Spasticity Assessment through Pendulum Testing in Individuals with Tetraplegia Undergoing Rehabilitation with Neuromuscular Electrical Stimulation
Eliza Regina Ferreira Braga Machado de Azevedo, Renata Manzano Maria, Renato Varoto, Karina Cristina Alonso, Alberto Cliquet Junior
2014
Abstract
Objective: To analyze the effects of different neuromuscular electrical stimulation (NMES) protocols on spasticity improvement in subjects with tetraplegia. Methods: 13 patients with tetraplegia went through the pendulum test evaluation before and after NMES treatment. During tests an electrogoniometer was placed on a leg to measure leg oscillations and knee angles. Individuals were divided in two groups according to the treatment: gait group with NMES (n=6) and exercise group with NMES (n=7) Results: Relaxation index, test duration in seconds, angle of the first swing and rest angle of the leg in both legs were assessed before and after the treatment for both groups. Most differences were observed in the gait group. Conclusion: Both treatments with NMES have shown to be effective treatments for spasticity improvement in individuals with tetraplegia.
References
- Barbeu, H., Ladouceur, M., Norman, K.E., Pépin, A., 1999. Walking after spinal cord injury: evaluation, treatment, and functional recovery. Arch Phys Med Rehabil. v. 80, p.225-235.
- Badj, T, Bowman, R.G., 1982. Testing and modeling of spasticity. Journal of Biomedical Engineering. n. 4, p.90-96.
- Carvalho, D.C., Carvalho, M.M., Cliquet, A. Jr., 2001. Disuse ostoporosis: its relationship to spine cord injuried patient rehabilitation. Acta Ortop Bras. n. 3, v. 9, p. 34-43.
- Carvalho, D.C., Garlip, C.R., Bottini P.V., Afaz S.H., Moda M.A., Cliquet, A. Jr., 2006. Effect of treadmill gait on bone markers and bone mineral density of quadriplegic subjects. Braz J Med Biol Res. n. 39, v. 10, p. 1357-1363.
- Carvalho, D.C., Zanchetta, M.C., Sereni, J.M., Cliquet, A. Jr., 2005. Metabolic and cardiorespiratory responses of tetraplegic subjects during treadmill walking using neuromuscular electrical stimulation and partial body weight support. Spinal Cord. n. 43, v. 7, p. 400-405.
- Granat, M.H., Fergunson, A.C.B., Andrews, B.J., Delargy, M., 1993. The role of functional electrical stimulation in the rehabilitation of patients with incomplete spinal cord injury- observed benefits during gait studies. Paraplegia. n. 31, p. 207-215.
- Leitão, A.V., Muss, C.A.I.,Granero, L.H.M., Rossetto, R., Pavan, K., Lianza, S., 2006. Spasticity: Clinical evaluation. Brazilian Association of Physical Medicine and Rehabilitation.
- Maria, R.M., Alonso, K.C., Azevedo, E.R.F.B.M., Varoto, R., Cliquet, A.Jr., 2013. Custom built device for spasticity evaluation associated to spinal cord injury - a reredundant signal to electrogoniometer in pendulum test. BIODEVICES 2013 - International Conference on Biomedical Eletronics and Devices. p.120-126.
- Sepulveda, F., Granat, M.H., Cliquet, A.Jr., 1997. Two artificial neural systems for generation of gait swing by means of neuromuscular electrical stimulation. MedEng Phys. n. 19, v. 1, p. 1357-1363.
Paper Citation
in Harvard Style
Regina Ferreira Braga Machado de Azevedo E., Manzano Maria R., Varoto R., Cristina Alonso K. and Cliquet Junior A. (2014). Spasticity Assessment through Pendulum Testing in Individuals with Tetraplegia Undergoing Rehabilitation with Neuromuscular Electrical Stimulation . In Proceedings of the International Conference on Biomedical Electronics and Devices - Volume 1: BIODEVICES, (BIOSTEC 2014) ISBN 978-989-758-013-0, pages 91-94. DOI: 10.5220/0004731100910094
in Bibtex Style
@conference{biodevices14,
author={Eliza Regina Ferreira Braga Machado de Azevedo and Renata Manzano Maria and Renato Varoto and Karina Cristina Alonso and Alberto Cliquet Junior},
title={Spasticity Assessment through Pendulum Testing in Individuals with Tetraplegia Undergoing Rehabilitation with Neuromuscular Electrical Stimulation},
booktitle={Proceedings of the International Conference on Biomedical Electronics and Devices - Volume 1: BIODEVICES, (BIOSTEC 2014)},
year={2014},
pages={91-94},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004731100910094},
isbn={978-989-758-013-0},
}
in EndNote Style
TY - CONF
JO - Proceedings of the International Conference on Biomedical Electronics and Devices - Volume 1: BIODEVICES, (BIOSTEC 2014)
TI - Spasticity Assessment through Pendulum Testing in Individuals with Tetraplegia Undergoing Rehabilitation with Neuromuscular Electrical Stimulation
SN - 978-989-758-013-0
AU - Regina Ferreira Braga Machado de Azevedo E.
AU - Manzano Maria R.
AU - Varoto R.
AU - Cristina Alonso K.
AU - Cliquet Junior A.
PY - 2014
SP - 91
EP - 94
DO - 10.5220/0004731100910094