SOMATOSENSORY AND MOTOR EVOKED POTENTIALS AS PROGNOSTIC INDICATOR OF WALKING AFTER SPINAL CORD INJURY

Authors

  • Parneet Kaur Bedi Doctoral Researcher, Department of Physiotherapy, Punjabi University, Patiala
  • Narkeesh Arumugam Head & Professor, Department of Physiotherapy, Punjabi University, Patiala.

DOI:

https://doi.org/10.15621/ijphy/2015/v2i3/67017

Keywords:

Somatosensory Evoked Potentials, Motor Evoked Potentials, Walking, Spinal Cord Injury, Electrophysiology

Abstract

Background: Walking recovery is one of the main goals of patients after SCI. Walking is rated as primary goal and desire (together with bladder and bowel function) irrespective of the level of lesion. Past literature terms walking as long-term outcome or as a primary means of mobility after SCI.In patients with SCI clinical and electrophysiological examinations are directed towards predicting functional recovery.
Methods: A systematic research of all papers was made by the authors using the PRISMA 2009 guidelines. Using the various search engines 56 articles was found and 22 were selected for the present study. Out of these 17 were included for the final stage
Result: Electrophysiological measures can provide information that complements clinical assessments such as the American Spinal Injury Association sensory and motor scores in the evaluation of outcomes after spinal cord injury (SCI).
Conclusion: The authors review and summarize the literature regarding tests that are most relevant to the study of SCI recovery—in particular, motor evoked potentials and somatosensory evoked potentials (SSEPs). Both SSEP and MEP provide data clinically significant as a prognostic indicator.

References

Curt,A.,Keck,M.E.,andDietz,V. Functional outcome following spinal cord injury: significance of motor-evoked potentials and ASIA scores. Arch.Phys.Med.Rehabil.1998;79(1):81–86. 2. Curt A and Dietz V. Ambulatory capacity in spinal cord injury: Significance of somatosensory evoked potentials and ASIA protocols in predicting outcome. Arch Phys Med Rehabil.1997;78(1): 39- 43. 3. Curt A and Dietz V. Electrophysiological recordings in patients with spinal cord injury: significance for predicting outcome. Spinal Cord.1999;37(3):157-65. 4. Crozier KS, Graziani V, Ditunno JF, Herbison GJ. Spinal cord injury: Prognosis for ambulation based on sensory examination in patients who are initially motor complete. Arch Phys Med Rehabil. 1991;72(2): 119 -121. 5. Maynard FM. Neurological prognosis after traumatic quadriplegia. J Neurosurg.1979; 50(5): 611- 616. 6. Burns,S.P.,Golding,D.G.,Rolle,W.A.Jr.,Graziani ,V and Ditunno,J.F. Recovery of ambulation in motor incomplete tetraplegia. Arch.Phys. Med.Rehabil.1997; 78(11): 1169- 1172. 7. Roth EJ, Lawler MH and Yarkony GM. Traumatic central cord syndrome: clinical features and functional outcomes. Arch Phys Med Rehabil.1990; 71(1):18-23. 8. Waters RL, Rodney A, Yakura JS and Vigil D. Prediction of ambulatory performance based on motor scores derived from standards of the American Spinal Injury Association. Arch Phys Med Rehabil.1994;75(7):750- 760. 9. York DH (1983). Utilization of somatosensory evoked cortical potentials in spinal cord injury. Spine.1983;8(8):832-839. 10. Curt A, Weinhardt C and Dietz. Significance of sympathetic skin response in the assessment of autonomic failure in patients with spinal cord injury. J Autonomic Nervous System. 1996;61(2): 175-180. 11. Parry GJ. Electrodiagnostic studies in the evaluation of peripheral nerve and brachial plexus injuries. Neurol Trauma. 1992;(10)4: 921 -934. 12. Krasilowsky G. Nerve conduction studies in patients with cervical spinal cord injuries. Arch Phys Med Rehabil. 1980;61(5):204 -208. 13. Fierro B, Raimondo D, Modica A. Analysis of F response in upper motoneurone lesions. Acta Neurol Scand.1990; 82(5):329 -334. 14. Liberson WT. `H' reflexes and `F' waves in hemiplegics. Electromyogr Clin Neurophysiol .1977;17(3-4):247-264. 15. Kimura J. Is the F wave elicited in a select group of motoneurons? Muscle Nerve.1984;7(5):392-399. 16. Aalfs,C.M.,Koelman,J.H.,Meyjes,F.E.,and deVisser,B.W.O. Posterior tibial and sural nerve somatosensory evoked potentials: a study in spastic paraparesis in spinal cord lesions. Electroencephalogr.Clin.Neurophysiol. 1993;89(6),437–441 17. Dietz V, Wirz M ,Curt A and Colombo G. Locomotor pattern in paraplegic patients: training effects and recovery of spinal cord function. Spinal Cord.1998;36(6):380-90. 18. Foo,D. Spinal cord injury in forty-four patients with cervical spondylosis. Paraplegia. 1986;24(5):301-306. 19. Jacobs,S.R.,Yeaney,N.K.,Herbison,G.J and Ditunno,J.F.Jr. Future ambulation prognosis as predicted by somatosensory evoked potentials in motor complete and incomplete quadriplegia. Arch.Phys.Med.Rehabil. 1995;76 (7) : 635–641. 20. Kaplan,P.E.,and Rosen,J.S. Somatosensory evoked potentials in spinal cord injured patients. Paraplegia. 1981;19(2):118-122. 21. Young,J.S., and Dexter,W.R. Neurological recovery distal to the zone of Injury in 172 cases of closed, traumatic spinal cord injury. Paraplegia. 1979;16(1):39–49. 22. Ziganow,S. Neurometric evaluation of the cortical somatosensory evoked potential in acute incomplete spinal cord injuries.

Published

07-06-2015
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How to Cite

Kaur Bedi , P. ., & Arumugam, N. . (2015). SOMATOSENSORY AND MOTOR EVOKED POTENTIALS AS PROGNOSTIC INDICATOR OF WALKING AFTER SPINAL CORD INJURY. International Journal of Physiotherapy, 2(3), 472–482. https://doi.org/10.15621/ijphy/2015/v2i3/67017

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