Exercise therapy and recovery after SCI: evidence that shows early intervention improves recovery of function

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In the January edition of Spinal Cord Dr. Brown and his colleagues from Texas A&M University, College Station, TX, USA discuss exercise therapy and recovery after SCI.  Locomotor training is one of the most effective strategies currently available for facilitating recovery of function after an incomplete spinal cord injury (SCI). However, there is still controversy regarding the timing of treatment initiation for maximal recovery benefits with evidence that shows early intervention improving recovery of function. The paper concludes that implementing an intensive exercise protocol in the acute phase of SCI maximizes the potential for recovery of function.

The HandTutor, ArmTutor, legTutor and 3DTutor is being used both inpatietn, outpatient and the home care environment to encourage intensive repetitive exercise practice in a controlled and motivating format. The HandTutor, ArmTutor, legTutor and 3DTutor or Tutor system is used in both early intervention by both physical and occupational therapists. In addition the Tutor system is used to continue to keep the patient motivated to do exercise practice during the later stages of rehabilitation and to keep the gains that have been achieved in movement and functional ability. Early in the physical rehabilitation of incomplete spinal cord injury patients it is essential that exercise tasks can be tailored to the movement ability of the patient and this feature is very much provided by the HandTutor, ArmTutor, legTutor and 3DTutor for both lower and upper extremity functional gain. Therefore the patient can start to do intensive repetitive exercises even if they have limited lower limb, shoulder, knee and ankle or upper limb arm and hand movement ability.


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