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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


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)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Europa Medicophysica 2004 December;40(4):273-5

lingua: Inglese

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


FULL TEXT  


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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