Effect of neuromodulation on autonomic dysreflexia in patients with spinal cord injury: Randomized clinical trial

Osama Mohamed Ahmed Abdelrehem; Nahed Salem; Enas Elsayed; Mohab Darwish

doi:10.53730/ijhs.v6nS6.12659

Authors

Osama Mohamed Ahmed Abdelrehem
Osamaabdelrehem83@gmail.com
Neurology Department, Faculty of Physical Therapy, Deraya University, Egypt
Nahed Salem Physical Therapy Department for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt
Enas Elsayed Neurorehabilitation Department, Faculty of Physical Therapy, Galala University, Suez, Egypt and Physical Therapy Department for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt.
Mohab Darwish Neurosurgery Department, Faculty of Medicine, El-Minia University, Egypt

Keywords:

spinal cord injury, autonomic dysreflexia, neuromodulation, ECG monitor

Abstract

Background: Autonomic dysreflexia is a common clinical presentation in patients with spinal cord injury (SCI). Objectives: To study the effect of the neuromodulation on autonomic dysreflexia in patients with SCI. Methods: Forty SCI patients from both sexes had participated in this study. They were assigned randomly into two equal groups, (A and B). Patients in group (A); the study group received TENS therapy in addition to selective physical therapy program for AD. Group (B); the control group received the same selective physical therapy program only. Electrocardiogram monitor was used to assess blood pressure, pulse rate variation and ECG device was used to assess heart rate variability before and after eight weeks training period for both groups. Results: There was a statistically significant decrease in all measured parameters of the ECG monitor in both groups (A and B) in favor to group A (p<0.05). Conclusion: Neuromodulation had a beneficial effect on improving autonomic dysreflexia in patients with SCI.

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