Tania Lam
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Comparing the effects of faded vs. constant knowledge of results on the acquisition, retention, and transfer of a skilled walking task Open
Faded KR leads to superior retention and transfer of an end-point precision locomotion task over time. Future research should explore these findings in clinical populations and the incorporation of other feedback modalities.
View article: Muscle strength and stiffness of elbow muscles: correlation with upper limb motor functions in people with chronic stroke
Muscle strength and stiffness of elbow muscles: correlation with upper limb motor functions in people with chronic stroke Open
Objective: To (i) quantify elbow flexor and extensor strength and stiffness in people with stroke; (ii) compare affected and unaffected sides; (iii) compare stroke survivors and healthy older adults; and (iv) examine correlations between m…
View article: Efficacy of Combining Extracorporeal Shock Wave Therapy and Physical Therapy in the Treatment of Rotator Cuff Tendinopathy
Efficacy of Combining Extracorporeal Shock Wave Therapy and Physical Therapy in the Treatment of Rotator Cuff Tendinopathy Open
Objective: This study aimed to evaluate the combined effectiveness of extracorporeal shockwave therapy (ESWT) and physical therapy in treating rotator cuff tendinopathy (RCT).Material and Methods: A total of 62 patients diagnosed with RCT …
View article: Non-invasive spinal cord neuromodulation enables volitional anti-gravity leg movements after motor-complete spinal cord injury: responders vs. non-responders
Non-invasive spinal cord neuromodulation enables volitional anti-gravity leg movements after motor-complete spinal cord injury: responders vs. non-responders Open
Background and Objectives Transcutaneous spinal cord stimulation (tSCS) is an emerging treatment for motor recovery following spinal cord injury (SCI). However, the extent of motor recovery with tSCS and the reasons why some individuals wi…
Lower limb pointing to assess intersegmental dynamics after incomplete spinal cord injury and the associated role of proprioceptive impairments Open
Background Disorders in the recovery of gait strategies in individuals with incomplete spinal cord injury (SCI) suggest difficulties in controlling lower limb intersegmental dynamics, which could relate to proprioceptive impairments. To pr…
On the use of sham transcutaneous spinal cord stimulation in spinal cord injury clinical trials Open
Kramer et al. examine the reasons put forth by investigators for excluding a sham condition in trials of neuromodulation therapies for individuals with spinal cord injury. They conclude that current dogma does not justify this design, and …
Lower limb pointing to assess intersegmental dynamics after incomplete spinal cord injury and the associated role of proprioceptive impairments Open
Background Disorders in the recovery of gait strategies in individuals with incomplete spinal cord injury (SCI) suggest difficulties in controlling lower limb intersegmental dynamics, which could relate to proprioceptive impairments. To pr…
View article: Ergogenic effects of spinal cord stimulation on exercise performance following spinal cord injury
Ergogenic effects of spinal cord stimulation on exercise performance following spinal cord injury Open
Cervical or upper-thoracic spinal cord injury (SCI, ≥T6) often leads to low resting blood pressure (BP) and impaired cardiovascular responses to acute exercise due to disrupted supraspinal sympathetic drive. Epidural spinal cord stimulatio…
Methodologies to elicit and record pudendal somatosensory evoked potentials in adult humans: A systematic review Open
We propose a Pudendal SEP Reporting Checklist for adequate reporting of pudendal SEP protocols. Optimal sex- and patient-specific methodologies to investigate all branches of the pudendal nerve need to be established.
View article: Ergogenic effects of spinal cord stimulation on exercise performance following spinal cord injury
Ergogenic effects of spinal cord stimulation on exercise performance following spinal cord injury Open
Importance: Cervical or upper-thoracic spinal cord injury (SCI, ≥T6) often leads to low resting blood pressure and impaired cardiovascular responses to acute exercise due to disrupted supraspinal sympathetic drive. Epidural (invasive, ESCS…
Motor and autonomic concomitant health improvements with neuromodulation and exercise (MACHINE) training: a randomised controlled trial in individuals with spinal cord injury Open
Introduction Motor and autonomic dysfunctions are widespread among people with spinal cord injury (SCI), leading to poor health and reduced quality of life. Exercise interventions, such as locomotor training (LT), can promote sensorimotor …
Effects of motor stimulation of the tibial nerve on corticospinal excitability of abductor hallucis and pelvic floor muscles Open
Introduction Peripheral nerve stimulation can modulate the excitability of corticospinal pathways of muscles in the upper and lower limbs. Further, the pattern of peripheral nerve stimulation (continuous vs. intermittent) may be an importa…
Probing the deployment of peripheral visual attention during obstacle-crossing planning Open
Gaze is directed to one location at a time, making peripheral visual input important for planning how to negotiate different terrain during walking. Whether and how the brain attends to this input is unclear. We developed a novel paradigm …
Effects of non-invasive spinal cord stimulation on lower urinary tract, bowel, and sexual functions in individuals with chronic motor-complete spinal cord injury: Protocol for a pilot clinical trial Open
Introduction Electrical spinal cord neuromodulation has emerged as a leading intervention for restoring autonomic functions, such as blood pressure, lower urinary tract (LUT), bowel, and sexual functions, following spinal cord injury (SCI)…
Characterizing Pelvic Floor Muscle Activity During Walking and Jogging in Continent Adults: A Cross-Sectional Study Open
Introduction The pelvic floor muscles (PFM) are active during motor tasks that increase intra-abdominal pressure, but little is known about how the PFM respond to dynamic activities, such as gait. The purpose of this study was to character…
Knowledge, Attitudes, and Practice of Pelvic Floor Muscle Training in People With Spinal Cord Injury: A Cross-Sectional Survey Open
Background There is emerging evidence that pelvic floor muscle training (PFMT) may be useful for treating some urogenital conditions in people with spinal cord injury (SCI). Future clinical investigations would benefit from understanding t…
Trunk muscle activity and kinematics during boxing and battle rope exercise in people with motor-complete spinal cord injury Open
These findings suggest that boxing and battle rope can elicit trunk activity in people with mcSCI, though they may adopt increased trunk curvatures. Future research should explore if such exercise programs may improve seated balance in peo…
Accidental boosting in an individual with tetraplegia – considerations for the interpretation of cardiopulmonary exercise testing Open
This case raises important considerations around the nuances of CPET in this population. In individuals susceptible to BP instability, the physiologically boosted state may explain a significant proportion of the variance in peak aerobic c…
Exoskeleton gait training to improve lower urinary tract function in people with motor-complete spinal cord injury: A randomized pilot trial Open
This pilot study demonstrates the feasibility of delivering an exoskeleton training programme targeting lower urinary tract function. Ekso-walking elicits pelvic floor muscle activity, but it remains unclear how locomotor training impacts …
The sensorimotor effects of a lower limb proprioception training intervention in individuals with a spinal cord injury Open
Proprioception is critical for movement control. After a spinal cord injury (SCI), individuals not only experience paralysis but may also experience proprioceptive deficits, further confounding motor recovery. The objective of this study w…
2019 Champion of Change Award Open
Dr. Jaynie Yang is a neuroscientist, physical therapist, educator, mentor and leader who has made significant advances in our understanding of motor control following spinal cord injury (SCI). Dr. ...
Acquisition of a precision walking skill and the impact of proprioceptive deficits in people with motor-incomplete spinal cord injury Open
Many people with motor-incomplete spinal cord injury (m-iSCI) experience difficulty navigating obstacles, such as curbs and stairs. The ability to relearn walking skills may be limited by proprioceptive deficits. The purpose of this study …
Ergogenic effects of an epidural neuroprosthesis in one individual with spinal cord injury Open
Individuals with a spinal cord injury (SCI) ≥T6 level exhibit impaired cardiovascular responses to exercise that can limit exercise capacity.1 The burgeoning field of neuromodulation has recently demonstrated that epidural spinal cord stim…
Overground walking with a robotic exoskeleton elicits trunk muscle activity in people with high-thoracic motor-complete spinal cord injury Open
Ekso-assisted walking elicits greater activation of trunk muscles compared to Lokomat-assisted walking, even after controlling for the use of hand-held assistive devices. The requirement of the Ekso for lateral weight-shifting in order to …
Association of Epidural Stimulation With Cardiovascular Function in an Individual With Spinal Cord Injury Open
This study assesses the association between lumbosacral epidural stimulation to the lumbosacral spinal cord with cardiovascular function in an individual with a spinal cord injury.
A systematic review of the effectiveness of task-specific rehabilitation interventions for improving independent sitting and standing function in spinal cord injury Open
Few RCT studies provided balance outcomes, and those that were evaluated indicate negligible effect sizes. Given the importance of balance control underpinning all aspects of daily activities, there is a need for further research to evalua…