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Electrical spinal cord stimulation for spastic movement disorders.

J Siegfried, J U Krainick, H Haas

    Applied Neurophysiology
    |January 1, 1978
    PubMed
    Summary
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    Spinal cord stimulation effectively reduces spasticity, as shown by long-term clinical and objective reflex data from two clinics. Animal studies suggest potential mechanisms for this promising treatment.

    Area of Science:

    • Neurology
    • Neurosurgery
    • Rehabilitation Medicine

    Background:

    • Spasticity is a common neurological symptom impacting quality of life.
    • Spinal cord stimulation (SCS) is an emerging therapeutic option for managing spasticity.

    Purpose of the Study:

    • To evaluate the long-term efficacy of spinal cord stimulation in reducing spasticity.
    • To correlate clinical observations with objective neurophysiological measurements.

    Main Methods:

    • Retrospective analysis of patient data from two specialized clinics.
    • Long-term follow-up (up to 28 months) including clinical assessments.
    • Objective measurement of stretch reflexes and H reflexes.

    Main Results:

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  • Clinical assessments demonstrated significant spasticity improvement.
  • Objective data from stretch and H reflex measurements supported the clinical findings.
  • Consistent positive outcomes were observed over the long-term assessment period.

    • Conclusions:

    • Spinal cord stimulation is a promising method for long-term spasticity management.
    • Objective neurophysiological data validate the clinical benefits of SCS for spasticity.
    • Further research, including animal studies, is needed to elucidate the underlying mechanisms.