EPIDURAL STIMULATION GIVES PARALYZED PATIENTS HOPES FOR A BETTER LIFE

Introduction. Spinal cord injury is a damage to spinal cord caused by trauma or diseases. Nerve damages cause loss of function, such as mobility and/or feeling. Rehabilitation consists of exercises, therapeutic methods, and modalities, but none of them returns lost functions. Method. This study i...

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Autores principales:	Elda Latollari, Fabion Braimllari
Formato:	article
Lenguaje:	EN RO RU
Publicado:	Association of Surgeons of the Republic of Moldova 2021
Materias:	rehabilitation spinal cord epidural stimulation balance coordination Medicine R Surgery RD1-811
Acceso en línea:	https://doaj.org/article/88389e42ddb64aa08f292f7dc7855a40
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spelling	oai:doaj.org-article:88389e42ddb64aa08f292f7dc7855a402021-11-04T06:37:48ZEPIDURAL STIMULATION GIVES PARALYZED PATIENTS HOPES FOR A BETTER LIFE10.5281/zenodo.56370391810-18521810-1879https://doaj.org/article/88389e42ddb64aa08f292f7dc7855a402021-11-01T00:00:00Zhttps://artamedica.md/index.php/artamedica/article/view/152https://doaj.org/toc/1810-1852https://doaj.org/toc/1810-1879 Introduction. Spinal cord injury is a damage to spinal cord caused by trauma or diseases. Nerve damages cause loss of function, such as mobility and/or feeling. Rehabilitation consists of exercises, therapeutic methods, and modalities, but none of them returns lost functions. Method. This study is a meta-analysis, literature review of 10 randomized control trails of the last 20 years. All studies have a major focus on the use of electrical stimulation in patients with spinal cord injury. The methodology of studies varies in randomized trails, including 174 patients. Data are extracted from 4 medical data bases. The evaluation is realized with the PED-ro scale. On the other hand we took in consideration 17 case reports diagnosed with spinal cord injury (level C5-C6-C7 and T5-T6 and T7) who received implantation of epidural stimulation device. Device Mapping and therapy were carried out after surgery for 35 days, then patients were discharged. Results. The literature used in this study claimed that electrical stimulation is effective in improving of muscular function, spasticity, and independence in daily living activities. According to PED-ro 3 studies (30%) have 3 points 2 studies, respectively 20%, have medium level 4-6 points and 5 studies (50%) have high level with 7-10 points. On the other hand, 17 people in clinical trial, treated with epidural stimulation, achieved big improvements in balance, coordination, and muscle mass, while bladder and bowel control are not improved. Conclusion. We conclude that epidural stimulation is the best solution for spinal cord injuries. Elda LatollariFabion BraimllariAssociation of Surgeons of the Republic of Moldovaarticlerehabilitationspinal cordepidural stimulationbalancecoordinationMedicineRSurgeryRD1-811ENRORUArta Medica, Vol 79, Iss 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN RO RU
topic	rehabilitation spinal cord epidural stimulation balance coordination Medicine R Surgery RD1-811
spellingShingle	rehabilitation spinal cord epidural stimulation balance coordination Medicine R Surgery RD1-811 Elda Latollari Fabion Braimllari EPIDURAL STIMULATION GIVES PARALYZED PATIENTS HOPES FOR A BETTER LIFE
description	Introduction. Spinal cord injury is a damage to spinal cord caused by trauma or diseases. Nerve damages cause loss of function, such as mobility and/or feeling. Rehabilitation consists of exercises, therapeutic methods, and modalities, but none of them returns lost functions. Method. This study is a meta-analysis, literature review of 10 randomized control trails of the last 20 years. All studies have a major focus on the use of electrical stimulation in patients with spinal cord injury. The methodology of studies varies in randomized trails, including 174 patients. Data are extracted from 4 medical data bases. The evaluation is realized with the PED-ro scale. On the other hand we took in consideration 17 case reports diagnosed with spinal cord injury (level C5-C6-C7 and T5-T6 and T7) who received implantation of epidural stimulation device. Device Mapping and therapy were carried out after surgery for 35 days, then patients were discharged. Results. The literature used in this study claimed that electrical stimulation is effective in improving of muscular function, spasticity, and independence in daily living activities. According to PED-ro 3 studies (30%) have 3 points 2 studies, respectively 20%, have medium level 4-6 points and 5 studies (50%) have high level with 7-10 points. On the other hand, 17 people in clinical trial, treated with epidural stimulation, achieved big improvements in balance, coordination, and muscle mass, while bladder and bowel control are not improved. Conclusion. We conclude that epidural stimulation is the best solution for spinal cord injuries.
format	article
author	Elda Latollari Fabion Braimllari
author_facet	Elda Latollari Fabion Braimllari
author_sort	Elda Latollari
title	EPIDURAL STIMULATION GIVES PARALYZED PATIENTS HOPES FOR A BETTER LIFE
title_short	EPIDURAL STIMULATION GIVES PARALYZED PATIENTS HOPES FOR A BETTER LIFE
title_full	EPIDURAL STIMULATION GIVES PARALYZED PATIENTS HOPES FOR A BETTER LIFE
title_fullStr	EPIDURAL STIMULATION GIVES PARALYZED PATIENTS HOPES FOR A BETTER LIFE
title_full_unstemmed	EPIDURAL STIMULATION GIVES PARALYZED PATIENTS HOPES FOR A BETTER LIFE
title_sort	epidural stimulation gives paralyzed patients hopes for a better life
publisher	Association of Surgeons of the Republic of Moldova
publishDate	2021
url	https://doaj.org/article/88389e42ddb64aa08f292f7dc7855a40
work_keys_str_mv	AT eldalatollari epiduralstimulationgivesparalyzedpatientshopesforabetterlife AT fabionbraimllari epiduralstimulationgivesparalyzedpatientshopesforabetterlife
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EPIDURAL STIMULATION GIVES PARALYZED PATIENTS HOPES FOR A BETTER LIFE

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