Schmerzmessung

Banzer, Winfried; Bürklein, Meike

doi:10.1007/978-3-642-18626-4_12

Cited by 1 publication

(2 citation statements)

References 44 publications

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“…This in turn leads to incorrect loading and over time to structural changes in the muscles and their surrounding structures such as muscle shortening and muscle atrophy. The aforementioned changes can continue to intensify and then lead to chronic pain 3 …”

Section: Introductionmentioning

confidence: 99%

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Is it possible to generate an additional pleasant and pain‐relieving muscle stimulation when using a low‐frequency spinal cord stimulation (SCS) for the treatment of lower back pain? Pilot study: A new technique: “MuscleSCS”

Morgalla,

Marquetand,

Staber

2023

Pain Practice

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ObjectiveThe combined use of spinal cord stimulation (SCS) and muscle stimulation, in the treatment of chronic pain, using the same probe, could improve the clinical results. However, this technique has not been established as yet. It was our hypothesis that it is possible to generate muscle stimulation by using low frequencies with SCS electrodes and use it to additionally treat chronic back pain.MethodsWe generated muscle stimulation in patients with previously implanted SCS electrodes, for the treatment of lower back pain, by using low frequencies (2, 4, 6, and 8 Hz) and different contact combinations of the electrodes. The results were evaluated by using visual inspection (videos), haptic control, surface electromyography (EMG), and sonographic recordings.ResultsThis pilot study (17 patients, seven females, age 36–87 years, 11 percutaneous paddle leads, and 6 octrodes) was performed at the Neurosurgical Department of the University of Tuebingen. The most preferred frequencies were 6 Hz (45.5% of percutaneous paddle leads) and 8 Hz (50% of octrodes) at contacts 3&4 or 5&6. The preference of frequencies differed significantly among genders (p = 0.023). Simultaneous EMG and ultrasonic recordings demonstrated the generation of muscle potentials and the stimulation of deeper muscle groups.ConclusionIn this study, it has been shown that with low‐frequency SCS stimulation, pleasant and pain‐relieving muscle contractions of the lower and upper back can also be generated. This combined method has been coined by us as “MuscleSCS” technique. Clinical trials are necessary to establish the value of this combined technique and its subtypes.

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Section: Introductionmentioning

confidence: 99%

“…The aforementioned changes can continue to intensify and then lead to chronic pain. 3 The back muscles are a pain factor that is currently being targeted by neuromodulative techniques through the stimulation of the multifidus muscles. [4][5][6][7] Stimulating the associated nerves that supply those muscles causes them to activate and regain strength over time.…”

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confidence: 99%