The Effects of Combined Trunk and Gluteal Neuromuscular Electrical Stimulation on Posture and Tissue Health in Spinal Cord Injury

Wu, Gary A.; Lombardo, Lisa M.; Triolo, Ronald J.; Bogie, Kath M.

doi:10.1016/j.pmrj.2013.03.025

Cited by 18 publications

(17 citation statements)

References 28 publications

(33 reference statements)

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“…This study demonstrates that administering NMES in conjunction with physical therapy has better results than physical therapy alone for strengthening muscles. NMES has not been used very often in the treatment of clubfoot, but it has been used as part of the treatment for many other diseases and in otherwise healthy people, especially athletes, and all of the studies have shown, as ours did, that there is an increase in strength of different muscles after treatment (13,(15)(16)(17)(18)(19). However, for the CC treatment, there is only one report to date, and its sample was small (n = 8) compared to the current contribution (n = 20) (20).…”

Section: Discussionsupporting

confidence: 54%

Electrostimulation to Increase Peroneal Muscle Strength in Pediatric Patients With Postsurgical Clubfoot

Morales-Osorio¹,

Lomeli-Gonzalez²,

Hernandez-Valadez³

et al. 2016

J Pediatr Rev

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Background: Idiopathic congenital clubfoot is a deformity with various components. Its treatment can be conservative and or surgical in order to eliminate the deformity and to obtain a pain-free foot allowing for adequate mobility. Objectives: Our objective was to evaluate whether neuromuscular electrostimulation is useful for improving peroneal muscle strength in post-operative congenital clubfoot in children. Patients and Methods: An experimental, prospective, longitudinal, and comparative study was carried out on 10 patients with congenital clubfoot in the experimental group, and on 10 for historical controls. Initial and post-treatment clinical evaluations were conducted on patients in both groups. Surface electromyography (SEMG) was used for the experimental group; each patient received 30 sessions of treatment with neuromuscular electrostimulation in order to obtain muscular contraction. Results: In both groups, there were more males with the average age or 5.5 years (ranging from 3 to 8 years of age). Peroneal muscular strength evaluated through the Daniels and Worthingham's test increased post-treatment only in the experimental group, and comparing these results to those of the historical group, a significance level of P = 0.001 was obtained. The motor unit potential amplitude in the SEMG increased in the experimental group with a significance level of P < 0.05. Conclusions: Neuromuscular electrostimulation can be used to increase muscle strength, and it is a safe and painless treatment.

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Section: Discussionsupporting

confidence: 54%

Electrostimulation to Increase Peroneal Muscle Strength in Pediatric Patients With Postsurgical Clubfoot

Morales-Osorio¹,

Lomeli-Gonzalez²,

Hernandez-Valadez³

et al. 2016

J Pediatr Rev

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“…Other types of ES identified for PU prevention through this review included a custom-made garment with built-in electrodes, 48 the electrical current delivered through a sacral anterior nerve root stimulator (SARS) implant, 44,45 or alternatively, via implanted intramuscular electrodes. 41,51,52 Stimulation sites Eight out of 16 studies stimulated gluteal muscles alone, and five trials activated gluteal muscles together with other muscle groups, e.g. quadriceps, hamstrings, and lumber spinal muscles.…”

Section: Intervention Featuresmentioning

confidence: 99%

A systematic review of electrical stimulation for pressure ulcer prevention and treatment in people with spinal cord injuries

Liu

Moody

Traynor

et al. 2014

The Journal of Spinal Cord Medicine

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The methodological quality of the studies was poor, in particular for prevention studies. A significant effect of ES on enhancement of PU healing is shown in limited Grade I evidence. The great variability in ES parameters, stimulating locations, and outcome measure leads to an inability to advocate any one standard approach for PU therapy or prevention. Future research is suggested to improve the design of ES devices, standardize ES parameters, and conduct more rigorous trials.

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“…Among 32 elderly wheelchair users, seating interface pressure was significantly higher among those who developed pressure ulcers during the trial compared to those who did not. Others have used IPM to assess tissue viability in response to postural interventions among people with SCI [16]. Various IPM metrics have been reported in the literature, including average pressure, peak pressure, peak pressure index, peak pressure gradient, peak pressure ratio, and dispersion index [2, 17, 18].…”

Section: Introductionmentioning

confidence: 99%

Investigation of Peak Pressure Index Parameters for People with Spinal Cord Injury Using Wheelchair Tilt-in-Space and Recline: Methodology and Preliminary Report

Lung

Yang

Crane

et al. 2014

BioMed Research International

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The purpose of this study was to determine the effect of the sensel window's location and size when calculating the peak pressure index (PPI) of pressure mapping with varying degrees of wheelchair tilt-in-space (tilt) and recline in people with spinal cord injury (SCI). Thirteen power wheelchair users were recruited into this study. Six combinations of wheelchair tilt (15°, 25°, and 35°) and recline (10° and 30°) were used by the participants in random order. Displacements of peak pressure and center of pressure were extracted from the left side of the mapping system. Normalized PPI was computed for three sensel window dimensions (3 sensels × 3 sensels, 5 × 5, and 7 × 7). At least 3.33 cm of Euclidean displacement of peak pressures was observed in the tilt and recline. For every tilt angle, peak pressure displacement was not significantly different between 10° and 30° recline, while center of pressure displacement was significantly different (P < .05). For each recline angle, peak pressure displacement was not significantly different between pairs of 15°, 25°, and 35° tilt, while center of pressure displacement was significantly different between 15° versus 35° and 25° versus 35°. Our study showed that peak pressure displacement occurs in response to wheelchair tilt and recline, suggesting that the selected sensel window locations used to calculate PPI should be adjusted during changes in wheelchair configuration.

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The Effects of Combined Trunk and Gluteal Neuromuscular Electrical Stimulation on Posture and Tissue Health in Spinal Cord Injury

Cited by 18 publications

References 28 publications

Electrostimulation to Increase Peroneal Muscle Strength in Pediatric Patients With Postsurgical Clubfoot

Electrostimulation to Increase Peroneal Muscle Strength in Pediatric Patients With Postsurgical Clubfoot

A systematic review of electrical stimulation for pressure ulcer prevention and treatment in people with spinal cord injuries

Investigation of Peak Pressure Index Parameters for People with Spinal Cord Injury Using Wheelchair Tilt-in-Space and Recline: Methodology and Preliminary Report

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