The electrophysiological assessment of direct electrical stimulation effectiveness in rehabilitation of patients with posttraumatic brachiplexopathies

Худяев А.Т., Шеин А.П., Скрипников А.А., Машуков Ю.С.

Abstract


The data of the functional status of peripheral neuromotor structures have been analyzed in 32 patients at the age of 19-67 years, admitted to RISC ―RTO‖ for treatment with the purpose of electromyographic assessment of the effectiveness of complex neurorehabilitation in patients with brachiplexopathies of traumatic genesis on the basis of direct electrical stimulation of brachial plexus nerve trunks. It has been revealed that after treatment completion, as well as in the periods of nearest and long-term control the increase takes place concerning such total EMG parameters as the average amplitude and frequency of oscillation propagation along the majority of leads from the muscles of the limb involved, which is reliably significant in some cases. All this shows the positive effect of direct electrostimulation on brachial plexus nerve trunks, which is supposedly based on the increase of extra- and intraneural blood flow in injured structures, thereby initially contributing to conductive property recovery of chronically ischemized nerve fibers and in the long-term periods after treatment – to more favourable process of reinnervation.

Keywords


posttraumatic brachioplexopathy, electrostimulation, electroneuromyography

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