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Electroneuromyographic assessment of the effectiveness of temporal epidural electroneurostimulation combined with robotic kinesiotherapy in the treatment of patients suffering from the consequences of spinal cord injury

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Abstract

Electroneuromyography (ENMG) was used to assess the effectiveness of a short combined neurorehabilitation course (temporal epidural stimulation of the spinal cord combined with robotic kinesiotherapy) in the restorative treatment of patients with traumatic spinal cord disease. Before and after the combined instrumental neurorehabilitation course (the duration was from two to three weeks), 75 patients suffering from consequences of the spinal cord injury were tested. Global and stimulation (H-reflex, M-response) electromyography methods were used. On the basis of the ENMG data, the indices of sensorimotor deficit (ISD) and their postrehabilitation trends were calculated. The ENMG signs of regression of sensorimotor deficit in the lower extremities were observed in 46.6% of the cases; those in the upper extremities (if the cervical spine was damaged) were found in 78.6% of the cases. The stabilizing effect of the neurorehabilitation technique used was observed in an average of 24.0% of the cases. In 18.8% of the cases, the use of the combined neurorehabilitation technique was ineffective. The indications for the use of the combined neurorehabilitation course series should include the ENMG signs of the partial preservation of the corticospinal tract conduction and a positive ISD trend after completion of each course.

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Authors and Affiliations

  1. Ilizarov Russian Research Center for Restorative Traumatology and Orthopedics, Kurgan, Russia

    A. P. Shein, G. A. Krivoruchko & O. G. Prudnikova

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  1. A. P. Shein
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  2. G. A. Krivoruchko
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  3. O. G. Prudnikova
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Correspondence to A. P. Shein.

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Original Russian Text © A.P. Shein, G.A. Krivoruchko, O.G. Prudnikova, 2015, published in Fiziologiya Cheloveka, 2015, Vol. 41, No. 2, pp. 98–104.

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Shein, A.P., Krivoruchko, G.A. & Prudnikova, O.G. Electroneuromyographic assessment of the effectiveness of temporal epidural electroneurostimulation combined with robotic kinesiotherapy in the treatment of patients suffering from the consequences of spinal cord injury. Hum Physiol 41, 196–201 (2015). https://doi.org/10.1134/S0362119715010132

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