O efeito do treino de marcha com estimulação eletrica neuromuscular na atividade eletromiografica de pacientes paraplegicos

AUTOR(ES)
DATA DE PUBLICAÇÃO

2004

RESUMO

The useful effect of locomotion training through neuromuscular electrical stimulation (NMES) in patients with spinal cord injury (SCI) has already been established. The human spinal cord recognizes the appropriate sensorial information and can modulate responses about the motor pool which facilitates walking under NMES training. In this series, ten patients (9 male and 1 female; 19 - 40 yrs-old) with chronic spinal cord injury (seven complete and three incompIete, neurologic leveI beIow T2) were evaluated at the Biomechanics &Rehabilitation Lab./University Hospital-Unicamp: first as soon as the patients joined the Programme and after 30 NMES based gait sessions. Clinical protocoIs of the American Spinal Injury Association (ASIA), Ability Ambulation Scale, Functional Independence Measure (FIM), Modified Ashworth Scale and the multichannel register surface of Electromyography (EMG) of muscIe soIeous (SO), gastrocnemious medialis (GA) and tibialis anterior (TA) were assessed. Results demonstrated an improvement in the EMG pattem of GA and TO muscles, during the stance phase and a significant decrease in the swing phase. Improvement in the EMG pattem in the TA muscle occurs just in the Ieft leg. Results suggest that gait training with NMES does induce changes in the spinal cord neural center, thus triggering the recovering of functional abilities/gait of paraplegics.

ASSUNTO(S)

rehabilitation paraplegics spinal cord medula espinhal - ferimentos e lesões wounds and injuries paraplegicos - reabilitação medical rehabilitation eletromiografia medicina de reabilitação eletromyography

ACESSO AO ARTIGO

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