Neuromuscular electrical stimulation for stroke rehabilitation: Is spinal plasticity a possible mechanism associated with diminished spasticity?

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dc.contributor.authorMotta-Oishi, Anna Amelia P. [UNESP]
dc.contributor.authorMagalhaes, Fernando Henrique
dc.contributor.authorAzevedo, Fabio Micolis de [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2014-12-03T13:11:40Z
dc.date.available2014-12-03T13:11:40Z
dc.date.issued2013-11-01
dc.description.abstractAlthough the specific pathophysiological mechanisms underlying the development of spasticity are not fully understood, a large amount of evidence suggests that abnormalities in spinal pathways regulating the stretch reflex may contribute to the hypertonia and hyperreflexia that characterize spasticity. It is quite interesting that neuromuscular electrical stimulation (NMES) has been reported as an efficient treatment for reducing spasticity after stroke while other reports have shown that it promotes neuroplasticity in healthy subjects. The hypothesis addressed in this paper is that plastic effects within some spinal cord pathways may be a possible mechanism associated with the NMES-induced improvements in spasticity. If the hypothesis is proven corrected, the association between plasticity within specific spinal pathways and NMES-induced improvements in spasticity may be used to guide the choice of stimulation parameters to be used in NMES-based stroke rehabilitation protocols. (C) 2013 Elsevier Ltd. All rights reserved.en
dc.description.affiliationUniv Estadual Paulista, Sch Sci & Technol, Phys Therapy Dept, Biomech & Motor Control Lab, Presidente Prudente, SP, Brazil
dc.description.affiliationUniv Sao Paulo, Sch Arts Sci & Humanities, EACH, BR-05508 Sao Paulo, Brazil
dc.description.affiliationUniv Sao Paulo, EPUSP, PTC, Neurosci Program, BR-05508 Sao Paulo, Brazil
dc.description.affiliationUniv Sao Paulo, EPUSP, PTC, Biomed Engn Lab, BR-05508 Sao Paulo, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Sch Sci & Technol, Phys Therapy Dept, Biomech & Motor Control Lab, Presidente Prudente, SP, Brazil
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 11/13222-6
dc.format.extent784-788
dc.identifierhttp://dx.doi.org/10.1016/j.mehy.2013.08.013
dc.identifier.citationMedical Hypotheses. Edinburgh: Churchill Livingstone, v. 81, n. 5, p. 784-788, 2013.
dc.identifier.doi10.1016/j.mehy.2013.08.013
dc.identifier.issn0306-9877
dc.identifier.urihttp://hdl.handle.net/11449/113397
dc.identifier.wosWOS:000327363400009
dc.language.isoeng
dc.publisherChurchill Livingstone
dc.relation.ispartofMedical Hypotheses
dc.relation.ispartofjcr1.120
dc.relation.ispartofsjr0,443
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.titleNeuromuscular electrical stimulation for stroke rehabilitation: Is spinal plasticity a possible mechanism associated with diminished spasticity?en
dc.typeArtigo
dcterms.rightsHolderChurchill Livingstone
unesp.author.orcid0000-0003-0783-6102[2]
unesp.author.orcid0000-0002-4187-7058[3]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Ciências e Tecnologia, Presidente Prudentept
unesp.departmentFisioterapia - FCTpt

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