Adebisi I Hammed¹, Oluwaseun S. Kubeyinje¹, Abdulrasheed Oyakhire², Dorcas Adebimpe¹, Ezekiel Onyemechi¹

¹Department of Physiotherapy, University of Benin Teaching Hospital, Benin City, Nigeria
²Department of Human Kinetics and Sports Science, University of Benin, Benin City, Nigeria

Effects of Cryokinetics on Hand Function of Patients with Spinal Cord Injury

J. Anthr. Sport Phys. Educ. 2023, 7(2), 3-7 | DOI: 10.26773/jaspe.230401

Abstract

This study investigated the effects of cryokinetics on hand function of subjects with spinal cord injury. The present study has an experimental design. Thirty-nine subjects with upper spinal cord injury were included. Handgrip and pinch strength were measured using electronic hand dynamometer (in kg) and mechanical pinch gauge (in kg) respectively prior to and following an 8-week cryokinetics. The amount of handgrip and pinch strength of both hands generated by each participant was used as a quantitative measurement of the development of hand function. Inferential statistics of multiple analysis of variance was used to analyze the data. Statistical significance was retained for p value <0.05. The results of this study revealed that the strength training and the cryotherapy programmes separately had insignificant (p>0.05) effects on the hand function of the subjects. However, cryokinetics had significant (p<0.05) effects on the hand function of subjects with upper spinal cord injury. It was therefore concluded that the strength training programmes and cryotherapy individually cannot substantially influence hand function of subjects with upper spinal cord injury whereas, cryokinetics can substantially enhance hand function of the participants. Thus, cryokinetics is an excellent intervention protocol for optimizing hand function of subjects with upper spinal cord injury. It was therefore recommended that cryokinetics should be regarded as keystone in the management of subjects with upper spinal cord injury.

Keywords

Cryokinetics, Hand function, Spinal cord injury

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References

Abd El-Maksoud, G.M., Sharaf, M.A. & Rezk-Allah, S.S. (2011). Efficacy of cold therapy on spasticity and hand function in children with cerebral palsy. Journal of Advanced Research, 2, 319–325.

Agbonlahor, E.I. & Hammed, A.I. (2016). Handgrip and Pinch Strength Changes of Type II Diabetes Mellitus Patients Following a 12-week Strength Training Programme. Ghana Journal of Health Physical Education Recreation Sports and Dance (GJOHPERSD), 9, 18-33.

Agbonlahor, E.I. & Hammed, A.I. (2017). Effects of a 12-Week Strength Training on Hand Function of Type II Diabetes Mellitus Patients. Movement, Health & Exercise, 6 (2), 21-28.

Ariela, T.C., Priscila, O.J., Alderico. R.P.J., Fernanda, P.S.L., Mario, O.L (2019): Effects of cryotherapy associated with kinesiotherapy and electrical stimulation on spastic hemiparetic patients. Sports and Physical Education Journal, 26(2), 1809-2950.

Bhandari B. & Parmar, L. (2014). Effects of Cryotherapy on sensation and pinch strength. The Journal of Integrated Health Sciences, 1(2), 76-81.

Bye, E.A., Harvey, L.A. & Gandevia, S.C (2017): Strength training for partially paralysed muscles in people with recent spinal cord injury: a within participant randomized controlled trial. Journal of Spinal Cord Medicine, 55, 460-465.

Dickson, R.A. & Calnan, J.S. (1972). Hand function: A practical method of assessment. British Journal Surgery, 59, 316–317.

Draulans, N., Kiekens, C., Roels, E. & Peers, K. (2011). Etiology of spinal cord injuries in sub-Saharan Africa. Spinal Cord, 49, 1148–1154.

Ehrhardt, J. & Morgan, J. (2005). Regenerative capacity of skeletal muscle. Current Opinion in Neurology, 18(5), 548– 553.

Fess, E. E. (1992). Grip Strength: American Society of Hand Therapists. 2nd edition, Chicago.

Flavia, C.M.M., Katia, K.F.D., Ana, P.K.F.S., Kesley, P.M.D., Isis, K.D.S., Humberto, J.D.M., Jose, C.L. & Maria, I.K (2018). Physical training and upper limb strength of people with paraplegia: a systematic review. 28(3), 1-20.

French, J.S., Anderson-Erisman, K.D. & Sutter, M. (2010). What do spinal cord injury consumers want? A review of spinal cord injury consumer priorities and neuroprosthesis from the 2008 neural interfaces conference. Neuromodulation, 13, 229–231.

Hammed, A.I. & Adodo, S.M. (2017). Anthropometric Correlates of Handgrip Strength among Primary School Pupils. Movement, Health & Exercise, 6(2), 149-157.

Hammed, A.I., Adodo, S.M. & Agwubike, E.O. (2018). Alterations in Gait Velocity and Grip Strength of Stroke Survivors Following a 12-Week Structured Therapeutic Exercise Programme. Journal of Biomedical Human Kinetics, 10, 76-80.

Hammed, A.I., Agbonlahor, Ogbouma, S., Arainru, G.E., E.I., Adodo, S.M. & Ogbeivor, C. (2022). Effectiveness of Cryokinetics on Functional Independence of Participants with Spinal Cord Injury. Biomedical Journal of Scientific and Technical Research, 45(4), 36605-36612.

Harris, J.E. & Eng, J.J. (2007). Paretic upper-limb strength best explains arm activity in people with stroke. Physical Therapy, 87(1), 88-97.

Kim, D. (2016). The effects of hand strength on upper extremity function and activities of daily living in stroke patients, with a focus on right hemiplegia. The Journal of Physical Therapy Science, 28, 2565–2567.

Knight, K.L. & Draper, D.O. (2013). Therapeutic Modalities the Art and Science. Philadelphia, PA: Lippincott, Williams, & Wilkins.

Li, J., Ding, Y.H., Rafols, J.A., Lai, Q., McAllister II, J.P. & Ding, Y. (2005). Increased astrocyte proliferation in rats after running exercise. Neuroscience Letters, 386(3),160–164.

Lisa, A.H., Sarah, A.D., Leonid, C., Ya-Seng, A.H. & Mary, P.G. (2011). Early intensive hand rehabilitation after spinal cord injury (“Hands on”): a protocol for a randomized controlled trial. Trials Journal, 12, 14.

Pietrosimone, B.G. & Ingersoll, C.D. (2009). Focal knee joint cooling increases the quadriceps central activation ratio. Journal of Sports Sciences, 27(8), 873-879.

Ribeiro, A.S., Campos-Filho, M.G.A, Avelar, A., dos-Santos, L., Achour Júnior,A.A., Aguiara, A.F., Fleck, S.J., Hélio Serassuelo Júnior, H.S. & Cyrino, E.S. (2017). Effect of resistance training on flexibility in young adult men and women. Isokinetics and Exercise Science, 25, 149–155.

Ruprai, R.K, Tajpuriya, S.V. & Mishra, N. (2015). Handgrip strength as determinant of upper body strength/physical fitness: a comparative study among individuals performing gymnastics (ring athletes) and gymnasium (power lifters). International Journal of Medical Science and Public Health, 5, 1- 6.

Schreuders, T.A., Roebroeck, M.E., Jaquet, J.B., Hovious, S.E. & Stam, H.J. (2003). Measuring the strength of the intrinsic muscles of the hand in patients with ulnar and median nerve injuries: A reliability of Rotterdan Intrinsic Hand Myometer (RIHM). Journal of Hand Surgery, 29, 318–24.

Serra-Ano, P., Pellicer, C.M., Xavier, G.M., Jose, M., Pascual, M.G. & Gonalez, L.M. (2012). Effects of resistance training on strength, pain and shoulder functionality in paraplegics. Journal of Spinal Cord Medicine, 50, 1-5.

Weiss, M.W. & Flatt, A.E. (1971). A pilot study of 198 normal children: Pinch strength and hand size in the growing hand. America Journal of Occupational Therapy, 25(1), 10–12.