Cervical spinal lesion, completeness of injury, stress and depression reduce the efficiency of mental imagery in people with spinal cord injury

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jaskirat Kaur ◽  
Shampa Ghosh ◽  
Prabhakar Singh ◽  
Alok Kumar Dwivedi ◽  
Asish Kumar Sahani ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Mental Imagery ◽  
Spinal Lesion ◽  
Cord Injury

Mental Imagery as a Rehabilitative Therapy for Neuropathic Pain in People With Spinal Cord Injury: A Randomized Controlled Trial

2020 ◽  
Vol 34 (11) ◽  
pp. 1038-1049
Author(s):  
Jaskirat Kaur ◽  
Shampa Ghosh ◽  
Asish Kumar Sahani ◽  
Jitendra Kumar Sinha
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neuropathic Pain ◽  
Mental Imagery ◽  
Rating Scale ◽  
Controlled Trial ◽  
Brief Pain Inventory ◽  
Control Group ◽  
Central Neuropathic Pain ◽  
Cord Injury

Background Pain of neuropathic origin in spinal cord injury (SCI) is unbearable and challenging to treat. Research studies conducted in the past have shown that mental imagery (MI) techniques have a significant impact on the reduction of symptoms of central neuropathic pain in people with SCI. Objectives The objective of this study was to evaluate the effect of MI training on pain intensity, neuropathic pain symptoms, and interference of pain with function in SCI. Methods A total of 42 SCI participants with central neuropathic pain (duration 6-12 months) were recruited and randomly allocated to MI or control groups. A MI training protocol was administered to MI group and for 30 min/d for 5 days. Outcome measures were assessed at baseline and at the end of 4 weeks. Results There was significant reduction in differences of mean [95% CI] scores of numeric rating scale (−2.1 [CI −2.78 to −1.41]; P < .001) between groups. Mean [95% CI] total scores of Neuropathic Pain Symptom Inventory declined in MI group as compared with control group (−4.52 [CI −5.86 to −3.18]; P < .001). Similarly, Brief Pain Inventory interference scale total dropped significantly ( P < .001) in MI group. Majority of participants in the MI group (55%) reported improvement in scores of Patients’ Global Impression of Change scale as compared with control group where most of the participants (52%) reported no change. Conclusions This study shows the effectiveness of the MI protocol developed as a rehabilitative approach in improving central neuropathic pain in SCI. Trial Registration. Clinical Trials Registry–India under Indian Council of Medical Research; CTRI/2018/07/014884. Registered July 16, 2018.

Lower-Limb Neuroprostheses

2014 ◽  
pp. 153-180 ◽  
Author(s):  
Monzurul Alam ◽  
Jufang He
Keyword(s):  
Spinal Cord ◽  
Stem Cells ◽  
Spinal Cord Injury ◽  
Lower Limb ◽  
Clinical Tests ◽  
Motor Functions ◽  
Spinal Lesion ◽  
Cord Injury ◽  
Neuroprosthetic Devices

Regaining lower-limb functionality such as walking is one of the highest priorities among all the disabilities of paraplegics following Spinal Cord Injury (SCI). Though the ultimate recovery would be repairing or regenerating new axons across the spinal lesion (potentially by stem cells or other transplants and neurotropic factors), challenges to achieve this as well as recent technological advancements demand the development of new neuroprosthetic devices to restore such motor functions following the injuries. In this chapter, the authors discuss available therapies for the rehabilitation of SCI paraplegics and some new potential interventions that still require clinical tests. They also propose brain-machine-spinal cord interface as a future neuroprosthesis following motor complete SCI.

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