paraplegia

[Oonagh]

Hi there,
You don't say how long your patient is post injury or if he has any return of voluntary muscle power. Re: electrical stimulation I have found it to be quite useful in tone reduction. Two approaches can be used - either treating agonist/antagonist at 35Hz(alternating) or 10Hz on spastic muscle and 40Hz on antagonist. I would use the latter if he has some degree of return even if masked by the spasticity. Also I would use a lot of Bobath techniques. Addressing the trunk with a lot of rotational and contrarotational mobilizations is also very useful for trunk reduction. Good luck. Oonagh

[charlize29]

Hi Muhana,

FES ( Functional Electrical Stimilation) is useful for paraplegic patients in biped gait. However, it cannot be used for VERY SEVERE SPASTICITY. Here's the link of an article which I think would be able to give you an idea on "Gait Restoration in paraplegic patients using Mutichannel Surface Electrodes FES.

http://www.rehab.research.va.gov/jou.../pdf/kralj.pdf

Goodluck!!!

Regards,
Charlize29