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Thread: Dimitrijevic & Dimitrijevic (2002). Clinical elements for the neuromuscular stimulation and functional electrical stimulation protocols in the practice of neurorehabilitation.

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    Dimitrijevic & Dimitrijevic (2002). Clinical elements for the neuromuscular stimulation and functional electrical stimulation protocols in the practice of neurorehabilitation.

    • Dimitrijevic MM and Dimitrijevic MR (2002). Clinical elements for the neuromuscular stimulation and functional electrical stimulation protocols in the practice of neurorehabilitation. Artif Organs. 26 (3): 256-9. Summary: The physicians and their multidisciplinary teams involved in the clinical practice of neurological rehabilitation have more and more opportunities to apply neuromuscular stimulation (NMS) and functional electrical stimulation (FES) of peripheral nerves as a part of their daily practice. In this article, we outline clinical protocols of NMS and FES in the following clinical conditions of upper motor neuron dysfunction: to prevent consequences of disuse of the neuromuscular system of the upper motor neuron, to facilitate recovery processes of impaired upper motor neuron functions due to acute and/or subacute neurological conditions, to maintain or enhance the trophic state of the muscle, to modify altered control of muscle tone, to modify altered patterns of automatic and volitional functional movements, to enhance functional movement of the single joint muscle group within intact functional multijoint movement, and to modify altered neurocontrol of posture, locomotion, and skillful movements. We emphasize the importance of understanding the motor control alteration while developing clinical protocols and defining the goals. It is very important to be aware that similar clinical findings and due to the same cause can have different features of residual motor control, and therefore potentials for recovery or modification can be very different. University Institute of Clinical Neurophysiology, Ljubljana, Slovenia.

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    I just started a nurse thread in care as to whether this is successfully in treating spasticity. Specifically, I have MS w three cord lesions.

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    Dr Terry Wahl of U Iowa just wrapped a study this month including measures of spasticity. My pump surgery is next week! Any chance she might clue you in as to positive spasticity outcome from her far less dangerous protocol?


    https://clinicaltrials.gov/ct2/show/NCT01381354

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