Results of a long-term uniform system of neurorehabilitation in patients with incomplete thoracic spinal cord injury
Introduction and objective The results of kinesiotherapy treatment in patients after incomplete spinal cord injury (iSCI) are inconclusive, mostly due to different, subjective evaluation methods. The study aims to evaluate the range of functional regeneration in long-term 13 months follow-up using c...
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| Format: | Article |
| Language: | English |
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Institute of Rural Health
2021-04-01
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| Series: | Annals of Agricultural and Environmental Medicine |
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| Online Access: | http://www.aaem.pl/Results-of-a-long-term-uniform-system-of-neurorehabilitation-in-patients-with-incomplete,135554,0,2.html |
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| author | Agnieszka Wincek Juliusz Huber Katarzyna Leszczyńska Wojciech Fortuna Stefan Okurowski Paweł Tabakow |
| author_facet | Agnieszka Wincek Juliusz Huber Katarzyna Leszczyńska Wojciech Fortuna Stefan Okurowski Paweł Tabakow |
| author_sort | Agnieszka Wincek |
| collection | DOAJ |
| description | Introduction and objective
The results of kinesiotherapy treatment in patients after incomplete spinal cord injury (iSCI) are inconclusive, mostly due to different, subjective evaluation methods. The study aims to evaluate the range of functional regeneration in long-term 13 months follow-up using comparative neurophysiological tests after uniform kinesiotherapy in patients with thoracic iSCI.
Material and methods
Comparative tests were performed of sensory perception in dermatomes Th1-S1, electromyography (at rest-rEMG and during maximal contraction-mcEMG) in the muscles of the trunk and lower extremities, electroneurography (ENG) of the motor fibres of the lower extremities, and motor-evoked potential induced transcranially (MEP) before and after treatment in 25 iSCI patients. All subjects were treated with the same kinesiotherapeutic procedures.
Results
A moderate increase was found in amplitudes in rEMG and mcEMG recordings fromthe rectus abdominis and rectus femoris muscles, MEPs amplitudes, and amplitudes after peroneal nerve stimulations in ENG studies. There was no improvement in sensory perception.
Conclusions
Following the proposed kinesiotherapy algorithm, patients after thoracic iSCI presented a moderate more motor than sensory functions improvement. Applied neurorehabilitation evoked normalization of muscle tension, moderate improvement of rectus abdominis and rectus femoris muscles motor units activity, and motor central and peripheral neural impulses transmission. The comparative neurophysiological assessment provide a more precise and objective insight into the functional status of afferent and efferent systems than the classical clinical approach in iSCI patients. |
| first_indexed | 2024-12-13T07:24:56Z |
| format | Article |
| id | doaj.art-a32394a69143486eb85a6d7a2b8601b9 |
| institution | Directory Open Access Journal |
| issn | 1232-1966 1898-2263 |
| language | English |
| last_indexed | 2024-12-13T07:24:56Z |
| publishDate | 2021-04-01 |
| publisher | Institute of Rural Health |
| record_format | Article |
| series | Annals of Agricultural and Environmental Medicine |
| spelling | doaj.art-a32394a69143486eb85a6d7a2b8601b92022-12-21T23:55:20ZengInstitute of Rural HealthAnnals of Agricultural and Environmental Medicine1232-19661898-22632021-04-012919410210.26444/aaem/135554135554Results of a long-term uniform system of neurorehabilitation in patients with incomplete thoracic spinal cord injuryAgnieszka Wincek0https://orcid.org/0000-0002-7735-9893Juliusz Huber1https://orcid.org/0000-0002-8671-0497Katarzyna Leszczyńska2https://orcid.org/0000-0003-2107-6461Wojciech Fortuna3https://orcid.org/0000-0002-5019-1680Stefan Okurowski4https://orcid.org/0000-0003-4859-6256Paweł Tabakow5https://orcid.org/0000-0001-8638-3871Department of Pathophysiology of Locomotor Organs, University of Medical Sciences, Poznań, PolandDepartment of Pathophysiology of Locomotor Organs, University of Medical Sciences, Poznań, PolandDepartment of Pathophysiology of Locomotor Organs, University of Medical Sciences, Poznań, PolandDepartment of Neurosurgery, Medical University, Wrocław, PolandNeurorehabilitation Centre for Treatment of Spinal Cord Injuries AKSON, Wrocław, PolandDepartment of Neurosurgery, Medical University, Wrocław, PolandIntroduction and objective The results of kinesiotherapy treatment in patients after incomplete spinal cord injury (iSCI) are inconclusive, mostly due to different, subjective evaluation methods. The study aims to evaluate the range of functional regeneration in long-term 13 months follow-up using comparative neurophysiological tests after uniform kinesiotherapy in patients with thoracic iSCI. Material and methods Comparative tests were performed of sensory perception in dermatomes Th1-S1, electromyography (at rest-rEMG and during maximal contraction-mcEMG) in the muscles of the trunk and lower extremities, electroneurography (ENG) of the motor fibres of the lower extremities, and motor-evoked potential induced transcranially (MEP) before and after treatment in 25 iSCI patients. All subjects were treated with the same kinesiotherapeutic procedures. Results A moderate increase was found in amplitudes in rEMG and mcEMG recordings fromthe rectus abdominis and rectus femoris muscles, MEPs amplitudes, and amplitudes after peroneal nerve stimulations in ENG studies. There was no improvement in sensory perception. Conclusions Following the proposed kinesiotherapy algorithm, patients after thoracic iSCI presented a moderate more motor than sensory functions improvement. Applied neurorehabilitation evoked normalization of muscle tension, moderate improvement of rectus abdominis and rectus femoris muscles motor units activity, and motor central and peripheral neural impulses transmission. The comparative neurophysiological assessment provide a more precise and objective insight into the functional status of afferent and efferent systems than the classical clinical approach in iSCI patients.http://www.aaem.pl/Results-of-a-long-term-uniform-system-of-neurorehabilitation-in-patients-with-incomplete,135554,0,2.htmlrehabilitationexerciseelectromyographyspinal cord injuryneurophysiologymotor evoked potentials |
| spellingShingle | Agnieszka Wincek Juliusz Huber Katarzyna Leszczyńska Wojciech Fortuna Stefan Okurowski Paweł Tabakow Results of a long-term uniform system of neurorehabilitation in patients with incomplete thoracic spinal cord injury Annals of Agricultural and Environmental Medicine rehabilitation exercise electromyography spinal cord injury neurophysiology motor evoked potentials |
| title | Results of a long-term uniform system of neurorehabilitation in patients with incomplete thoracic spinal cord injury |
| title_full | Results of a long-term uniform system of neurorehabilitation in patients with incomplete thoracic spinal cord injury |
| title_fullStr | Results of a long-term uniform system of neurorehabilitation in patients with incomplete thoracic spinal cord injury |
| title_full_unstemmed | Results of a long-term uniform system of neurorehabilitation in patients with incomplete thoracic spinal cord injury |
| title_short | Results of a long-term uniform system of neurorehabilitation in patients with incomplete thoracic spinal cord injury |
| title_sort | results of a long term uniform system of neurorehabilitation in patients with incomplete thoracic spinal cord injury |
| topic | rehabilitation exercise electromyography spinal cord injury neurophysiology motor evoked potentials |
| url | http://www.aaem.pl/Results-of-a-long-term-uniform-system-of-neurorehabilitation-in-patients-with-incomplete,135554,0,2.html |
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