Management Of Spasticity
Electronic Stimulation (ES) has been demonstrated to reduce or eliminate interfering spasticity, or involuntary muscle activity, in multiple sclerosis. The involuntary muscle activity may take the form of spontaneous muscle contractions or it may occur when voluntary movement is initiated. A variety of ES protocols have been employed. Some investigators and clinicians have used inexpensive portable stimulators and skin electrodes [placed on the spastic muscles, or over the muscles that work against the spastic muscles or on areas of skin that receive the same nerve supply as the spastic muscles]. The intensity of ES may be minimal, with only a tingling sensation felt by the user. In other protocols, the intensity of ES is increased to assist with joint movement. The intensity of ES should never cause discomfort. Other clinicians have surgically placed microelectrodes over the dorsal columns of the spinal cord. Stimulation protocols varied from one to two hours each day to intermittent use all day long, as needed.
As a result of ES, spasticity has been reduced, pain was less, bowel and bladder function improved and walking was more normal [with longer step lengths and greater walking velocity] says California Nursing Home Abuse and Neglect Attorney Steven C. Peck.
Questions? Check with Peck Today
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