Abstract
INTRODUCTION. Cerebral palsy still is a frequent disorder in children. Multiple therapeutic approaches have been used without major success.
OBJECTIVES. To determine the anti-spastic effect of excitatory Trans- spinal cord magnetic stimulation in two pediatric patients with cerebral palsy.
MATERIAL AND METHODS. The patients received excitatory trans spinal cord magnetic stimulation (cervical and dorsal) one session per week during four weeks. Physical therapist made a blind evaluation of spasticity and motor function, before, during and after treatment.
RESULTS. It was evidenced physiological transitory anti-spastic effect and motor function improvement in both patients without side effects.
CONCLUSIONS. The excitatory trans- spinal cord magnetic stimulation is a novel, safe and non invasive therapeutic approach for patients with cerebral palsy (Acta Neurol Colomb 2006;22:25-29).
References
Campbell. S. Decision Making in Pediatric Neurologic Physical Therapy. Churchill Livingstone 1999; 2: 23 - 83.
Tecklin JS. Pediatric Physical Therapy. 3a Ed. Lippincott Williams & Wilkins 1999; 4: 107-158.
Sarnat Hb. Cerebral plasticity in embriological development. En Fukuyama Y, Suzuki Y, Camishita S, Casaer P, eds. Fetal and perinatal Neurology. Basel Karger 1992; 118-131.
Nelson KB, Ellenberg JH. Antecedents of cerebral palsy: multivariate analysis of risk. N Engl J Med 1986; 315: 81-86.
Nottidge VC, Okogbom ME. Cerebral Palsy in Ibadan, Nigeria. Dev Med child Neurol 1991;33: 241.
Forfar JO. Low Birth weight and disability. Scand J Rehabil 1996; 2: 163, .
Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Surveillance of cerebral palsy in Europe (SCPE). Developmental Medicine and Child Neurology 2000; 42: 816-824.
Newacheck PW, Taylor WR. Childhood chronic illness: prevalence, severity, and impact. Am J Public Health 1992; 82: 364-371.
Rumeau-Rouquette C, du Mazaubrun C, Mlika A, Dequae L. Motor disability in children in three birth cohorts. Int J Epidemiol 1992; 21: 359-366.
Hicks SP, D´Amato CJ. Motor sensory and visual behaviour after hemispherectomy in new born and mature rats. Exp Neurol 1970; 29: 416-438.
Alvaro Pascual-Leone, Nick Davey, John Rothwell, Eric M. Wassermann, Basant K. Puri. Handbook of Transcranial Magnetic Stimulation. Ed. Arnold 2002. Principles of magnetic stimulation design; 3: 30-38.
Alvaro Pascual-Leone, Nick Davey, John Rothwell, Eric M. Wassermann, Basant K. Puri. Handbook of Transcranial Magnetic Stimulation. Ed. Arnold 2002. Safety and side-effects of Transcranial Magnetic Stimulation and Repetitive Transcranial Magnetic Stimulation; 4: 39-47.
Alvaro Pascual-Leone, Nick Davey, John Rothwell, Eric M. Wassermann, Basant K. Puri. Handbook of Transcranial Magnetic Stimulation. Ed. Arnold 2002. Ethical issues; 5: 50-55.
Alvaro Pascual-Leone, Nick Davey, JohnRothwell, Eric M. Wassermann, Basant K. Puri. Handbook of Transcranial Magnetic Stimulation. Ed. Arnold 2002. Basic physiology of Transcranial Magnetic Stimulation; 6: 61-74.
Alvaro Pascual-Leone, Nick Davey, John Rothwell, Eric M. Wassermann, Basant K. Puri. Handbook of Transcranial Magnetic Stimulation. Ed. Arnold 2002. Basic physiology of peripheral and spinal cord Magnetic Stimulation; 7: 78-82.
Alvaro Pascual-Leone, Nick Davey, John Rothwell, Eric M. Wassermann, Basant K. Puri. Handbook of Transcranial Magnetic Stimulation. Ed. Arnold 2002. Effects of Repetitive Transcranial Magnetic Stimulation on immediate early gene expression; 8: 85-89.
Alvaro Pascual-Leone, Nick Davey, John Rothwell, Eric M. Wassermann, Basant K. Puri. Handbook of Transcranial Magnetic Stimulation. Ed. Arnold 2002. The development of the Corticospinal tract in humans; 21: 235-246.
Alvaro Pascual-Leone, Nick Davey, John Rothwell, Eric M. Wassermann, Basant K. Puri. Handbook of Transcranial Magnetic Stimulation. Ed. Arnold 2002. Transcranial brain stimulation in movement disorders; 23: 259-263.
Alvaro Pascual-Leone, Nick Davey, John Rothwell, Eric M. Wassermann, Basant K. Puri. Handbook of Transcranial Magnetic Stimulation. Ed. Arnold 2002. Neuroplasticity and Transcranial Magnetic Stimulation 33: 346-353.
A M O Bakheit, V A Maynard, J Curnow, N Hudson, S Kodapala. The relation between Ashworth scale scores and the excitability of the ? motor neurons in patients with post-stroke muscle spasticity. J Neurol Neurosurg Psychiatry 2003; 74:646-648.
Bohannon RW, Smith MB. Interrater reliability of modified Ashworth scale of muscle spasticity. Physical Therapy 1987; 67: 206-207.
Pandyan AD, Price CIM, Curless RH, et al. Areview of the properties and limitations of the Ashworth and modified Ashworth scales as measures of spasticity. Clinical Rehabilitation 1999; 13:373-383.
Russell DJ, Rosenbaum PL, Avery LM, Lane M. Gross Motor Function Measure (GMFM-66 & GMFM-88) User´s Manual. Londres: Mac Keith Press; 2002: 10-24.
Russell DJ, Rosenbaum PL, Avery LM, Lane M. Gross Motor Function Measure (GMFM-66 & GMFM-88) User´s Manual. London: Mac Keith Press; 2002: 42-129.
Patridge SC, Mukherjee P, Henry RG, Miller SP, Berman JI, Jin H, Lu Y, Glenn OA, Ferriero DM, Barkovich Aj, Vigneron DB. Diffusion tensor imaging: serial quantization of white matter tract maturity in premature newborns. Neuroimagen 2004; 22: 1302-1314.
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