Electrical Stimulation

  • Peter W. Rossi
Part of the Current Clinical Neurology book series (CCNEU)


Spasticity is one of the most common problems faced by rehabilitation physicians. It represents a disorder of upper motor neuron pathways and is often a permanent clinical accompaniment of a variety of illnesses including stroke, traumatic brain injury, multiple sclerosis (MS), spinal-cord injury, and cerebral palsy (CP). It is estimated that spasticity affects approx 6 million people each year (1). Spasticity may disrupt activities of daily living, produce disabling and debilitating pain, and limit the efficacy of physical therapy.


Cerebral Palsy Functional Electrical Stimulation Transcutaneous Electrical Nerve Stimulation Flexor Carpal Radialis Spastic Muscle 
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  1. 1.
    Bishop, B. (1977) Spasticity: its physiology and management: part II. Neuro-physiology of spasticity: current concepts. Phys. Ther. 57, 377–383.PubMedGoogle Scholar
  2. 2.
    Lance, J. W. (1980) Spasticity and disordered motor control (Feldman, R. G. and Young, R. R., eds.), Yearbook, Chicago, pp. 485–494.Google Scholar
  3. 3.
    Seib, T. P., Price, R., Reyes, M. R., and Lehmann, J. F. The quantitative measurement of spasticity: effective cutaneous stimulation. Arch. Phys. Med. Rehabil. 75, 746–750.Google Scholar
  4. 4.
    Weingerden, H. P., Zeilig, G., Heruti, R., Shemesh, Y., Ohry, A., Dar, A., et al. (1998) Hybrid functional electrical stimulation orthosis system for the upper limb: effects on spasticity in chronic stable hemiplegia. Am. J. Phys. Med. Rehabil. 77, 276–280.CrossRefGoogle Scholar
  5. 5.
    Walker, J. B. (1982) Modulation of spasticity: prolonged suppression of spinal reflex by electrical stimulation. Science 216, 203–204.PubMedCrossRefGoogle Scholar
  6. 6.
    Dimitrijevic, M., Illis, L., Nakajima, K., Sharkey, P., and Sherwood, A. (1986) Spinal cord stimulation for the control of spasticity in patients with chronic spinal cord injury: II neurophysiologic observations. CNS Trauma 3, 145–152.Google Scholar
  7. 7.
    Robinson, C., Kett, N., and Bolam, J. (1988) Spasticity in spinal cord injured patients: initial measures and long term effects of surface electrical stimulation. Arch. Phys. Med. Rehabil. 69, 862–868.Google Scholar
  8. 8.
    Vodovnik, L. (1981) Therapeutic affects of functional electrical stimulation. Med. Biol. Eng. Comput. 19, 470–478.PubMedCrossRefGoogle Scholar
  9. 9.
    Levine, M., Knott, M., and Kabat, H. (1952) Relaxation of spasticity by electrical stimulation of the antagonist muscles. Arch. Phys. Med. Rehabil. 33, 668–673.PubMedGoogle Scholar
  10. 10.
    Alfieri, V. (1982) Electrical treatment of spasticity. Scand. J. Rehabil. Med. 14, 177–182.PubMedGoogle Scholar
  11. 11.
    Bajd, D. T., Kralj, A., Turkh, H., Benko, H., and Sega, J. (1989) Use of functional electrical stimulation in the rehabilitation of patients with incomplete spinal cord injuries. J. Biomed. Eng. 11, 96–102.PubMedCrossRefGoogle Scholar
  12. 12.
    Cooper, I. S. (1973) Effect of stimulation of posterior cerebellum on neurological disease (Letter). Lancet 1, 13–21.Google Scholar
  13. 13.
    Cooper, I. S., Riklan, M., Amin, I., Waltz, J. M., and Cullihan, M. (1976) Chronic cerebrallar stimulation in cerebral palsy. Neurology 16, 744–753.CrossRefGoogle Scholar
  14. 14.
    Cooper, I. S., Riklan, M., Tabaddor, K., Cullihan, T., Amin, I., and Walkins, E. S. (1978) Cerebellar stimulation in man. (Cooper, I. S., ed.), Raven Press, New York, NY, pp. 59–99.Google Scholar
  15. 15.
    Hummelsheim, H., Maier-Loth, M., and Eickhof, C. (1997) Functional value of electrical muscle stimulation for the rehabilitation of the hand in stroke patients. Scand. J. Rehabil. Med. 29, 3–10.PubMedGoogle Scholar
  16. 16.
    Goulet, C., Arsenault, A. B., Bourbonnais, D., Laramee, M. T., and Lapage, Y. (1996) Effects of transcutaneous electrical nerve stimulation on the H-reflex on spinal spasticity. Scand. J. Rehabil. Med. 28, 169–176.PubMedGoogle Scholar
  17. 17.
    Hesse, S., Reiter, F., Konrad, M., and Jahnke, M. T. (1998) Botulinum toxin type A in short term electrical stimulation in the treatment of upper limb flexor spasticity after stroke: a randomized, double blind, placebo controlled trial. Clin. Rehabil. 12, 381–388.PubMedCrossRefGoogle Scholar
  18. 18.
    Wang, R. Y., Tsai, M. W., and Chan, R. C. (1998) Effects of surface spinal cord stimulation on spasticity and quantitative assessment of muscle tone in hemiplegic patients. Am. J. Phys. Med. Rehabil. 77, 283–287.CrossRefGoogle Scholar
  19. 19.
    Midha, M. and Schmitt, J. K. (1998) Epidural spinal cord stimulation for the control of spasticity in spinal cord injured patients lacks long term efficacy and is not cost effective. Spinal Cord. 36, 190–192.PubMedCrossRefGoogle Scholar
  20. 20.
    Baker, L., Yeh, H. C., Wilson, D., and Waters, R. L. (1979) Electrical stimulation of wrist and fingers for hemiplegic patients. Phys. Ther. 5912, 1495–1499.Google Scholar
  21. 21.
    Levin, M. E. and Hui-Chan, C. W. Y. (1992) Relief of hemiparetic spasticity by TENS is associated with importance in reflex and voluntary motor functions. Electroencephalogr. Clin. Neurophysiol. 85, 131–142.PubMedCrossRefGoogle Scholar
  22. 22.
    Dewald, J. P., Given, J. D., and Rymer, W. Z. (1996) Long lasting reductions of spasticity induced by skin electrical stimulation. IEEE Trans. Rehabil. R. Eng. 4, 231–242.CrossRefGoogle Scholar
  23. 23.
    Bajd, T., Gregoric, M., Vodovnik, L., and Benko, H. (1985) Electrical stimulation in treating spasticity resulting from spinal cord injury. Arch. Phys. Med. Rehabil. 66, 515–517.PubMedGoogle Scholar
  24. 24.
    Franek, A., Turczynski, B., and Opara, J. (1988) Treatment of spinal spasticity by electrical stimulation. J. Biomed. Eng. 10, 266–270.PubMedCrossRefGoogle Scholar
  25. 25.
    Goulet, C., Arsenault, A. B., Bourbonnais, D., Laramee, M. T., and Lapage, Y. (1996) Effects of transcutaneous electrical nerve stimulation on H-reflex and spinal spasticity. Scand. J. Rehabil. Med. 28, 169–176.PubMedGoogle Scholar
  26. 26.
    Barolat-Romana, G., Myklebust, J. B., Hemmy, D. C., Myklebust, B., and Wenninger, W. (1985) Immediate effects of spinal cord stimulation in spinal spasticity. J. Neuro. Surg. 62, 558–562.Google Scholar
  27. 27.
    Gildenberg, P. L. (1978) Treatment of spasmodic torticollis by dorsal column stimulation. Appl. Neurophysiol. 31, 113–121.Google Scholar
  28. 28.
    Cook, A. W. and Weinstein, S. P. (1973) Chronic dorsal column stimulation in multiple sclerosis. Preliminary report. NY State J. Med. 73, 286–287.Google Scholar
  29. 29.
    Berg, V., Bergmann, S., Hovdal, H., Hunstad, N., Johnsen, H. L., Levin, L., and Sjaastad, 0. (1982) The value of dorsal column stimulation in multiple sclerosis. Scand. J. Rehabil. Med. 14, 183–191.PubMedGoogle Scholar
  30. 30.
    Nielsen, J. F., Sinkjaer, T., and Jakoben, J. (1996) Treatment of spasticity with repetitive magnetic stimulation; a double-blind placebo-controlled study. Mult. Scler. 2, 227–232.PubMedGoogle Scholar
  31. 31.
    Carmick, J. (1993) Clinical use of neuromuscular electrical stimulation with cerebral palsy, Part I: Lower extremity. Phys. Ther. 73, 505–513.PubMedGoogle Scholar
  32. 32.
    Steinbok, P., Reiner, A., and Kestle, J. R. W. (1997) Therapeutic electrical stimulation following selective posterior rhizotomy in children with spastic diplegic cerebral palsy: a randomized clinical trial. Dey. Med. Child. Neurol. 39, 515–520.CrossRefGoogle Scholar

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© Springer Science+Business Media New York 2002

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  • Peter W. Rossi

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