Summary
We studied the effects of spinal cord stimulation (SCS) on motor performances in patients with spastic hemiparesis due to cerebrovascular ischemic accident.
11 patients were evaluated before and after 7 days of SCS by means of the Albert’s motor scale and a surface polyelectromyography. SCS significantly improved motor performances in 63% of the patients. It reduced agonist-antagonist coactivation and clonus. Such an effect was particularly evident during voluntary movements and gait.
Supported by MPI 71365.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Albert A (1965) Bilan fonctionnel de l’hémiplégique adulte. Kinésithérapie 94: 13–33
Barolat-Romana R, Myklebust JB, Hemmy DC, Myklebust B, Wenninger W (1985) Immediate effects of spinal cord stimulation in spinal spasticity. J Neurosurg 62: 558–562
Campos RJ, Dimitrijevic MM, Dimitrijevic MR, Sharkey PL (1979) Suppression of decerebrate rigidity in patients with brainstem lesions by continuous spinal cord stimulation. Acta Neurol Scand 60 [Suppl] 73: 224
Campos RJ, Dimitrijevic MM, Faganel J, Sharkey PC (1981) Clinical evaluation of the effects of spinal cord stimulation on motor performances in patients with upper motor neuron lesions. Appl Neurophysiol 44: 141–151
Cook AW, Weinstein SP (1973) Chronic dorsal column stimulation in multiple sclerosis. NY State J Med 73: 2868–2872
Davis R, Gray E, Kudza J (1981) Beneficial augmentation following dorsal column stimulation in some neurological diseases. Appl Neurophysiol 44: 37–49
Dooley DM (1977) Demyelinating, degenerative and vascular diseases. Neurosurg 1: 220–224
Illis LS, Sedgwick EM, Tallis R (1980) Spinal cord stimulation in multiple sclerosis: clinical results. J Neurol Neurosurg Psychiatry 43: 1–14
Nakamura S, Tsubokawa T (1985) Evaluation of spinal cord stimulation for postapoplectic spastic hemiplegia. Neurosurg 17: 253–259
Siegfried J, Lazorthes Y, Broggi G (1981) Electrical spinal cord stimulation for spastic movement disorders. Appl Neurophysiol 44: 77–92
Waltz JM, Pani KC (1978) Spinal cord stimulation in disorders of the motor system. In: Advances in external control of human extremities. Yugoslav Comitee for Electronics and Automation, Belgrade, pp 545–556
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Springer-Verlag
About this paper
Cite this paper
Cioni, B., Meglio, M. (1987). Spinal Cord Stimulation Improves Motor Performances in Hemiplegics: Clinical and Neurophysiological Study. In: Gybels, J., Hitchcock, E.R., Meyerson, B., Ostertag, C., Rossi, G.F. (eds) Advances in Stereotactic and Functional Neurosurgery 7. Acta Neurochirurgica Supplementum, vol 39. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8909-2_27
Download citation
DOI: https://doi.org/10.1007/978-3-7091-8909-2_27
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-8911-5
Online ISBN: 978-3-7091-8909-2
eBook Packages: Springer Book Archive