Estimulação elétrica neuromuscular na reversão da ossificação heterotópica

Ferreira, Daniel; Lippelt, H C; Júnior, Alberto Cliquet

doi:10.1590/s1413-78522006000200002

Cited by 5 publications

(7 citation statements)

References 13 publications

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“…It is reported that electrical stimulation has a short span 17 . In addition, electrical stimulation in tetraplegic patients also contributes to reduce and prevent heterotopic ossification 18 . Robinson et al 19 conducted a study to assess the initial and long term effects of electrical stimulation in hemiplegic with spasticity.…”

Section: Discussionmentioning

confidence: 99%

Análise clinica da espasticidade em indivíduos com lesão medular

et al. 2013

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Objective To evaluate the effect of neuromuscular electrical stimulation on spasticity in patients with spinal cord injury. Methods The study included eleven subjects with spinal cord injuries (C4 to T5). The modified Ashworth scale and pendulum test, which is accomplished through the Pendular Test Device - PTD (equipment which has a quartz crystal transducer accelerometer and optic fiber flexible electrogoniometer measuring the tensions and angular displacements). Patients underwent neuromuscular electrical stimulation (NMES) to the quadriceps muscle from fibular nerve, and the tests were administered before and after therapy. Results The data show a decrease in spasticity after NMES, with features such as increased variation between maximum and minimum peaks, i.e. increased amplitude of the curves. Furthermore, data from the subjective scale, and modified Ashworth scale after neuromuscular electrical stimulation also showed a reduction in the values of spasticity. Conclusion The data suggest that NMES is effective in reducing spasticity immediately after completion. Level of Evidence II, Therapeutic Studies-Investigating the Results of Treatment.

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Section: Discussionmentioning

confidence: 99%

Análise clinica da espasticidade em indivíduos com lesão medular

et al. 2013

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“…A ossificação heterotópica é uma complicação frequente após a lesão medular (20) . Assim, um estudo avaliou a resposta da ossificação heterotópica das articulações coxofemorais à estimulação elétrica neuromuscular (EENM) em seis pacientes tetraplégicos após TRM, por um período médio de 16,6 meses, sendo avaliados radiologicamente.…”

Section: Rbcs Artigos De Revisãounclassified

“…Foi identificada a melhora radiológica em dois pacientes e a não progressão do quadro nos demais. A EENM em lesados medulares pode ser um método válido no tratamento da ossificação heterotópica e na prevenção de sua progressão (20) .…”

Section: Rbcs Artigos De Revisãounclassified

Atuação Fisioterapêutica no Trauma Raquimedular em Ambiente Hospitalar

Ferreira

Marino

Cavenaghi

2012

Rev. Bras. Ciên. Saúde

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Trauma raquimedular é uma lesão neurológica incapacitante que ocasiona paralisia, perda sensorial e disfunção fisiológica, envolvendo uma série de funções corporais com grande impacto na sociedade. Representa um problema de saúde pública e afeta principalmente a população de adultos jovens, do sexo masculino, podendo resultar em morte ou deficiência. Este estudo teve como objetivo agrupar e atualizar conhecimentos em relação à atuação fisioterapêutica no trauma raquimedular em ambiente hospitalar. Foi realizada uma pesquisa da literatura nas bases de dados SciELO, Lilacs e PubMed, cruzando-se os descritores spinal cord injury, cinesiotherapy, physiotherapy, mobilization, rehabilitation, physical therapy department, respiratory therapy e electrotherapy, no período de 2005 a 2010. A cinesioterapia é imprescindível desde a fase de choque medular, pois favorece a manutenção da amplitude de movimento articular e flexibilidade, além de prevenir complicações circulatórias decorrentes da imobilização prolongada no leito. A fisioterapia respiratória promove a higiene brônquica e a correção de padrões ventilatórios anormais e de algumas patologias respiratórias. A eletroterapia é um recurso ainda pouco utilizado por fisioterapeutas no âmbito hospitalar. O presente estudo evidenciou a escassez de pesquisas específicas que abordem a temática da atuação do fisioterapeuta sobre o trauma raquimedular em ambiente hospitalar. Palavras-chave: traumatismos da medula espinhal; unidades hospitalares; serviço hospitalar de fisioterapia; modalidades de fisioterapia.

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“…Although it has not been elucidated whether all the injurious effects of immobilization on the tissues can be completely reversed with remobilization techniques ( 13 ), it is known that electrical nerve stimulation may be a method of prophylactic and therapeutic treatment and may contribute to the regression or prevention of HO. However, there is a need for further studies to verify those results ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

Influence of transcutaneous electrical stimulation on heterotopic ossification: an experimental study in Wistar rats

Zotz

Paula

2015

Braz J Med Biol Res

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Heterotopic ossification (HO) is a metaplastic biological process in which there is newly formed bone in soft tissues, resulting in joint mobility deficit and pain. Different treatment modalities have been tried to prevent HO development, but there is no consensus on a therapeutic approach. Since electrical stimulation is a widely used resource in physiotherapy practice to stimulate joint mobility, with analgesic and anti-inflammatory effects, its usefulness for HO treatment was investigated. We aimed to identify the influence of electrical stimulation on induced HO in Wistar rats. Thirty-six male rats (350-390 g) were used, and all animals were anesthetized for blood sampling before HO induction, to quantify the serum alkaline phosphatase. HO induction was performed by bone marrow implantation in both quadriceps of the animals, which were then divided into 3 groups: control (CG), transcutaneous electrical nerve stimulation (TENS) group (TG), and functional electrical stimulation (FES) group (FG) with 12 rats each. All animals were anesthetized and electrically stimulated twice per week, for 35 days from induction day. After this period, another blood sample was collected and quadriceps muscles were bilaterally removed for histological and calcium analysis and the rats were killed. Calcium levels in muscles showed significantly lower results when comparing TG and FG (P<0.001) and between TG and CG (P<0.001). Qualitative histological analyses confirmed 100% HO in FG and CG, while in TG the HO was detected in 54.5% of the animals. The effects of the muscle contractions caused by FES increased HO, while anti-inflammatory effects of TENS reduced HO.

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Estimulação elétrica neuromuscular na reversão da ossificação heterotópica

Cited by 5 publications

References 13 publications

Análise clinica da espasticidade em indivíduos com lesão medular

Análise clinica da espasticidade em indivíduos com lesão medular

Atuação Fisioterapêutica no Trauma Raquimedular em Ambiente Hospitalar

Influence of transcutaneous electrical stimulation on heterotopic ossification: an experimental study in Wistar rats

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