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Spinal Cord Stimulation - What it is and why it matters
We should shortly see the emergence of new spinal cord stimulation products that can assist rehabilitation, as the first examples are approaching commercialisation. Although not a cure for spinal cord injury, these devices have been shown to assist in the recovery of function in situations where this seemed lost for ever.
Spinal cord stimulation (SCS) has a rich history that dates back to the 1960s, when it was first introduced as a potential treatment for chronic pain management. Pioneered by Dr. Norman Shealy (1967) this innovative method was initially developed to alleviate intractable pain by delivering mild electrical pulse trains to the spinal cord via implantation of electrodes.
Over the years, the field of SCS has witnessed significant advancements in both technology and research, broadening its potential applications to include functional recovery following spinal cord injury (SCI).
This article looks briefly at the state of the art.
Evaluating denervated muscle with the RISE stimulator
How to we test for denervated muscle? As we will see in this article, a number of conditions can lead to denervation. Sometimes the extent of this denervation is hard to establish with equipment commonly available to the therapist. Perhaps the therapist tried “conventional” neuromuscular electrical stimulation (NMES) and could not produce a muscle contraction even with quite high intensity settings. Hence denervation was suspected, but without really being able to determine it’s extent.
The RISE stimulator provides a handy protocol that allows the presence and extent of denervation to be established and monitored over time. This article describes the process. First lets review some information on what exactly causes denervation, it’s consequences and the benefits of electrotherapy. We can then describe how the RISE unit can give is a denervation “benchmark”.
What can I do to help denervated muscles?
Skeletal muscle denervation is caused by damage or injury to the nerves that supply a muscle. This can occur as a result of a number of different conditions, including trauma to the spine or a peripheral nerve. Denervation can also result from infection, inflammation, and certain medical procedures. In some cases, denervated skeletal muscle may be caused by diseases that affect the nerves, such as amyotrophic lateral sclerosis (ALS) or Guillain-Barré syndrome. Denervation can also occur as a complication of surgery, such as when a nerve is accidentally damaged during an operation.
Muscles can recover from denervation, despite the loss of nerve supply to a muscle. Sometimes this recovery happens with little intervention necessary. At Anatomical Concepts we are typically working with individuals where some intervention is indicated.
Claire Lomas - Why I’m Committed to FES Cycling
FES Cycling with the RehaMove system is a foundation in Claire’s routine. In this short video she describes how she discovered FES Cycling, why she felt it was important to continue to exercise the parts that were paralysed as well as the parts that weren’t, and the benefits she has seen from doing so.
Electrotherapy and wound healing - Part 2
In the first article in this series, we introduced the idea of using electrotherapy for wound healing. It’s perhaps not the first approach clinicians think of but we feel it is a legitimate approach and worth considering; especially when other approaches are not proving to be effective. In this article we look at what is known and unknown about this approach. We then look at spinal cord injury and treatment of pressure ulcers in this population. We give an example fo using a Hasomed RehaMove unit with Sequence Mode and a RISE unit to support this application.
RehaMove - Changing the Stimulation Settings
We have always wanted our FES Cycling clients to be comfortable to make changes to their stimulation settings over time. Knowing when and how to changing settings is not difficult - when you know how. The video below was recorded to address that topic. The
video has English subtitles and a transcripy of the audio is given below.