Motor conduction alterations in patients with lumbar spinal stenosis following the onset of neurogenic claudication

Dynamic electrophysiological examination in patients with lumbar spinal stenosis: Is it useful in clinical practice?

“…LSS is currently the most common diagnosis for individuals over the age of 65 undergoing spinal surgery [22]. One suspected pathophysiological mechanism underlying NC is intermittent hypoxia of cauda equina fibres resulting from venous pooling, which may lead to ischaemic nerve conduction failure and to transient clinical and electrophysiological changes after exercise [8,15,17]. The pain is explained by the ischaemia-related activation of pain receptors, and weakness would be caused by a partial conduction block at root level [14,15].…”

Lumbar spinal stenosis: Assessment of cauda equina involvement by electrophysiological recordings

“…In patients with mild LSS, electrophysiological recordings were pathological in an exercise treadmill test, but this was the case in patients both with and without neurogenic claudication [2]. Therefore, the significance of dynamic electrophysiological examinations as routine diagnostics cauda lesions at and above the conus medullaris while focusing on the sensory pathways [5,37,54]. Combined SSEP and NCS recordings including reflex measurements have the advantage that both sensory and motor nerve components can be studied separately.…”

Lower extremity kinematics and EMG in multi-moment follow-up study during ACL rehabilitation program

“…However, based on the negative correlation value (Spearman, −0.812) on both sides, the results show significant correlation in pain score after physical activity. Discussion and conclusion: Compression of nerve roots [4] and physical stress are factors that increase the sensitivity of the motor evoked potential [5] causing decreased overall function of the gait. Despite the lack of correlation between the other variables, our data suggest a tendency of decreasing gait functionality according to increasing pain perception.…”