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1/2022 vol. 29
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RESEARCH PAPER
Results of a long-term uniform system of neurorehabilitation in patients with incomplete thoracic spinal cord injury
Agnieszka Wincek 1
,
 
Juliusz Huber 1
,
 
Katarzyna Leszczyńska 1
,
 
Wojciech Fortuna 2,3
,
 
Stefan Okurowski 4
,
 
Paweł Tabakow 2
 
 
 
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1
Department of Pathophysiology of Locomotor Organs, University of Medical Sciences, Poznań, Poland
 
2
Department of Neurosurgery, Medical University, Wrocław, Poland
 
3
Bacteriophage Laboratory, Ludwik Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wrocław, Poland
 
4
Neurorehabilitation Centre for Treatment of Spinal Cord Injuries AKSON, Wrocław, Poland
 
 
Corresponding author
Juliusz Huber   

Department of Pathophysiology of Locomotor Organs, Poznań University of Medical Sciences, Poznań, Poland
 
 
Ann Agric Environ Med. 2022;29(1):94-102
DOI: https://doi.org/10.26444/aaem/135554
 
 
Article (PDF)
References (32)
 
KEYWORDS
rehabilitation
exercise
electromyography
spinal cord injury
neurophysiology
motor evoked potentials
 
TOPICS
Work-related accidents and injuries in agriculture, forestry, food industry and wood industry: incidence, causes, social aspects and prevention
 
ABSTRACT
Introduction and objective:
The results of kinesiotherapy treatment in patients after incomplete spinal cord injury (iSCI) are inconclusive, mostly due to different, subjective evaluation methods. The study aims to evaluate the range of functional regeneration in long-term 13 months follow-up using comparative neurophysiological tests after uniform kinesiotherapy in patients with thoracic iSCI.

Material and methods:
Comparative tests were performed of sensory perception in dermatomes Th1-S1, electromyography (at rest-rEMG and during maximal contraction-mcEMG) in the muscles of the trunk and lower extremities, electroneurography (ENG) of the motor fibres of the lower extremities, and motor-evoked potential induced transcranially (MEP) before and after treatment in 25 iSCI patients. All subjects were treated with the same kinesiotherapeutic procedures.

Results:
A moderate increase was found in amplitudes in rEMG and mcEMG recordings fromthe rectus abdominis and rectus femoris muscles, MEPs amplitudes, and amplitudes after peroneal nerve stimulations in ENG studies. There was no improvement in sensory perception.

Conclusions:
Following the proposed kinesiotherapy algorithm, patients after thoracic iSCI presented a moderate more motor than sensory functions improvement. Applied neurorehabilitation evoked normalization of muscle tension, moderate improvement of rectus abdominis and rectus femoris muscles motor units activity, and motor central and peripheral neural impulses transmission. The comparative neurophysiological assessment provide a more precise and objective insight into the functional status of afferent and efferent systems than the classical clinical approach in iSCI patients.

Wincek A, Huber J, Leszczyńska K, Fortuna W, Okurowski S, Tabakow P. Results of a long-term uniform system of neurorehabilitation in patients with incomplete thoracic spinal cord injury. Ann Agric Environ Med. Doi: 10.26444/aaem/135554
 
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