Back to Search
Start Over
Transcutaneous Spinal Cord Stimulation Enables Recovery of Walking in Children with Acute Flaccid Myelitis.
- Source :
- Children; Sep2024, Vol. 11 Issue 9, p1116, 11p
- Publication Year :
- 2024
-
Abstract
- Background: Limited research exists for use of transcutaneous spinal stimulation (TSS) in pediatric spinal cord injuries (SCI) to improve walking outcomes, especially in children diagnosed with SCI secondary to acute flaccid myelitis (AFM). Objective: This case series demonstrates the feasibility and efficacy of TSS paired with gait training in children diagnosed with AFM. Methods: A total of 4 participants diagnosed with incomplete SCI secondary to AFM completed 22, 2-h therapy sessions over 5–8 weeks. TSS paired with body weight-supported treadmill training (BWSTT) was provided for the first 30 min of each session. Changes in walking function were assessed through the 6 min walk test (6MWT), Timed Up and Go (TUG), 10 m walk test (10MWT), and walking index for spinal cord injury II (WISCI-II). To assess safety and feasibility, pain, adverse events, and participant and therapist exertion were monitored. Results: All participants tolerated the TSS intervention without pain or an adverse response. Changes in the 6MWT exceeded the minimal clinically important difference (MCID) for three participants and WISCI-II exceeding the minimal detectable change (MDC) for two of the participants. Conclusions: These results demonstrate that TSS is a safe and clinically feasible intervention for pediatric patients with AFM and may supplement gait-based interventions to facilitate improvements in walking function. [ABSTRACT FROM AUTHOR]
- Subjects :
- MYELITIS
PHYSICAL therapy
SELF-evaluation
ACUTE flaccid paralysis
RESEARCH funding
FUNCTIONAL assessment
QUESTIONNAIRES
PILOT projects
GAIT disorders
DIAGNOSIS
GAIT in humans
TREATMENT effectiveness
DESCRIPTIVE statistics
HEALTH surveys
LONGITUDINAL method
PRE-tests & post-tests
PHYSICAL fitness
CONVALESCENCE
NEURAL stimulation
WALKING speed
CASE studies
PATIENT monitoring
COMPARATIVE studies
SPINAL cord
ACTIVITIES of daily living
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 22279067
- Volume :
- 11
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Children
- Publication Type :
- Academic Journal
- Accession number :
- 180018036
- Full Text :
- https://doi.org/10.3390/children11091116