Impact of specific symptoms of spasticity on voluntary lower limb muscle function, gait and daily activities during subacute and chronic spinal cord injury

2013 ◽  
Vol 33 (4) ◽  
pp. 531-543 ◽  
Author(s):  
E. Bravo-Esteban ◽  
J. Taylor ◽  
J. Abián-Vicén ◽  
S. Albu ◽  
C. Simón-Martínez ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Lower Limb ◽  
Muscle Function ◽  
Daily Activities ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Chronic Spinal Cord Injury ◽  
Cord Injury ◽  
Specific Symptoms

Maintenance of cutaneomuscular neuronal excitability after leg-cycling predicts lower limb muscle strength after incomplete spinal cord injury

2016 ◽  
Vol 127 (6) ◽  
pp. 2402-2409 ◽  
Author(s):  
Stefano Piazza ◽  
Julio Gómez-Soriano ◽  
Elisabeth Bravo-Esteban ◽  
Diego Torricelli ◽  
Gerardo Avila-Martin ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Muscle Strength ◽  
Lower Limb ◽  
Neuronal Excitability ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury ◽  
Leg Cycling

scholarly journals Dyspnea During Daily Activities in Chronic Spinal Cord Injury

2005 ◽  
Vol 86 (8) ◽  
pp. 1631-1635 ◽  
Author(s):  
Noel F. Grandas ◽  
Nitin B. Jain ◽  
Joan B. Denckla ◽  
Robert Brown ◽  
Carlos G. Tun ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Daily Activities ◽  
Chronic Spinal Cord Injury ◽  
Cord Injury

Lower-limb exoskeletons for individuals with chronic spinal cord injury: findings from a feasibility study

2015 ◽  
Vol 30 (1) ◽  
pp. 73-84 ◽  
Author(s):  
Ian Benson ◽  
Kirsten Hart ◽  
Dot Tussler ◽  
Joost J van Middendorp
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Feasibility Study ◽  
Lower Limb ◽  
Chronic Spinal Cord Injury ◽  
Cord Injury

scholarly journals Effects of repetitive transcranial magnetic stimulation on recovery in lower limb muscle strength and gait function following spinal cord injury: a randomized controlled trial

Spinal Cord ◽  
2021 ◽  
Author(s):  
Søren Krogh ◽  
Per Aagaard ◽  
Anette Bach Jønsson ◽  
Krystian Figlewski ◽  
Helge Kasch
Keyword(s):  
Spinal Cord ◽  
Muscle Strength ◽  
Lower Limb ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Sham Stimulation ◽  
Cord Injury ◽  
Gait Function

Abstract Study design Randomized sham-controlled clinical trial. Objectives The objective of this study is to investigate the effects of repetitive transcranial magnetic stimulation (rTMS) compared to sham stimulation, on the development of lower limb muscle strength and gait function during rehabilitation of spinal cord injury (SCI). Setting SCI rehabilitation hospital in Viborg, Denmark. Methods Twenty individuals with SCI were randomized to receive rTMS (REAL, n = 11) or sham stimulation (SHAM, n = 9) and usual care for 4 weeks. rTMS (20 Hz, 1800 pulses per session) or sham stimulation was delivered over leg M1 Monday–Friday before lower limb resistance training or physical therapy. Lower limb maximal muscle strength (MVC) and gait function were assessed pre- and post intervention. Lower extremity motor score (LEMS) was assessed at admission and at discharge. Results One individual dropped out due to seizure. More prominent increases in total leg (effect size (ES): 0.40), knee flexor (ES: 0.29), and knee extensor MVC (ES: 0.34) were observed in REAL compared to SHAM; however, repeated-measures ANOVA revealed no clear main effects for any outcome measure (treatment p > 0.15, treatment × time p > 0.76, time p > 0.23). LEMS improved significantly for REAL at discharge, but not for SHAM, and REAL demonstrated greater improvement in LEMS than SHAM (p < 0.02). Similar improvements in gait performance were observed between groups. Conclusions High-frequency rTMS may increase long-term training-induced recovery of lower limb muscle strength following SCI. The effect on short-term recovery is unclear. Four weeks of rTMS, when delivered in conjunction with resistance training, has no effect on recovery of gait function, indicating a task-specific training effect.

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