Literature Review : Neurostimulation And Its Contribution To Paralysis

Nerves from each segment of the spinal cord connect to specific regions of the body. The cervical region or neck are referred to as C1 through C8; they control signals to the neck, arms, and hands. The segments in thoracic or upper back region T1 through T12 relay signals to the torso and some parts of the arms. The segments in the upper lumbar or mid-back region just below the ribs, L1 through L5, control signals to the hips and legs. Last, the sacral segments S1 through S5 lie just below the lumbar segments in the mid-back and control signals to the groin, toes, and some parts of the legs. The effects of spinal cord injury at different segments reflect this organization.(SC-Basic Anatomy of Spine-http://www.goes.com/billr/html/_anatomy_of_a_spinal_cord.html)

lumbar puncture, or spinal tap. The patient is asked to either lie on one side, in a

EMG biofeedback: Can be utilized to receive information related to motor performance, kinesthetic performance or physiological response

The central nervous system is what connects the brain to the muscles of the body. When a patient has an injury to the spinal cord, movements in certain parts of the body will be affected based on the location of the injury. If the injury affects hand motion then many day to day tasks are affected. This literature review seeks to understand how an injury to the spinal cord impacts movement, and what has been done so far to help those affected by spinal cord injuries.

Medical staff will clean and shave your groin or arm for the insertion of the catheter. A local numbing agent will be administered, but you will be awake during the procedure. Medicines for anxiety could be given if patient is having trouble relaxing during the exam. Next, a small catheter will be inserted into an artery. The doctor then uses x-rays to guide the catheter to the area of interest. Once the catheter is in place, dye will be inserted through tube. This allows for visualization of your blood vessels. Very minimal movement will be aloud during this exam to ensure safety and high quality images. This procedure could last one to two hours. If this is a planned procedure and not an emergency, this is normally only scheduled in the

Five criteria must be met which includes authority, information, objectivity, ease of navigation and privacy and security policies. The website used for my research was www.christopherreeve.org. The website met the five criteria. Authority was displayed in several ways. The author, Judith Lubinsky is qualified as an expert in the spinal cord injury field. Judith is responsible for web production and social media for the website. The contact information and credentials for the author was clearly stated. Information is updated daily to keep readers informed of any changes. The information posted is accurate and appropriate for the intended audience. The author provides an unbiased comprehensive review of spinal cord injuries and management. The sponsor for the website is The Christopher and Dana Reeve Foundation. The source of funding does not have an impact on the information provided. The website provides easy navigation with reliable information, treatment options, clinical trials and ways to get involved. The website provided clear privacy and security

Benita Hexter and Sue Paddison are clinical specialist physiotherapists at the London Spinal Cord Injury Centre, part of the Royal National Orthopaedic Hospital NHS Trust in Stanmore, Middlesex.

To have the procedure done you will be lying on you back with your legs in stirrups. Then the doctor will insert a speculum into your vagina in the same way as for a pelvic exam. A local anesthesia will be used so you don’t feel pain. This will be given through a needle attached to a syringe. You are most likely going to feel a slight sting, then a dull ache or cramp. Then the loop is inserted into your vagina to the cervix. There will be different sizes and shapes of the loops that will be used. There is a small chance that you may feel faint during the procedure. If you do feel faint tell your doctor immediately.

Anna and Patricia needed equipment assistance such as NESS L300 Foot Drop System or plastic brace for support. NESS L300 is the device that can send signal to stimulate the peroneal nerve to lift up the muscle and electric impulse to help patient with uneven surfaces and stairs. The electric impulse that send by L300 can leads to increase in activity of brain’s motor cortex and peroneal nerve that can improves the strength of leg muscle and decrease tightness that often occurs in

A spinal cord stimulation trial is a test to see whether a spinal cord stimulator reduces your pain. A spinal cord stimulator is a small device that is attached to your back. The stimulator has small wires (leads) that connect it to your spinal cord. The stimulator sends electrical pulses through the leads to the spinal cord. These electrical pulses block the nerve impulses that cause pain.

Spinal cord injuries are characterized by two distinct injury phases. The primary injury phase is represented by all the tissue directly damaged at the time of injury. The damage seen in this phase is primarily shearing of cells, destruction of local vasculature, and severe disruption of spinal cord function. The secondary injury phase is characterized by inflammation of the injury site, immune-mediated tissue destruction, and edema formation at the lesion site. The nature of spinal cord injuries makes the damage done by the primary injury irreversible. The majority of therapeutic research is done with the intention of lessening the damage done during the secondary injury phase. One major complication faced by researchers trying to control the secondary injury phase is the localized destruction of vasculature. Without a constant supply of oxygen and nutrients, many of the cells in the spinal cord will begin to die rapidly, oftentimes releasing biological signals that encourage other cells to die as well. The uncontrolled movement of fluid into the lesion site causes the tissue to swell, further complicating the processes of rebuilding vasculature. The movement of immune

NINDS Spinal Cord Injury Information Page. (2016, March 23). Retrieved March 26, 2016, from http://www.ninds.nih.gov/disorders/sci/sci.htm

The term spinal shock was first defined by Whytt in 1750 as a ‘loss of sensation accompanied by motor paralysis with the initial loss but gradual recovery of reflexes following a spinal cord injury’.

A small needle is inserted into the disc space after local anesthesia has been administered.

A review of the literature regarding spinal immobilisation has been undertaken using databases for PubMed, MEDLINE, CINAHL, OVID and Cochrane EBM. Reviews were electronically searched using the subject headings “spinal injuries”, “spinal immobilisation” and “management of spinal injuries”. The results generated by the search were limited to English language articles and reviewed for relevance to the topic. The aim of this literature review is to compare and contrast the views on spinal immobilisation and to achieve a better knowledge of evidence based practice.