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The role of the neurophysiological methods in the assessment of the effectiveness of the rehabilitation of sensorimotor disturbances associated...

Екушева Е. В., Воитенков В. Б., Скрипченко Н. В., Самоилова И. Г., Филимонов В. А.
Вопросы курортологии, физиотерапии и лечебной физической культуры
Т. 94, Вып. 6, С. 4-9
Опубликовано: 2017
Тип ресурса: Статья

DOI:10.17116/kurort20179464-9

Аннотация:
MATERIALS AND METHODS: A total of 68 patients with spinal cord lesions were enrolled in the study, including 38 suffering from vascular myelopathy, 18 with the consequences of extramedullar meningioma surgery, 12 with the sequelae of acute transverse myelitis. The control groups was comprised of were 55 subjects. All the participants of the study underwent rehabilitation which included robotized mechanotherapy, stabilography, neuro-muscular stimulation, kinesiotherapy, physical therapy, ergotherapy, massage, etc. Transcranial magnetic stimulation (TMS) and evaluation of somatosensory evoked potentials (SSEP) were carried out before and after the therapy.RESULTS: In those patients who received personalized therapy, significant changes of TMS parameters (central motor conduction time at rest and in facilitation probe), but not SSEP ones were registered. Moreover, the patients who had undergone personalized therapy exhibited better clinical results than in the absence of such treatment.CO
Ключевые слова:
neuromonitoring; neurorehabilitation; somatosensory evoked potentials; spinal cord lesions; transcranial magnetic stimulation
controlled study; diagnostic imaging; human; middle aged; motor activity; neuromuscular monitoring; neurorehabilitation; nuclear magnetic resonance imaging; pathophysiology; physiology; physiotherapy; procedures; randomized controlled trial; somatosensory evoked potential; spinal cord; spinal cord ischemia; transcranial magnetic stimulation; treatment outcome; Evoked Potentials, Somatosensory; Humans; Magnetic Resonance Imaging; Middle Aged; Motor Activity; Neurological Rehabilitation; Neuromuscular Monitoring; Physical Therapy Modalities; Spinal Cord; Spinal Cord Ischemia; Transcranial Magnetic Stimulation; Treatment Outcome
Язык текста: Русский
ISSN: 2309-1355
Екушева Е. В. Евгения Викторовна 1972-
Воитенков В. Б.
Скрипченко Н. В.
Самоилова И. Г.
Филимонов В. А.
Ekusheva E. V. Evgeniya Viktorovna 1972-
Voitenkov V. B.
Skripchenko N. V.
Samoilova I. G.
Filimonov V. A.
The role of the neurophysiological methods in the assessment of the effectiveness of the rehabilitation of sensorimotor disturbances associated with the lesions of the central nervous system at the spinal cord level
The role of the neurophysiological methods in the assessment of the effectiveness of the rehabilitation of sensorimotor disturbances associated...
Текст визуальный непосредственный
Вопросы курортологии, физиотерапии и лечебной физической культуры
Издательство Медиа Сфера
Т. 94, Вып. 6 С. 4-9
2017
Статья
neuromonitoring neurorehabilitation somatosensory evoked potentials spinal cord lesions transcranial magnetic stimulation
controlled study diagnostic imaging human middle aged motor activity neuromuscular monitoring neurorehabilitation nuclear magnetic resonance imaging pathophysiology physiology physiotherapy procedures randomized controlled trial somatosensory evoked potential spinal cord spinal cord ischemia transcranial magnetic stimulation treatment outcome Evoked Potentials, Somatosensory Humans Magnetic Resonance Imaging Middle Aged Motor Activity Neurological Rehabilitation Neuromuscular Monitoring Physical Therapy Modalities Spinal Cord Spinal Cord Ischemia Transcranial Magnetic Stimulation Treatment Outcome
MATERIALS AND METHODS: A total of 68 patients with spinal cord lesions were enrolled in the study, including 38 suffering from vascular myelopathy, 18 with the consequences of extramedullar meningioma surgery, 12 with the sequelae of acute transverse myelitis. The control groups was comprised of were 55 subjects. All the participants of the study underwent rehabilitation which included robotized mechanotherapy, stabilography, neuro-muscular stimulation, kinesiotherapy, physical therapy, ergotherapy, massage, etc. Transcranial magnetic stimulation (TMS) and evaluation of somatosensory evoked potentials (SSEP) were carried out before and after the therapy.RESULTS: In those patients who received personalized therapy, significant changes of TMS parameters (central motor conduction time at rest and in facilitation probe), but not SSEP ones were registered. Moreover, the patients who had undergone personalized therapy exhibited better clinical results than in the absence of such treatment.CO