Spinal Cord Stimulation in Failed Back Surgery Syndrome

Effects on Posture and Gait-A Preliminary 3D Biomechanical Study

L. Brugliera, A. De Luca, S. Corna, M. Bertolotto, G. A. Checchia, M. Cioni, P. Capodaglio, C. Lentino

Research output: Contribution to journalArticle

Abstract

We studied 8 patients with spinal cord stimulation (SCS) devices which had been previously implanted to treat neuropathic chronic pain secondary to Failed Back Surgery Syndrome. The aim of our study was to investigate the effects of SCS on posture and gait by means of clinical scales (Short Form Health Survey-36, Visual Analogue Scale for pain, and Hamilton Depression Rating Scale) and instrumented evaluation with 3D Gait Analysis using a stereophotogrammetric system. The latter was performed with the SCS device turned both OFF and ON. We recorded gait and posture using the Davis protocol and also trunk movement during flexion-extension on the sagittal plane, lateral bending on the frontal plane, and rotation on the transversal plane. During and 30 minutes after the stimulation, not only the clinical scales but also spatial-temporal gait parameters and trunk movements improved significantly. Improvement was not shown under stimulation-OFF conditions. Our preliminary data suggest that SCS has the potential to improve posture and gait and to provide a window of pain-free opportunity to optimize rehabilitation interventions.

Original languageEnglish
Article number3059891
JournalPain Research and Management
Volume2017
DOIs
Publication statusPublished - Jan 1 2017

Fingerprint

Failed Back Surgery Syndrome
Spinal Cord Stimulation
Posture
Gait
Equipment and Supplies
Neuralgia
Pain Measurement
Health Surveys
Chronic Pain
Rehabilitation

ASJC Scopus subject areas

  • Neurology
  • Anesthesiology and Pain Medicine

Cite this

Spinal Cord Stimulation in Failed Back Surgery Syndrome : Effects on Posture and Gait-A Preliminary 3D Biomechanical Study. / Brugliera, L.; De Luca, A.; Corna, S.; Bertolotto, M.; Checchia, G. A.; Cioni, M.; Capodaglio, P.; Lentino, C.

In: Pain Research and Management, Vol. 2017, 3059891, 01.01.2017.

Research output: Contribution to journalArticle

@article{73e1da2ec40b4834b381b2dd1f15b8b3,
title = "Spinal Cord Stimulation in Failed Back Surgery Syndrome: Effects on Posture and Gait-A Preliminary 3D Biomechanical Study",
abstract = "We studied 8 patients with spinal cord stimulation (SCS) devices which had been previously implanted to treat neuropathic chronic pain secondary to Failed Back Surgery Syndrome. The aim of our study was to investigate the effects of SCS on posture and gait by means of clinical scales (Short Form Health Survey-36, Visual Analogue Scale for pain, and Hamilton Depression Rating Scale) and instrumented evaluation with 3D Gait Analysis using a stereophotogrammetric system. The latter was performed with the SCS device turned both OFF and ON. We recorded gait and posture using the Davis protocol and also trunk movement during flexion-extension on the sagittal plane, lateral bending on the frontal plane, and rotation on the transversal plane. During and 30 minutes after the stimulation, not only the clinical scales but also spatial-temporal gait parameters and trunk movements improved significantly. Improvement was not shown under stimulation-OFF conditions. Our preliminary data suggest that SCS has the potential to improve posture and gait and to provide a window of pain-free opportunity to optimize rehabilitation interventions.",
author = "L. Brugliera and {De Luca}, A. and S. Corna and M. Bertolotto and Checchia, {G. A.} and M. Cioni and P. Capodaglio and C. Lentino",
year = "2017",
month = "1",
day = "1",
doi = "10.1155/2017/3059891",
language = "English",
volume = "2017",
journal = "Pain Research and Management",
issn = "1203-6765",
publisher = "Pulsus Group Inc.",

}

TY - JOUR

T1 - Spinal Cord Stimulation in Failed Back Surgery Syndrome

T2 - Effects on Posture and Gait-A Preliminary 3D Biomechanical Study

AU - Brugliera, L.

AU - De Luca, A.

AU - Corna, S.

AU - Bertolotto, M.

AU - Checchia, G. A.

AU - Cioni, M.

AU - Capodaglio, P.

AU - Lentino, C.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - We studied 8 patients with spinal cord stimulation (SCS) devices which had been previously implanted to treat neuropathic chronic pain secondary to Failed Back Surgery Syndrome. The aim of our study was to investigate the effects of SCS on posture and gait by means of clinical scales (Short Form Health Survey-36, Visual Analogue Scale for pain, and Hamilton Depression Rating Scale) and instrumented evaluation with 3D Gait Analysis using a stereophotogrammetric system. The latter was performed with the SCS device turned both OFF and ON. We recorded gait and posture using the Davis protocol and also trunk movement during flexion-extension on the sagittal plane, lateral bending on the frontal plane, and rotation on the transversal plane. During and 30 minutes after the stimulation, not only the clinical scales but also spatial-temporal gait parameters and trunk movements improved significantly. Improvement was not shown under stimulation-OFF conditions. Our preliminary data suggest that SCS has the potential to improve posture and gait and to provide a window of pain-free opportunity to optimize rehabilitation interventions.

AB - We studied 8 patients with spinal cord stimulation (SCS) devices which had been previously implanted to treat neuropathic chronic pain secondary to Failed Back Surgery Syndrome. The aim of our study was to investigate the effects of SCS on posture and gait by means of clinical scales (Short Form Health Survey-36, Visual Analogue Scale for pain, and Hamilton Depression Rating Scale) and instrumented evaluation with 3D Gait Analysis using a stereophotogrammetric system. The latter was performed with the SCS device turned both OFF and ON. We recorded gait and posture using the Davis protocol and also trunk movement during flexion-extension on the sagittal plane, lateral bending on the frontal plane, and rotation on the transversal plane. During and 30 minutes after the stimulation, not only the clinical scales but also spatial-temporal gait parameters and trunk movements improved significantly. Improvement was not shown under stimulation-OFF conditions. Our preliminary data suggest that SCS has the potential to improve posture and gait and to provide a window of pain-free opportunity to optimize rehabilitation interventions.

UR - http://www.scopus.com/inward/record.url?scp=85031918882&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85031918882&partnerID=8YFLogxK

U2 - 10.1155/2017/3059891

DO - 10.1155/2017/3059891

M3 - Article

VL - 2017

JO - Pain Research and Management

JF - Pain Research and Management

SN - 1203-6765

M1 - 3059891

ER -