Transcutaneous Spinal Stimulation: Safety and Feasibility for Trunk Control in Children With Spinal Cord Injury

Author(s):  
2015 ◽  
Vol 31 (4) ◽  
pp. 221-228 ◽  
Author(s):  
Musa L. Audu ◽  
Ronald J. Triolo

The contributions of intrinsic (passive) and extrinsic (active) properties of the human trunk, in terms of the simultaneous actions about the hip and spinal joints, to the control of sagittal and coronal seated balance were examined. Able-bodied (ABD) and spinal-cord-injured (SCI) volunteers sat on a moving platform which underwent small amplitude perturbations in the anterior-posterior (AP) and medial-lateral (ML) directions while changes to trunk orientation were measured. A linear parametric model that related platform movement to trunk angle was fit to the experimental data by identifying model parameters in the time domain. The results showed that spinal cord injury leads to a systematic reduction in the extrinsic characteristics, while most of the intrinsic characteristics were rarely affected. In both SCI and ABD individuals, passive characteristics alone were not enough to maintain seated balance. Passive stiffness in the ML direction was almost 3 times that in the AP direction, making more extrinsic mechanisms necessary for balance in the latter direction. Proportional and derivative terms of the extrinsic model made the largest contribution to the overall output from the active system, implying that a simple proportional plus derivative (PD) controller structure will suffice for restoring seated balance after spinal cord injury.


Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 278
Author(s):  
Goutam Singh ◽  
Sevda Aslan ◽  
Beatrice Ugiliweneza ◽  
Andrea Behrman

To investigate and compare trunk control and muscle activation during uncompensated sitting in children with and without spinal cord injury (SCI). Static sitting trunk control in ten typically developing (TD) children (5 females, 5 males, mean (SD) age of 6 (2)y) and 26 children with SCI (9 females, 17 males, 5(2)y) was assessed and compared using the Segmental Assessment of Trunk Control (SATCo) test while recording surface electromyography (EMG) from trunk muscles. The SCI group scored significantly lower on the SATCo compared to the TD group. The SCI group produced significantly higher thoracic-paraspinal activation at the lower-ribs, and, below-ribs support levels, and rectus-abdominus activation at below-ribs, pelvis, and no-support levels than the TD group. The SCI group produced significantly higher lumbar-paraspinal activation at inferior-scapula and no-support levels. Children with SCI demonstrated impaired trunk control with the ability to activate trunk muscles above and below the injury level.


Author(s):  
Alberto Isaac Pérez-Sanpablo ◽  
Jimena Quinzaños-Fresnedo ◽  
Marco Romero-Ixtla ◽  
Ana Valeria Aguirre-Güemez ◽  
Gerardo Rodríguez-Reyes ◽  
...  

2018 ◽  
Vol 43 (3) ◽  
pp. 331-338 ◽  
Author(s):  
Jimena Quinzaños-Fresnedo ◽  
Paola C. Fratini-Escobar ◽  
Kievka M. Almaguer-Benavides ◽  
Ana Valeria Aguirre-Güemez ◽  
Aída Barrera-Ortíz ◽  
...  

Spinal Cord ◽  
2014 ◽  
Vol 52 (6) ◽  
pp. 449-454 ◽  
Author(s):  
J Quinzaños ◽  
A R Villa ◽  
A A Flores ◽  
R Pérez

2015 ◽  
Vol 30 (5) ◽  
pp. 507-512 ◽  
Author(s):  
Matija Milosevic ◽  
Kei Masani ◽  
Meredith J. Kuipers ◽  
Hossein Rahouni ◽  
Mary C. Verrier ◽  
...  

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