Electrical stimulation in lower motoneuron lesions, from scientific evidence to clinical practice: a successful transition

Long pulse stimulation in its application in everyday clinical practice still represents a challenge for many therapists and clinicians. It is often unclear how the intervention setup, in particular the parameters pulse width, frequency and amplitude, can influence muscle morphology. In addition, t...

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Main Authors: Ines Bersch, Winfried Mayr
Format: Article
Language:English
Published: PAGEPress Publications 2023-06-01
Series:European Journal of Translational Myology
Subjects:
Online Access:https://www.pagepressjournals.org/index.php/bam/article/view/11230
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author Ines Bersch
Winfried Mayr
author_facet Ines Bersch
Winfried Mayr
author_sort Ines Bersch
collection DOAJ
description Long pulse stimulation in its application in everyday clinical practice still represents a challenge for many therapists and clinicians. It is often unclear how the intervention setup, in particular the parameters pulse width, frequency and amplitude, can influence muscle morphology. In addition, the cause of damage to the lower motoneuron can have multiple reasons and is not anatomically located at the same site. Given the large heterogeneity, it is essential to know the current options and limitations in order to carry out a targeted treatment. A retrospective data analysis of n=128 patients, seen at the Swiss Paraplegic Centre (SPC) in 2022, shows a broad variability in manifestation of lower motoneuron damage. Treatment examples based on different causes of lower motoneuron damage are shown and corresponding stimulation programmes are assigned, as well as the expected results in terms of stimulation duration, volume and configuration.
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spelling doaj.art-eebf1befc38a4d7288222833f08cdee02023-06-08T22:50:09ZengPAGEPress PublicationsEuropean Journal of Translational Myology2037-74522037-74602023-06-0110.4081/ejtm.2023.11230Electrical stimulation in lower motoneuron lesions, from scientific evidence to clinical practice: a successful transitionInes Bersch0Winfried Mayr1International FES Centre®, Swiss Paraplegic Centre, NottwilMedical University of Vienna, Center for Medical Physics and Biomedical Engineering, Vienna Long pulse stimulation in its application in everyday clinical practice still represents a challenge for many therapists and clinicians. It is often unclear how the intervention setup, in particular the parameters pulse width, frequency and amplitude, can influence muscle morphology. In addition, the cause of damage to the lower motoneuron can have multiple reasons and is not anatomically located at the same site. Given the large heterogeneity, it is essential to know the current options and limitations in order to carry out a targeted treatment. A retrospective data analysis of n=128 patients, seen at the Swiss Paraplegic Centre (SPC) in 2022, shows a broad variability in manifestation of lower motoneuron damage. Treatment examples based on different causes of lower motoneuron damage are shown and corresponding stimulation programmes are assigned, as well as the expected results in terms of stimulation duration, volume and configuration. https://www.pagepressjournals.org/index.php/bam/article/view/11230Long pulse stimulationdenervationlower motoneuron damage
spellingShingle Ines Bersch
Winfried Mayr
Electrical stimulation in lower motoneuron lesions, from scientific evidence to clinical practice: a successful transition
European Journal of Translational Myology
Long pulse stimulation
denervation
lower motoneuron damage
title Electrical stimulation in lower motoneuron lesions, from scientific evidence to clinical practice: a successful transition
title_full Electrical stimulation in lower motoneuron lesions, from scientific evidence to clinical practice: a successful transition
title_fullStr Electrical stimulation in lower motoneuron lesions, from scientific evidence to clinical practice: a successful transition
title_full_unstemmed Electrical stimulation in lower motoneuron lesions, from scientific evidence to clinical practice: a successful transition
title_short Electrical stimulation in lower motoneuron lesions, from scientific evidence to clinical practice: a successful transition
title_sort electrical stimulation in lower motoneuron lesions from scientific evidence to clinical practice a successful transition
topic Long pulse stimulation
denervation
lower motoneuron damage
url https://www.pagepressjournals.org/index.php/bam/article/view/11230
work_keys_str_mv AT inesbersch electricalstimulationinlowermotoneuronlesionsfromscientificevidencetoclinicalpracticeasuccessfultransition
AT winfriedmayr electricalstimulationinlowermotoneuronlesionsfromscientificevidencetoclinicalpracticeasuccessfultransition