The effect of electromyography triggered electrical stimulation to abdominal muscles on sitting balance, respiratory functions, and abdominal muscle thickness in complete spinal cord injury: a randomized controlled trial

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dc.authoridSipal, Meric Selim/0000-0002-5500-0206
dc.authoridBayraktar, Handan elif nur/0000-0003-2462-5470
dc.contributor.authorBayraktar, Handan E. N.
dc.contributor.authorYalcin, Elif
dc.contributor.authorSipal, Meric S.
dc.contributor.authorAkyuz, Mufit
dc.contributor.authorAkinci, Meltem G.
dc.contributor.authorDelialioglu, Sibel U.
dc.date.accessioned2024-09-29T16:03:12Z
dc.date.available2024-09-29T16:03:12Z
dc.date.issued2024
dc.departmentKarabük Üniversitesien_US
dc.description.abstractComplete thoracic spinal cord injury (SCI) results in a loss of innervation to the abdominal muscles, which affects trunk stability and performance of activities of daily living from a sitting position. Respiratory function is also affected, leading to frequent pulmonary complications. Given the importance of trunk stability and respiratory function, we investigated the effects of electromyography triggered electrical stimulation (EMG-ES) applied to the abdominal muscles on sitting balance, respiratory functions and abdominal muscle thickness in individuals with complete thoracic SCI. This randomized controlled study included 34 participants with complete thoracic SCI who were randomly allocated to the experimental group (n = 17) and the control group (n = 17). During the 4-week intervention period, the experimental group received EMG-ES to their abdominal muscles, while the control group received isometric abdominal exercises three times per week. Both groups continued with their routine rehabilitation program (active or passive range of motion exercises, stretching, and balance coordination exercises). The primary outcome measures were the modified functional reach test (mFRT) and trunk control test (TCT). Secondary outcome measures included a pulmonary function test (PFT) and the bilateral abdominal muscle thicknesses using ultrasonography. At the end of the study, the experimental group showed significantly greater improvements in both primary outcomes. The mean difference in pre-post changes between the groups for the mFRT area was 242.8 cm(2) [95% confidence interval (CI): 181.3-329.8; effect size 0.92; P < 0.001] and 5.0 points for TCT (95% CI: 3.9-6.0; effect size 0.98, P < 0.001). The increase in the abdominal muscle thickness was also significantly greater in the experimental group (P < 0.001) without significant differences in the PFT (P > 0.05). We conclude that adding EMG-ES of abdominal muscles may further improve sitting balance and abdominal muscle thickness in individuals with complete thoracic SCI. Copyright (c) 2024 Wolters Kluwer Health, Inc. All rights reserved.en_US
dc.identifier.doi10.1097/MRR.0000000000000620
dc.identifier.endpage96en_US
dc.identifier.issn0342-5282
dc.identifier.issn1473-5660
dc.identifier.issue2en_US
dc.identifier.pmid38501227en_US
dc.identifier.scopus2-s2.0-85191554470en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage87en_US
dc.identifier.urihttps://doi.org/10.1097/MRR.0000000000000620
dc.identifier.urihttps://hdl.handle.net/20.500.14619/5946
dc.identifier.volume47en_US
dc.identifier.wosWOS:001234166400008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofInternational Journal of Rehabilitation Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectabdominal musclesen_US
dc.subjectelectrical stimulationen_US
dc.subjectpostural balanceen_US
dc.subjectspinal cord injuryen_US
dc.titleThe effect of electromyography triggered electrical stimulation to abdominal muscles on sitting balance, respiratory functions, and abdominal muscle thickness in complete spinal cord injury: a randomized controlled trialen_US
dc.typeArticleen_US

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