Effectiveness of modified upper limb sports on hand function in tetraplegic spinal cord lesion patient

Abstract

Purpose: The purpose of the study was to elicit the effectiveness of modified upper limb sports on hand function in tetraplegic Spinal Cord Lesions patients at CRP. Objectives: To explore the socio-demography information, determine the effectiveness of upper limb sports on the motor score, and impact of modified sports on hand function. Methodology: The dissertation was an experimental study with a Quasi-experimental study design. From 20 June to 20 September 2021, 20 people with SCL participated in this study from the inpatient treatment service of Spinal Cord Injury Unit, Physiotherapy Department, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka. Patients with tetraplegia who participated in boccia sports were eligible for inclusion and patients with seizure disorders were excluded from this study. A structured questionnaire had used for socio-demographic information, ASIA impairment scale, and DASH scale. A statistical test has been conducted as per the distribution of data. Descriptive statistics have been performed by mean, SD, frequency, percentage. Inferential statistics has been performed through paired t-test and Wilcoxon tests. Results: This study showed male participants about 95% (19) and 5% (1) were female. Males were more affected than females. The most vulnerable age range was 21 to 30 years. Significant changes have been noted in the total sensory-motor, DASH score. Sensory score changes[MD 26.550±39.717, 95% CI (45.138, 7.962), t 2.99, P<.01];total motor score [MD 12.400±17.089, 95% CI (20.398, 4.402), t 3.245, P<.01]; total DASH score [MD 10.13± 5.54, 95% CI (7.53, 12.72), t 8.18, P <.001]; Conclusion: Boccia sports had significant effect in hand functions and neurological status in patients with tetraplegic Spinal cord lesion in their rehabilitation phase. Future RCTs are recommended for the isolated effect of the game. Key Word: Spinal Cord Lesion, Tetraplegia, Boccia sport’s, Hand function