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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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Europa Medicophysica 2004 December;40(4):273-5

language: English

Improvement of muscle strenght independently of analgesic effect following spinal cord stimulation. A case report

Buonocore M. 1, Demartini L. 2, Bonezzi C. 2

1 Unit of Clinical Neurophysiology Salvatore Maugeri Foundation Scientific Institute of Pavia, Pavia, Italy
2 Unit of Pain Medicine Salvatore Maugeri Foundation Scientific Institute of Pavia, Pavia, Italy


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Spinal ­cord stim­u­la­tion (SCS) is fre­quent­ly ­used for ­relief of chron­ic ­benign ­pain resist­ant to con­ser­va­tive ther­a­pies. Clinical prac­tice sug­gests, at ­least in ­patients ­with ­failed ­back sur­gery syn­drome (­FBSS), the pos­sibil­ity ­that SCS sig­nif­i­cant­ly ­improves ­motor per­for­manc­es. We ­present ­here the ­case of a 41-­years-old ­female ­patient ­with ­FBSS, who ­showed a ­clear improve­ment in mus­cle ­strength ­after SCS, per­sist­ing at 6-­months fol­low-up. We spec­u­late ­that the electri­cal stim­u­la­tion of pos­te­ri­or col­umns ­could pot­en­tiate the cau­dal, seg­men­tal spi­nal reflex­es result­ing in a facil­i­ta­tion of mot­o­neu­rons acti­va­tion.

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