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Content Provider | IET Digital Library |
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Author | Parker, John Dietz, Birte Elisabeth |
Abstract | Cerebral palsy (CP) is the most common form of childhood disability, and spasticity is the most common motor-manifestation. Thankfully, there has been a significant reduction in the percentage of children born with CP in recent years, but nonetheless, those afflicted children can face life long devastating disabilities. Spinal cord stimulation (SCS), an implanted device used to treat chronic neuropathic pain, has been used to treat children with spasticity. In some cases, it has been shown to produce a remarkable improvement but despite this, the technique is not commonly used. There are a number of case series, and retrospective reports of outcomes with the most successful demonstrating a nearly 1.5-point reduction in Ashworth scale, the least successful demonstrating no significant improvements. Here, the authors examine the clinical reports and propose a mechanism of action based on the current understanding of SCS. Technology development in SCS for pain management has progressed significantly since the early clinical experience with CP and some of the new technology may be able to better exploit the putative mechanism. The advent of compound action potential recording and closed-loop control could lead to new insights into the electrophysiology and how to better tune these devices to provide more substantial relief from symptoms. |
Starting Page | 93 |
Ending Page | 97 |
Page Count | 5 |
Volume Number | 7 |
e-ISSN | 20533713 |
Issue Number | Issue 3, Jun (2020) |
Alternate Webpage(s) | https://digital-library.theiet.org/content/journals/htl/7/3 |
Alternate Webpage(s) | https://digital-library.theiet.org/content/journals/10.1049/htl.2019.0109 |
Journal | Healthcare Technology Letters |
Publisher | The Institution of Engineering and Technology |
Publisher Date | 2020-06-25 |
Access Restriction | Open |
Rights License | Creative Commons Attribution-No Derivs License (http://creativecommons.org/licenses/by-nd/3.0/) |
Subject Keyword | 1.5-point Reduction Afflicted Children Ashworth Scale Bioelectric Potentials Bioelectric Signal Cerebral Palsy Childhood Disability Chronic Neuropathic Pain Treatment Clinical Reports Closed-loop Control System Compound Action Potential Recording Early Clinical Experience Electrical Activity in Neurophysiological Processes Electrophysiology Implanted Device Medical Disorders Motor-manifestation Neurophysiology Paediatrics Pain Management Patient Care And Treatment Patient Treatment Spasticity Spinal Cord Stimulation |
Content Type | Text |
Resource Type | Article |
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