Trans-Spinal Electrical Stimulation Therapy for Functional Rehabilitation after Spinal Cord Injury: Review
Spinal cord injury (SCI) is one of the most debilitating injuries in the world. Complications after SCI, such as respiratory issues, bowel/bladder incontinency, pressure ulcers, autonomic dysreflexia, spasticity, pain, etc., lead to immense suffering, a remarkable reduction in life expectancy, and e...
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Veröffentlicht in: | Journal of clinical medicine 2022-03, Vol.11 (6), p.1550 |
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description | Spinal cord injury (SCI) is one of the most debilitating injuries in the world. Complications after SCI, such as respiratory issues, bowel/bladder incontinency, pressure ulcers, autonomic dysreflexia, spasticity, pain, etc., lead to immense suffering, a remarkable reduction in life expectancy, and even premature death. Traditional rehabilitations for people with SCI are often insignificant or ineffective due to the severity and complexity of the injury. However, the recent development of noninvasive electrical neuromodulation treatments to the spinal cord have shed a ray of hope for these individuals to regain some of their lost functions, a reduction in secondary complications, and an improvement in their life quality. For this review, 250 articles were screened and about 150 were included to summarize the two most promising noninvasive spinal cord electrical stimulation methods of SCI rehabilitation treatment, namely, trans-spinal direct current stimulation (tsDCS) and trans-spinal pulsed current stimulation (tsPCS). Both treatments have demonstrated good success in not only improving the sensorimotor function, but also autonomic functions. Due to the noninvasive nature and lower costs of these treatments, in the coming years, we expect these treatments to be integrated into regular rehabilitation therapies worldwide. |
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Complications after SCI, such as respiratory issues, bowel/bladder incontinency, pressure ulcers, autonomic dysreflexia, spasticity, pain, etc., lead to immense suffering, a remarkable reduction in life expectancy, and even premature death. Traditional rehabilitations for people with SCI are often insignificant or ineffective due to the severity and complexity of the injury. However, the recent development of noninvasive electrical neuromodulation treatments to the spinal cord have shed a ray of hope for these individuals to regain some of their lost functions, a reduction in secondary complications, and an improvement in their life quality. For this review, 250 articles were screened and about 150 were included to summarize the two most promising noninvasive spinal cord electrical stimulation methods of SCI rehabilitation treatment, namely, trans-spinal direct current stimulation (tsDCS) and trans-spinal pulsed current stimulation (tsPCS). Both treatments have demonstrated good success in not only improving the sensorimotor function, but also autonomic functions. Due to the noninvasive nature and lower costs of these treatments, in the coming years, we expect these treatments to be integrated into regular rehabilitation therapies worldwide.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11061550</identifier><identifier>PMID: 35329875</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Bladder ; Blood pressure ; Clinical medicine ; Epidural ; Fatigue ; Oral administration ; Pain ; Paralysis ; Pressure ulcers ; Quality of life ; Range of motion ; Rehabilitation ; Review ; Spasticity ; Spinal cord injuries ; Stretching</subject><ispartof>Journal of clinical medicine, 2022-03, Vol.11 (6), p.1550</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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Both treatments have demonstrated good success in not only improving the sensorimotor function, but also autonomic functions. Due to the noninvasive nature and lower costs of these treatments, in the coming years, we expect these treatments to be integrated into regular rehabilitation therapies worldwide.</description><subject>Bladder</subject><subject>Blood pressure</subject><subject>Clinical medicine</subject><subject>Epidural</subject><subject>Fatigue</subject><subject>Oral administration</subject><subject>Pain</subject><subject>Paralysis</subject><subject>Pressure ulcers</subject><subject>Quality of life</subject><subject>Range of motion</subject><subject>Rehabilitation</subject><subject>Review</subject><subject>Spasticity</subject><subject>Spinal cord injuries</subject><subject>Stretching</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkc1LxDAQxYMoKuuevEvBiyDVpPlo4kGQxS8QBHc9hzRN3JS2WZNW2f_errvK6lxmmPnxeMwD4BjBC4wFvKx0gxBkiFK4Aw4zmOcpxBzvbs0HYBxjBYfinGQo3wcHmOJM8JwegmoWVBvT6cK1qk5ua6O74PQwTjvX9LXqnG-T2dwEtVgm1ofkrm_1ajkgL2auCle7bk0p25mQbJQmPpTJY1v1YXk1gB_OfB6BPavqaMabPgKvd7ezyUP69Hz_OLl5SjWBokstzAUkCCJOMWK4ZDazBBsllGC0yAlnnAuiqcYWZ6zMuS4IZdzqsmBaCIRH4Hqtu-iLxpTatF1QtVwE16iwlF45-ffSurl88x-SC0rQ8LARONsIBP_em9jJxkVt6lq1xvdRZowQiDJE8wE9_YdWvg_DA76pjCAmxErwfE3p4GMMxv6aQVCuYpRbMQ70ybb_X_YnNPwF4ruYtQ</recordid><startdate>20220311</startdate><enddate>20220311</enddate><creator>Rahman, Md Akhlasur</creator><creator>Tharu, Niraj Singh</creator><creator>Gustin, Sylvia M</creator><creator>Zheng, Yong-Ping</creator><creator>Alam, Monzurul</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0987-1999</orcidid><orcidid>https://orcid.org/0000-0002-6320-3329</orcidid><orcidid>https://orcid.org/0000-0003-2693-4103</orcidid><orcidid>https://orcid.org/0000-0002-3407-9226</orcidid></search><sort><creationdate>20220311</creationdate><title>Trans-Spinal Electrical Stimulation Therapy for Functional Rehabilitation after Spinal Cord Injury: Review</title><author>Rahman, Md Akhlasur ; 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subjects | Bladder Blood pressure Clinical medicine Epidural Fatigue Oral administration Pain Paralysis Pressure ulcers Quality of life Range of motion Rehabilitation Review Spasticity Spinal cord injuries Stretching |
title | Trans-Spinal Electrical Stimulation Therapy for Functional Rehabilitation after Spinal Cord Injury: Review |
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