Cargando…

Effect of the Intrathecal Baclofen Screening Test on the Spatiotemporal Gait Motion Parameters of Patients with Cervical Spinal Cord Injuries Who Exhibited Diffuse Spasticity: A Report of Three Cases

We examine the quantitative changes in the gait motion of patients with cervical spinal cord injuries (CSCIs) before and after the intrathecal baclofen (ITB) screening test. The subjects were three patients with CSCI, who exhibited spasticity in the lower extremities. They could all walk 10 or more...

Descripción completa

Detalles Bibliográficos
Autores principales: Kitade, Ippei, Arishima, Hidetaka, Kikuta, Ken-ichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364939/
https://www.ncbi.nlm.nih.gov/pubmed/28663947
http://dx.doi.org/10.2176/nmccrj.2013-0301
_version_ 1782517426172198912
author Kitade, Ippei
Arishima, Hidetaka
Kikuta, Ken-ichiro
author_facet Kitade, Ippei
Arishima, Hidetaka
Kikuta, Ken-ichiro
author_sort Kitade, Ippei
collection PubMed
description We examine the quantitative changes in the gait motion of patients with cervical spinal cord injuries (CSCIs) before and after the intrathecal baclofen (ITB) screening test. The subjects were three patients with CSCI, who exhibited spasticity in the lower extremities. They could all walk 10 or more meters with/without aids. All patients were subjected to the ITB screening test, in which they had gabalon (50 μg) injected into their spinal column via paramedian puncture at the L3–4 level. The subjects had their ankle clonus; patellar tendon reflex; and modified Ashworth scale, Berg balance scale, Spinal Cord Independence Measure, and 10 -meter walk test (10MWT) assessed before and 5 hours after the ITB screening test. At 5 hours after the ITB screening test, all of the patients exhibited decreased spasticity in static position, and improved balance. There were no differences in the abilities of any of the patients to perform ADL. One patient did not change the spatiotemporal gait motion parameters (walking time, step count, and step length in the 10MW T). Therefore, the pomp implantation for ITB therapy was not performed. Two patients who had suffered CSCI more than 20 years ago exhibited a reduced walking time, increased step count, and step length. Out of the two patients one received the pomp of implantation after ITB screening test, and the other was planned to operate. The spatiotemporal gait motion parameters might be one of the useful tests to decide the pomp implantation for CSCI patients who hope improvement of gait ability.
format Online
Article
Text
id pubmed-5364939
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher The Japan Neurosurgical Society
record_format MEDLINE/PubMed
spelling pubmed-53649392017-06-29 Effect of the Intrathecal Baclofen Screening Test on the Spatiotemporal Gait Motion Parameters of Patients with Cervical Spinal Cord Injuries Who Exhibited Diffuse Spasticity: A Report of Three Cases Kitade, Ippei Arishima, Hidetaka Kikuta, Ken-ichiro NMC Case Rep J Case Report We examine the quantitative changes in the gait motion of patients with cervical spinal cord injuries (CSCIs) before and after the intrathecal baclofen (ITB) screening test. The subjects were three patients with CSCI, who exhibited spasticity in the lower extremities. They could all walk 10 or more meters with/without aids. All patients were subjected to the ITB screening test, in which they had gabalon (50 μg) injected into their spinal column via paramedian puncture at the L3–4 level. The subjects had their ankle clonus; patellar tendon reflex; and modified Ashworth scale, Berg balance scale, Spinal Cord Independence Measure, and 10 -meter walk test (10MWT) assessed before and 5 hours after the ITB screening test. At 5 hours after the ITB screening test, all of the patients exhibited decreased spasticity in static position, and improved balance. There were no differences in the abilities of any of the patients to perform ADL. One patient did not change the spatiotemporal gait motion parameters (walking time, step count, and step length in the 10MW T). Therefore, the pomp implantation for ITB therapy was not performed. Two patients who had suffered CSCI more than 20 years ago exhibited a reduced walking time, increased step count, and step length. Out of the two patients one received the pomp of implantation after ITB screening test, and the other was planned to operate. The spatiotemporal gait motion parameters might be one of the useful tests to decide the pomp implantation for CSCI patients who hope improvement of gait ability. The Japan Neurosurgical Society 2014-06-19 /pmc/articles/PMC5364939/ /pubmed/28663947 http://dx.doi.org/10.2176/nmccrj.2013-0301 Text en © 2014 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
Kitade, Ippei
Arishima, Hidetaka
Kikuta, Ken-ichiro
Effect of the Intrathecal Baclofen Screening Test on the Spatiotemporal Gait Motion Parameters of Patients with Cervical Spinal Cord Injuries Who Exhibited Diffuse Spasticity: A Report of Three Cases
title Effect of the Intrathecal Baclofen Screening Test on the Spatiotemporal Gait Motion Parameters of Patients with Cervical Spinal Cord Injuries Who Exhibited Diffuse Spasticity: A Report of Three Cases
title_full Effect of the Intrathecal Baclofen Screening Test on the Spatiotemporal Gait Motion Parameters of Patients with Cervical Spinal Cord Injuries Who Exhibited Diffuse Spasticity: A Report of Three Cases
title_fullStr Effect of the Intrathecal Baclofen Screening Test on the Spatiotemporal Gait Motion Parameters of Patients with Cervical Spinal Cord Injuries Who Exhibited Diffuse Spasticity: A Report of Three Cases
title_full_unstemmed Effect of the Intrathecal Baclofen Screening Test on the Spatiotemporal Gait Motion Parameters of Patients with Cervical Spinal Cord Injuries Who Exhibited Diffuse Spasticity: A Report of Three Cases
title_short Effect of the Intrathecal Baclofen Screening Test on the Spatiotemporal Gait Motion Parameters of Patients with Cervical Spinal Cord Injuries Who Exhibited Diffuse Spasticity: A Report of Three Cases
title_sort effect of the intrathecal baclofen screening test on the spatiotemporal gait motion parameters of patients with cervical spinal cord injuries who exhibited diffuse spasticity: a report of three cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364939/
https://www.ncbi.nlm.nih.gov/pubmed/28663947
http://dx.doi.org/10.2176/nmccrj.2013-0301
work_keys_str_mv AT kitadeippei effectoftheintrathecalbaclofenscreeningtestonthespatiotemporalgaitmotionparametersofpatientswithcervicalspinalcordinjurieswhoexhibiteddiffusespasticityareportofthreecases
AT arishimahidetaka effectoftheintrathecalbaclofenscreeningtestonthespatiotemporalgaitmotionparametersofpatientswithcervicalspinalcordinjurieswhoexhibiteddiffusespasticityareportofthreecases
AT kikutakenichiro effectoftheintrathecalbaclofenscreeningtestonthespatiotemporalgaitmotionparametersofpatientswithcervicalspinalcordinjurieswhoexhibiteddiffusespasticityareportofthreecases