasping and daily independence.
  • Current literature primarily supports surgical or instrumental methods for hand re-education.
  • The "functional hand" protocol is a recognized clinical practice lacking formal scientific validation.

Purpose of the Study:

  • To present the "functional hand" protocol as a physiotherapy tool.
  • To explore the preliminary effectiveness of the functional hand protocol in improving hand function after spinal cord injury.

Main Methods:

  • A longitudinal, single-cohort study was conducted.
  • Patients with C5-C7 spinal cord injuries were recruited.
  • Hand function was assessed using the Action Research Arm Test (ARAT).

Main Results:

  • Six patients participated; three had prior functional hand protocol experience.
  • Patients receiving the protocol demonstrated lower impairment.
  • Improved ability in producing cylindrical and cuboid grips was observed.

Conclusions:

  • The functional hand protocol provides preliminary evidence of effectiveness in improving hand recovery for tetraplegic patients.
  • Larger sample studies are needed to confirm these findings.
  • Further research should investigate the protocol's efficacy alongside other therapies like FES, tDCS, or robotic assistance.