Liste-31

ELECTRONEUROSTIMULATION FOR POSTTRAUMATIC NEUROGENIC PAIN SYNDROMES AND MOTOR DISORDERS

Livshits LYa, Ninel VG and Suvorov FV

Purpose: In order to rise a treatment efficiency for consequences of neurotrauma we used an electroneurostimulation (ENS) in 270 patients with severe pain or muscle hypertonus after spinal cord or peripheral nervous system injury.

Method: In 106 cases ENS was carried out by means of open or puncture placement of long-term wire electrodes into epidural space on different levels according to pain or muscle spasms peculiarities. One pair of electrodes was placed above the spinal cord segments responsible for these pathologic phenomena, the other one – lower. Direct ENS of peripheral nerves (brachial plexus or nerves of extremities) was accomplished in 164 cases. Long-term electrodes were fixed on nervous trunks during open operations.

Result: Positive results were obtained in 77% of cases. It was shown that ENS suppressed pain, reduced spastic manifestations, improved a strength and an amplitude of movements.

Conclusion: ENS is effective method of treatment of neurogenic pain and spastic syndromes and therefore it deserves to be used in medical rehabilitation of neurotraumatic patients.