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Effects of continuous passive motion on reversing the adapted spinal circuit in humans with chronic spinal cord injury
Chang Y-J, Liang J-N, Hsu M-J, Lien H-Y, Fang C-Y, Lin C-H
Archives of Physical Medicine and Rehabilitation 2013 May;94(5):822-828
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To investigate the possibility of restoring the adapted spinal circuit following spinal cord injury (SCI) by means of long term CPM of the ankle joint. DESIGN: Randomized controlled trial with repeated measures. SETTING: Research laboratory in general hospital. PARTICIPANTS: Individuals with motor complete SCI (n = 14) were recruited from a community. INTERVENTIONS: CPM of the ankle joint for 1 hour/day, 5 days/week for 4 weeks. MAIN OUTCOME MEASURES: The Modified Ashworth Scale (MAS) scores for evaluation of spasticity and post activation depression (PAD) were documented prior to and following intervention. RESULTS: The MAS scores were improved after 4 weeks of CPM intervention, indicating a reduction in spasticity of the ankle joint. The PAD is restored after 4 weeks of training. CONCLUSIONS: Passive motion of the ankle joint alone is sufficient in reversing the adapted spinal circuit and therefore indicates that spasticity following SCI could possibly be managed by CPM intervention. The results of this study support the utilization of passive mode of robot-assisted therapy for human with complete SCI who cannot exercise actively.

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