Functional Electrical Stimulation (FES) for spinal cord injury

Okuma, Isao; Hayashi, Jun‐Ichi; Kaito, T.; Funahashi, Masuko; Kuno, Shigehiko; Kato, Yōkō; Shoda, Motoi; Nagata, Junji; Keith, Michael W.; Kanno, Tetsuo

doi:10.1007/978-3-7091-6081-7_12

Cited by 1 publication

(1 citation statement)

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“…However, a recent study that used TENS on multiple muscle groups in patients with chronic stroke and spasticity failed to find any significant reduction in spasticity when compared to sham (Pennati et al, 2021). Functional electrical stimulation (FES) uses mild electrical current to cause a muscle to contract (Okuma et al, 2003). The impulses trigger a desired function, such as contracting muscles to move a foot or lift an arm.…”

Section: Spasticity Managementmentioning

confidence: 99%

Trans-Spinal Direct Current Stimulation in Spasticity: A Literature Mini-Review

et al. 2022

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Spasticity is common after a stroke and has a negative impact on functional and quality-of-life measures. There is an unmet medical need to provide safe and effective treatment using non-pharmacological approaches. Trans-spinal direct current stimulation (tsDCS) is an emerging modality for non-invasive neuromodulation that induces reduction of spinal excitability leading to a decrease in spasticity. We describe current treatment options for spasticity, including a literature review about the use of tsDCS in patients with spasticity. We found four clinical studies that used tsDCS to treat spasticity for different neurological conditions including hereditary spastic paraplegia, upper extremity spasticity following stroke, multiple sclerosis, and incomplete chronic spinal cord injury. Spasticity was the primary outcome in three of the studies and a secondary outcome in the final study. The three studies that addressed spasticity as the primary outcome found that active tsDCS decreased spasticity compared to sham. These studies suggest that tsDCS can modulate spinal motor and sensory spinal pathways through the use of specific electrode montages and stimulation parameters. This therapy can improve motor functions and may represent a viable treatment option for spasticity.

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Section: Spasticity Managementmentioning

confidence: 99%