Spinal cord injury and electrical stimulation: analysis of neuroplasticity in a case report.

IF 1.3 Q3 REHABILITATION
Frontiers in rehabilitation sciences Pub Date : 2025-06-19 eCollection Date: 2025-01-01 DOI:10.3389/fresc.2025.1557010
Orcizo Francisco Silvestre, Julia Silva E Lima Schleder, Bruna Valentina Zuchatti, Cintia Kelly Bittar, Carla Alves Fakih, Marina Squarizi Simões Chagas, Vinicius Taboni Lisboa, Alberto Cliquet Junior
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Abstract

Introduction: Spinal Cord Injury (SCI) is a highly prevalent condition, with just below 1 million new cases yearly, deriving for traumatic and non-traumatic causes. It is a significant cause for disability, greatly impacting quality of life of affected individuals, and as such, requires effective rehabilitation methods in order to maintain daily function. Neuromuscular Electrical Stimulation (NMES) is a helpful treatment, stimulating muscle contraction and plasticity through electrical currents.

Methods: This is a Case-Report of two cases with different SCI causes, submitted to a 1-year treatment with NMES under identical protocols. ASIA neurological examination with AIS classification was performed before and after treatment, as well as surface Electromyographic assessment for the Vastus Lateralis and Rectus Femoris muscles bilaterally.

Results: Neurological recovery was remarkable after 1 year, with AIS increasing from a score of A to C in the first case and B to C in the second. EMG assessment showed a bilateral increase of peak values as well as successful Quadriceps muscle contraction generating knee extension.

Conclusion: Neuromuscular electrical stimulation may be a promising strategy in the rehabilitation of spinal cord injuries, with the potential to aid in functional recovery and modulation of neuroplasticity. Preliminary observations, such as those in this case report, suggest that the technique may be associated with improvements in mobility and quality of life in patients, although controlled studies are needed to confirm these effects.

脊髓损伤与电刺激:1例神经可塑性分析。
简介:脊髓损伤(SCI)是一种非常普遍的疾病,每年有不到100万的新病例,由创伤性和非创伤性原因引起。这是导致残疾的一个重要原因,极大地影响了患者的生活质量,因此,需要有效的康复方法来维持日常功能。神经肌肉电刺激(NMES)是一种有用的治疗方法,通过电流刺激肌肉收缩和可塑性。方法:本文报告了两例不同原因的脊髓损伤病例,在相同的方案下接受了1年的NMES治疗。治疗前后分别行AIS分类的ASIA神经学检查,并对双侧股外侧肌和股直肌进行表面肌电图评估。结果:1年后患者神经功能恢复明显,AIS评分由1例的a到C, 2例的B到C。肌电图评估显示双侧峰值增加以及成功的股四头肌收缩产生膝关节伸展。结论:神经肌肉电刺激可能是一种很有前景的脊髓损伤康复策略,具有帮助功能恢复和调节神经可塑性的潜力。初步观察结果,如本病例报告,表明该技术可能与患者活动能力和生活质量的改善有关,尽管需要对照研究来证实这些效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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