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Improved gait speed in spastic paraplegia: a new modality

DC FieldValueLanguage
dc.contributor.author박중현-
dc.contributor.author박진영-
dc.date.accessioned2021-02-17T06:41:48Z-
dc.date.available2021-02-17T06:41:48Z-
dc.date.issued2020-12-
dc.identifier.issn2045-435X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/181684-
dc.description.abstractObjectives: The gait disturbance in spastic paraplegic patients lowers the gait speed, increases fall risk and eventually lower the quality of life. This study aims to investigate the effect of electrical twitch obtaining intramuscular stimulation (ETOIMS) on spastic paraplegic patients' gait speed and pattern. Methods: A prospective short-term cohort study was designed in the outpatient clinic of the department of rehabilitation in a tertiary hospital. Patients with spastic paraplegia (N=5) were participated, including spinal cord tumour (N=2), cervical myelitis (N=1), hereditary spastic paraplegia (NIPA1 mutation; N=1) and spinal cord injury (N=1). The participants underwent ETOIMS. The target muscles were the bilateral quadratus lumborum, multifidus inserting to the L4 and L5 spinous process, and gluteus medius. Gait speed, gait pattern and subjective symptoms, including pain scores (measured by visual analogue scale), were compared before and immediately after the intervention. Results: All patients subjectively reported reduced stiffness during walking and alleviated muscular pain in the lower back and gluteal area. After one session of ETOIMS, patient 1-4 showed 57%, 29%, 33% and 6 % improvement in gait speed, respectively, and all patients showed increased pelvic dissociation. Conclusions: The ETOIMS can be effective in improving gait speed and stability by relaxing the muscles or alleviating the pain in the lower back and gluteal area in spastic paraplegic patients.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherBMJ Publishing Group-
dc.relation.isPartOfBMJ SUPPORTIVE & PALLIATIVE CARE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleImproved gait speed in spastic paraplegia: a new modality-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Rehabilitation Medicine (재활의학교실)-
dc.contributor.googleauthorSanghoon Shin-
dc.contributor.googleauthorJinyoung Park-
dc.contributor.googleauthorJuntaek Hong-
dc.contributor.googleauthorJung Hyun Park-
dc.identifier.doi10.1136/bmjspcare-2018-001738-
dc.contributor.localIdA01682-
dc.contributor.localIdA04941-
dc.relation.journalcodeJ03977-
dc.identifier.eissn2045-4368-
dc.identifier.pmid31201153-
dc.identifier.urlhttps://spcare.bmj.com/content/10/4/e41.long-
dc.subject.keywordelectric stimulation-
dc.subject.keywordgait-
dc.subject.keywordmuscle relaxation-
dc.subject.keywordspastic paraplegia-
dc.subject.keywordwalking speed-
dc.contributor.alternativeNamePark, Jung Hyun-
dc.contributor.affiliatedAuthor박중현-
dc.contributor.affiliatedAuthor박진영-
dc.citation.volume10-
dc.citation.number4-
dc.citation.startPagee41-
dc.identifier.bibliographicCitationBMJ SUPPORTIVE & PALLIATIVE CARE, Vol.10(4) : e41, 2020-12-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers

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