Longitudinal Patterns of Functional Recovery in Patients With Incomplete Spinal Cord Injury Receiving Activity-Based Rehabilitation

2012 ◽  
Vol 93 (9) ◽  
pp. 1541-1552 ◽  
Author(s):  
Douglas J. Lorenz ◽  
Somnath Datta ◽  
Susan J. Harkema
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Recovery ◽  
Incomplete Spinal Cord Injury ◽  
Longitudinal Patterns ◽  
Cord Injury

scholarly journals Overground gait training promotes functional recovery and cortical neuroplasticity in an incomplete spinal cord injury model

Life Sciences ◽  
2019 ◽  
Vol 232 ◽  
pp. 116627 ◽  
Author(s):  
Jocemar Ilha ◽  
Anamaria Meireles ◽  
Gabriel Ribeiro de Freitas ◽  
Caroline C. do Espírito Santo ◽  
Nicolas A.M.M. Machado-Pereira ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Recovery ◽  
Gait Training ◽  
Incomplete Spinal Cord Injury ◽  
Spinal Cord Injury Model ◽  
Injury Model ◽  
Cord Injury

scholarly journals Effects of Swimming on Functional Recovery after Incomplete Spinal Cord Injury in Rats

2006 ◽  
Vol 23 (6) ◽  
pp. 908-919 ◽  
Author(s):  
Rebecca R. Smith ◽  
Alice Shum-Siu ◽  
Ryan Baltzley ◽  
Michelle Bunger ◽  
Angela Baldini ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Recovery ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury

scholarly journals The Role of Peripheral Nerve Electrotherapy in Functional Recovery of Muscle Motor Units in Patients after Incomplete Spinal Cord Injury

2021 ◽  
Vol 11 (20) ◽  
pp. 9764
Author(s):  
Juliusz Huber ◽  
Katarzyna Leszczyńska ◽  
Agnieszka Wincek ◽  
Agnieszka Szymankiewicz-Szukała ◽  
Wojciech Fortuna ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Recovery ◽  
Compound Muscle Action Potential ◽  
Motor Units ◽  
Invasive Technique ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury ◽  
Neurophysiological Studies

Functional electrical nerve stimulation (FES) is a non-invasive technique for neuromodulation and may have the potential for motor rehabilitation following incomplete spinal cord injury (iSCI). Axonal degeneration in motor fibers of lower extremity nerves is an inevitable secondary pathological change in iSCI subjects, despite no direct damage to lumbosacral neuromeres. This study evaluated the role of FES with individual parameters based on results of comparative neurophysiological studies. Forty-two participants with C4 to Th12 iSCI received repetitive sessions of electrostimulations applied to peroneal and tibial motor fibers, performed five times a week from 6 to 14 months, and the uniform system of kinesiotherapeutic treatment. The average duration of one electrostimulation session was 17 min, stimulation frequency of a train 20–70 Hz, duration of 2–3 s, intervals 2–3 s, pulses intensity 18–45 mA. The algorithm change was based on objective tests of subsequent surface electromyography (sEMG), and electroneurography (ENG) recordings. The same neurophysiological studies were also performed in patients after C2-Th12 iSCI treated with kinesiotherapy only (K group, N = 25) and compared with patients treated with both kinesiotherapy and electrostimulation (K + E, N = 42). The study revealed improvements in sEMG parameters recorded from tibialis anterior, gastrocnemius, extensor digitorum brevis muscles, and ENG evoked a compound muscle action potential recorded following bilateral stimulation of more peroneal than tibial nerves. Neurophysiological recordings had significantly better parameters in the K + E group of patients after therapy but not in the K group patients. The improvement of the motor transmission peripherally may reflect the specific neuromodulatory effect of FES algorithm evaluated with sEMG and ENG. FES may inhibit degeneration of axons and support functional recovery after iSCI.

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