Adaptive neuromodulation in the treatment of spasticity

Author:

Giovanni Barassi1ORCID,Giuseppe Giannuzzo2ORCID,Romano De Santis3,Antonella Dragonetti3

Affiliation:

1. PhD, Coordinator of the Physiotherapy Center for Rehabilitation and Reeducation (Ce.Fi.R.R.) venue “G. d’Annunzio” University of Chieti-Pescara (Chieti-IT); ITC Project Co-ordinator (Integrated Thermal Cares) Castelnuovo della Daunia Medical Thermal Center (Fog-gia-IT).

2. BSc, Water Rehabilitation Laboratory: Ce.Fi.R.R. venue “G. d’Annuznio University” Chieti-Pescara (IT).

3. BSc, Specialist Electroneurofeedback (ENF) Therapy - Frosinone (IT).

Abstract

This research has the purpose to evaluate the immediate effects on spasticity of lower limbs of a single session of two different therapeutic approaches in patients affected by cerebral palsy. A total of 30 patients, with an age between and 10-40 years old and affected by cerebral palsy associated to spastic para/tetra paresis, were recruited and equally and randomly divided into 3 groups: group A has was treated with hydrokinesitherapy (HKT). Group B was treated with adaptive electro neuromodulation (ENM). Group C underwent a sham approach respecting the operative procedure of Group B with the device not operating. All patients were evaluated, before (T0) and after (T1) the single session of treatment, through myometric evaluation of muscular rheological parameters. The analysis of results underlined that both HKT and ENM resulted effective in reducing muscu-lar hypertone associated to spasticity, while in Group C no significant results were detected. We can affirm that both ENM and HKT approach can be good alternatives for the treatment of spasticity in patients affected by cerebral palsy.

Publisher

Ordine TSRM PSTRP di Napoli, Avellino, Benevento

Subject

Earth-Surface Processes

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