Sandra Jia Yi Lau, Pan Zi Hang, Wu Lijia, Chen Jing
{"title":"使用便携式经皮脊髓刺激装置有效治疗完全性脊髓损伤患者的直立性低血压:1例报告。","authors":"Sandra Jia Yi Lau, Pan Zi Hang, Wu Lijia, Chen Jing","doi":"10.1080/10790268.2025.2496566","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>Orthostatic hypotension (OH) is a debilitating condition in spinal cord injury (SCI) patients, characterized by impaired autonomic regulation and significant drops in blood pressure (BP) upon upright positioning. Despite pharmacological and non-pharmacological interventions, OH often persists, limiting rehabilitation progression and daily functional activities. Transcutaneous spinal cord stimulation (tSCS), is a non-invasive modality that has shown promise in addressing cardiovascular dysregulation. However, clinical application of tSCS is often constrained by availability.</p><p><strong>Findings: </strong>This case report describes a novel application of a commercially available neuromuscular electrical stimulation (NMES) device, adapted for transcutaneous spinal cord stimulation, in a 49-year-old male with C5 complete SCI and severe OH refractory to conventional treatments. The intervention demonstrated immediate stabilization of BP and symptom resolution during upright positioning, enabling significant functional gains, including improved sitting tolerance and enhanced quality of life.</p><p><strong>Conclusion: </strong>These findings suggest that NMES can be a cost-effective and portable alternative to traditional tSCS, and may broaden therapeutic options for managing OH in SCI patients. Further research is warranted to validate these results and optimize its clinical application.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-5"},"PeriodicalIF":1.5000,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effective management of orthostatic hypotension in a patient with complete spinal cord injury using a portable transcutaneous spinal cord stimulation device: A case report.\",\"authors\":\"Sandra Jia Yi Lau, Pan Zi Hang, Wu Lijia, Chen Jing\",\"doi\":\"10.1080/10790268.2025.2496566\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>Orthostatic hypotension (OH) is a debilitating condition in spinal cord injury (SCI) patients, characterized by impaired autonomic regulation and significant drops in blood pressure (BP) upon upright positioning. Despite pharmacological and non-pharmacological interventions, OH often persists, limiting rehabilitation progression and daily functional activities. Transcutaneous spinal cord stimulation (tSCS), is a non-invasive modality that has shown promise in addressing cardiovascular dysregulation. However, clinical application of tSCS is often constrained by availability.</p><p><strong>Findings: </strong>This case report describes a novel application of a commercially available neuromuscular electrical stimulation (NMES) device, adapted for transcutaneous spinal cord stimulation, in a 49-year-old male with C5 complete SCI and severe OH refractory to conventional treatments. The intervention demonstrated immediate stabilization of BP and symptom resolution during upright positioning, enabling significant functional gains, including improved sitting tolerance and enhanced quality of life.</p><p><strong>Conclusion: </strong>These findings suggest that NMES can be a cost-effective and portable alternative to traditional tSCS, and may broaden therapeutic options for managing OH in SCI patients. Further research is warranted to validate these results and optimize its clinical application.</p>\",\"PeriodicalId\":50044,\"journal\":{\"name\":\"Journal of Spinal Cord Medicine\",\"volume\":\" \",\"pages\":\"1-5\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-05-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Spinal Cord Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/10790268.2025.2496566\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Spinal Cord Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10790268.2025.2496566","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Effective management of orthostatic hypotension in a patient with complete spinal cord injury using a portable transcutaneous spinal cord stimulation device: A case report.
Context: Orthostatic hypotension (OH) is a debilitating condition in spinal cord injury (SCI) patients, characterized by impaired autonomic regulation and significant drops in blood pressure (BP) upon upright positioning. Despite pharmacological and non-pharmacological interventions, OH often persists, limiting rehabilitation progression and daily functional activities. Transcutaneous spinal cord stimulation (tSCS), is a non-invasive modality that has shown promise in addressing cardiovascular dysregulation. However, clinical application of tSCS is often constrained by availability.
Findings: This case report describes a novel application of a commercially available neuromuscular electrical stimulation (NMES) device, adapted for transcutaneous spinal cord stimulation, in a 49-year-old male with C5 complete SCI and severe OH refractory to conventional treatments. The intervention demonstrated immediate stabilization of BP and symptom resolution during upright positioning, enabling significant functional gains, including improved sitting tolerance and enhanced quality of life.
Conclusion: These findings suggest that NMES can be a cost-effective and portable alternative to traditional tSCS, and may broaden therapeutic options for managing OH in SCI patients. Further research is warranted to validate these results and optimize its clinical application.
期刊介绍:
For more than three decades, The Journal of Spinal Cord Medicine has reflected the evolution of the field of spinal cord medicine. From its inception as a newsletter for physicians striving to provide the best of care, JSCM has matured into an international journal that serves professionals from all disciplines—medicine, nursing, therapy, engineering, psychology and social work.