Spinal Cord Stimulation in Failed Back Surgery Syndrome: Effects on Posture and Gait—A Preliminary 3D Biomechanical Study

We studied 8 patients with spinal cord stimulation (SCS) devices which had been previously implanted to treat neuropathic chronic pain secondary to Failed Back Surgery Syndrome. The aim of our study was to investigate the effects of SCS on posture and gait by means of clinical scales (Short Form Hea...

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Main Authors: L. Brugliera, A. De Luca, S. Corna, M. Bertolotto, G. A. Checchia, M. Cioni, P. Capodaglio, C. Lentino
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2017/3059891
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spelling doaj-537c5f0f5c324986b4cd2d9b482510aa2020-11-24T22:34:33ZengHindawi LimitedPain Research and Management1203-67651918-15232017-01-01201710.1155/2017/30598913059891Spinal Cord Stimulation in Failed Back Surgery Syndrome: Effects on Posture and Gait—A Preliminary 3D Biomechanical StudyL. Brugliera0A. De Luca1S. Corna2M. Bertolotto3G. A. Checchia4M. Cioni5P. Capodaglio6C. Lentino7Istituto Auxologico Italiano, Unità di Riabilitazione Osteoarticolare, Ospedale S Giuseppe, Strada Cadorna 90, Piancavallo, ItalyLaboratorio Analisi del Movimento Ospedale Santa Corona di Pietra Ligure, Viale 25 Aprile 38, 17027 Pietra Ligure, ItalyIstituto Auxologico Italiano, Unità di Riabilitazione Osteoarticolare, Ospedale S Giuseppe, Strada Cadorna 90, Piancavallo, ItalyCentro Terapia del Dolore e Cure Palliative, Dipartimento di Riabilitazione, Ospedale Santa Corona di Pietra Ligure, Viale 25 Aprile 38, 17027 Pietra Ligure, ItalyStruttura Complessa Recupero e Rieducazione Funzionale, Ospedale Santa Corona di Pietra Ligure, Viale 25 Aprile 38, 17027 Pietra Ligure, ItalyScuola di Specializzazione in Medicina Fisica e Riabilitativa, Dipartimento di Scienze Biomediche e Biotecnologiche, Università degli Studi di Catania, Piazza Università 2, 95131 Catania, ItalyIstituto Auxologico Italiano, Unità di Riabilitazione Osteoarticolare, Ospedale S Giuseppe, Strada Cadorna 90, Piancavallo, ItalyLaboratorio Analisi del Movimento Ospedale Santa Corona di Pietra Ligure, Viale 25 Aprile 38, 17027 Pietra Ligure, ItalyWe studied 8 patients with spinal cord stimulation (SCS) devices which had been previously implanted to treat neuropathic chronic pain secondary to Failed Back Surgery Syndrome. The aim of our study was to investigate the effects of SCS on posture and gait by means of clinical scales (Short Form Health Survey-36, Visual Analogue Scale for pain, and Hamilton Depression Rating Scale) and instrumented evaluation with 3D Gait Analysis using a stereophotogrammetric system. The latter was performed with the SCS device turned both OFF and ON. We recorded gait and posture using the Davis protocol and also trunk movement during flexion-extension on the sagittal plane, lateral bending on the frontal plane, and rotation on the transversal plane. During and 30 minutes after the stimulation, not only the clinical scales but also spatial-temporal gait parameters and trunk movements improved significantly. Improvement was not shown under stimulation-OFF conditions. Our preliminary data suggest that SCS has the potential to improve posture and gait and to provide a window of pain-free opportunity to optimize rehabilitation interventions.http://dx.doi.org/10.1155/2017/3059891
collection DOAJ
language English
format Article
sources DOAJ
author L. Brugliera
A. De Luca
S. Corna
M. Bertolotto
G. A. Checchia
M. Cioni
P. Capodaglio
C. Lentino
spellingShingle L. Brugliera
A. De Luca
S. Corna
M. Bertolotto
G. A. Checchia
M. Cioni
P. Capodaglio
C. Lentino
Spinal Cord Stimulation in Failed Back Surgery Syndrome: Effects on Posture and Gait—A Preliminary 3D Biomechanical Study
Pain Research and Management
author_facet L. Brugliera
A. De Luca
S. Corna
M. Bertolotto
G. A. Checchia
M. Cioni
P. Capodaglio
C. Lentino
author_sort L. Brugliera
title Spinal Cord Stimulation in Failed Back Surgery Syndrome: Effects on Posture and Gait—A Preliminary 3D Biomechanical Study
title_short Spinal Cord Stimulation in Failed Back Surgery Syndrome: Effects on Posture and Gait—A Preliminary 3D Biomechanical Study
title_full Spinal Cord Stimulation in Failed Back Surgery Syndrome: Effects on Posture and Gait—A Preliminary 3D Biomechanical Study
title_fullStr Spinal Cord Stimulation in Failed Back Surgery Syndrome: Effects on Posture and Gait—A Preliminary 3D Biomechanical Study
title_full_unstemmed Spinal Cord Stimulation in Failed Back Surgery Syndrome: Effects on Posture and Gait—A Preliminary 3D Biomechanical Study
title_sort spinal cord stimulation in failed back surgery syndrome: effects on posture and gait—a preliminary 3d biomechanical study
publisher Hindawi Limited
series Pain Research and Management
issn 1203-6765
1918-1523
publishDate 2017-01-01
description We studied 8 patients with spinal cord stimulation (SCS) devices which had been previously implanted to treat neuropathic chronic pain secondary to Failed Back Surgery Syndrome. The aim of our study was to investigate the effects of SCS on posture and gait by means of clinical scales (Short Form Health Survey-36, Visual Analogue Scale for pain, and Hamilton Depression Rating Scale) and instrumented evaluation with 3D Gait Analysis using a stereophotogrammetric system. The latter was performed with the SCS device turned both OFF and ON. We recorded gait and posture using the Davis protocol and also trunk movement during flexion-extension on the sagittal plane, lateral bending on the frontal plane, and rotation on the transversal plane. During and 30 minutes after the stimulation, not only the clinical scales but also spatial-temporal gait parameters and trunk movements improved significantly. Improvement was not shown under stimulation-OFF conditions. Our preliminary data suggest that SCS has the potential to improve posture and gait and to provide a window of pain-free opportunity to optimize rehabilitation interventions.
url http://dx.doi.org/10.1155/2017/3059891
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