Effect of Mongolian medicine fumigation combined with sciatic nerve and rectal probe pelvic floor electrical stimulation on muscle spasticity of cervical spinal cord injury_West China Medical Journal

Authors：

ZHANG Shulian ¹ , YAN Jinyu ¹ , LI Xiaotao ¹ , YANG Dan ¹ , LIU Peiying ¹ , ZHANG Shihong ¹ , WANG Jingjuan ¹ , LI Jianfeng ¹ ,  SU Ya ²

1. Department of Rehabilitation, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia 010030, P. R. China;
2. First-aid Center, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia 010050, P. R. China;

Corresponding?author：

SU Ya, Email: jianfeng0471@163.com

Keywords：

Muscle spasticity; Cervical spinal cord injury; Mongolian medicine fumigation; Sciatic nerve; Pelvic floor electrical stimulation

DOI：

10.7507/1002-0179.201904076

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Objective To observe the effect of Mongolian medicine fumigation combined with sciatic nerve and rectal probe electrical stimulation on muscle spasticity of spinal cord injury.Methods Between January 2012 and January 2018, a total of 65 patients with muscle spasticity after spinal cord injury were randomly divided into two group: the observation group (32 cases) and the control group (33 cases). The patients in the observation group were treated with Mongolian medicine (Wu Wei Gan Lu-Decoction) fumigation combined with sciatic nerve and rectal probe electrical stimulation, while the patients in the control group were treated with medicine, physical therapy, and exercise therapy. Both two groups were treated for 8 weeks. The patients were scored with Ashworth Score, American Spinal Injury Association (ASIA) score, and Barthel Index before and after treatment.Results The pre-treatment ASIA scores (light touch sensation, pain sensation, and muscle strength) and Barthel Index of the two groups were not statistically significant (P>0.05). The post-treatment ASIA scores and Barthel Index of both groups performed significantly better than the pre-treatment levels (P<0.05). The post-treatment ASIA muscle strength item was 58.55±10.83 in the observation group and 50.69±11.32 in the control group (P<0.05). The post-treatment Barthel Index was 74.22±11.53 in the observation group and 68.46±9.92 in the control group (P<0.05). The effective rate in the observation group was significantly better than that in the control group (84.4% vs. 60.6%, P<0.05). Conclusion Mongolian medicine fumigation combined with sciatic nerve and rectal probe electric stimulation could improve the muscle spasticity of spinal cord injury and patients’ ability of daily life effectively.

Citation： ZHANG Shulian, YAN Jinyu, LI Xiaotao, YANG Dan, LIU Peiying, ZHANG Shihong, WANG Jingjuan, LI Jianfeng, SU Ya. Effect of Mongolian medicine fumigation combined with sciatic nerve and rectal probe pelvic floor electrical stimulation on muscle spasticity of cervical spinal cord injury. West China Medical Journal, 2019, 34(5): 526-530. doi: 10.7507/1002-0179.201904076 Copy

1.	Jazayeri SB, Beygi S, Shokraneh F, et al. Incidence of traumatic spinal cord injury worldwide: a systematic review. Eur Spine J, 2015, 24(5): 905-918.
2.	Ruff CA, Wilcox JT, Fehlings MG. Cell-based transplantation strategies to promote plasticity following spinal cord injury. Exp Neurol, 2012, 235(1): 78-90.
3.	Riemann L, Younsi A, Scherer M, et al. Transplantation of neural precursor cells attenuates chronic immune environment in cervical spinal cord injury. Front Neurol, 2018, 9(8): 428.
4.	McGrory BJ, Klassen RA, Chao EY, et al. Acute fractures and dislocations of the cervical spine in children and adolescents. J Bone Joint Surg Am, 1993, 75(7): 988-995.
5.	Dale NS, Zachary JG. Epidemiology and treatment of central cord syndrome in the United States. J Spine Surg, 2018, 4(4): 712-716.
6.	王一吉, 周紅俊, 李建軍, 等. 脊髓損傷神經學分類國際標準檢查表最新修訂及解讀. 中國康復理論與實踐, 2015, 21(8): 879-882.
7.	廖利民, 吳娟, 鞠彥合, 等. 脊髓損傷患者泌尿系管理與臨床康復指南. 中國康復理論與實踐, 2013, 19(4): 301-317.
8.	Walden K, Belanger LM, Biering-Sorensen F, et al. Development and validation of a computerized algorithm for International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). Spinal Cord, 2016, 54(3): 197-203.
9.	Uei H, Tokuhashi Y, Maseda M, et al. Clinical results of minimally invasive spine stabilization for the management of metastatic spinal tumors based on the epidural spinal cord compression scale. Biomed Res Int, 2018, 8(11): 2035-2041.
10.	Vural M, Yalcinkaya EY, Celik EC, et al. Assessment of quality of life in relation to spasticity severity and socio-demographic and clinical factors among patients with spinal cord injury. J Spinal Cord Med, 2018, 3(12): 1-8.
11.	Adams MM, Hicks AL. Spasticity after spinal cord injury. Spinal Cord, 2005, 43(10): 577-586.
12.	Mckinley WO, Jackson AB, Cardenas DD, et al. Long-term medical complications after traumatic spinal cord injury: a regional model systems analysis. Arch Phys Med Rehabi, 1999, 80(11): 1402-1410.
13.	Roy RR, Edgerton VR. Neurobiological perspective of spasticity as occurs after a spinal cord injury. Exp Neurol, 2012, 235(1): 116-122.
14.	Fassler PR, Swionkowski MF, Kilroy AW, et al. Injury of the sciatic nerve associated with acetabular fracture. J Bone Joint Surg (Am), 1993, 75(8): 1157-1166.
15.	Elbasiouny SM, Moroz D, Bakr MM. Management of spasticity after spinal cord injury: current techniques and future directions. Neurorehabil Neural Repair, 2010, 24(1): 23-33.
16.	Gracies JM. Pathophysiology of spastic paresis. I: Paresis and soft tissue changes. Muscle Nerve, 2005, 31(5): 535-551.
17.	Yelnik AP, Simon O, Parratte B, et al. How to clinically assess and treat muscle overactivity in spastic paresis. J Rehabil Med, 2010, 42(9): 80-87.
18.	Bauman W, La FM, Cirnigliaro CM, et al. Low-dose baclofen therapy raised plasma insulin-like growth factor-1 concentrations, but not into the normal range in a predictable and sustained manner in men with chronic spinal cord injury. J Spinal Cord Med, 2013, 36(5): 476-482.
19.	Shimada Y, Sakuraba T, Matsunaga T, et al. Effects of therapeutic magnetic stimulation on acute muscle atrophy in rats after hindlimb suspension. Biomed Res, 2006, 27(1): 23-27.
20.	Mcintyre A, Mays R, Mehta S, et al. Examining the effectiveness of intrathecal baclofen on spasticity in individuals with chronic spinal cord injury: a systematic review. J Spinal Cord Med, 2014, 37(1): 11-18.
21.	Handa Y, Handa T, Ichie M, et al. Functional electrical stimulation (FES) systems for restoration of motor function of paralyzed muscles--versatile systems and a portable system. Front Med Biol Eng, 1992, 4(4): 241-255.
22.	Shimada Y, Sato K, Matsunaga T, et al. Closed-loop control using a stretch sensor for restoration of standing with functional electrical stimulation in complete paraplegia. Tohoku J Exp Med, 2001, 193(3): 221-227.

1. Jazayeri SB, Beygi S, Shokraneh F, et al. Incidence of traumatic spinal cord injury worldwide: a systematic review. Eur Spine J, 2015, 24(5): 905-918.
2. Ruff CA, Wilcox JT, Fehlings MG. Cell-based transplantation strategies to promote plasticity following spinal cord injury. Exp Neurol, 2012, 235(1): 78-90.
3. Riemann L, Younsi A, Scherer M, et al. Transplantation of neural precursor cells attenuates chronic immune environment in cervical spinal cord injury. Front Neurol, 2018, 9(8): 428.
4. McGrory BJ, Klassen RA, Chao EY, et al. Acute fractures and dislocations of the cervical spine in children and adolescents. J Bone Joint Surg Am, 1993, 75(7): 988-995.
5. Dale NS, Zachary JG. Epidemiology and treatment of central cord syndrome in the United States. J Spine Surg, 2018, 4(4): 712-716.
6. 王一吉, 周紅俊, 李建軍, 等. 脊髓損傷神經學分類國際標準檢查表最新修訂及解讀. 中國康復理論與實踐, 2015, 21(8): 879-882.
7. 廖利民, 吳娟, 鞠彥合, 等. 脊髓損傷患者泌尿系管理與臨床康復指南. 中國康復理論與實踐, 2013, 19(4): 301-317.
8. Walden K, Belanger LM, Biering-Sorensen F, et al. Development and validation of a computerized algorithm for International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). Spinal Cord, 2016, 54(3): 197-203.
9. Uei H, Tokuhashi Y, Maseda M, et al. Clinical results of minimally invasive spine stabilization for the management of metastatic spinal tumors based on the epidural spinal cord compression scale. Biomed Res Int, 2018, 8(11): 2035-2041.
10. Vural M, Yalcinkaya EY, Celik EC, et al. Assessment of quality of life in relation to spasticity severity and socio-demographic and clinical factors among patients with spinal cord injury. J Spinal Cord Med, 2018, 3(12): 1-8.
11. Adams MM, Hicks AL. Spasticity after spinal cord injury. Spinal Cord, 2005, 43(10): 577-586.
12. Mckinley WO, Jackson AB, Cardenas DD, et al. Long-term medical complications after traumatic spinal cord injury: a regional model systems analysis. Arch Phys Med Rehabi, 1999, 80(11): 1402-1410.
13. Roy RR, Edgerton VR. Neurobiological perspective of spasticity as occurs after a spinal cord injury. Exp Neurol, 2012, 235(1): 116-122.
14. Fassler PR, Swionkowski MF, Kilroy AW, et al. Injury of the sciatic nerve associated with acetabular fracture. J Bone Joint Surg (Am), 1993, 75(8): 1157-1166.
15. Elbasiouny SM, Moroz D, Bakr MM. Management of spasticity after spinal cord injury: current techniques and future directions. Neurorehabil Neural Repair, 2010, 24(1): 23-33.
16. Gracies JM. Pathophysiology of spastic paresis. I: Paresis and soft tissue changes. Muscle Nerve, 2005, 31(5): 535-551.
17. Yelnik AP, Simon O, Parratte B, et al. How to clinically assess and treat muscle overactivity in spastic paresis. J Rehabil Med, 2010, 42(9): 80-87.
18. Bauman W, La FM, Cirnigliaro CM, et al. Low-dose baclofen therapy raised plasma insulin-like growth factor-1 concentrations, but not into the normal range in a predictable and sustained manner in men with chronic spinal cord injury. J Spinal Cord Med, 2013, 36(5): 476-482.
19. Shimada Y, Sakuraba T, Matsunaga T, et al. Effects of therapeutic magnetic stimulation on acute muscle atrophy in rats after hindlimb suspension. Biomed Res, 2006, 27(1): 23-27.
20. Mcintyre A, Mays R, Mehta S, et al. Examining the effectiveness of intrathecal baclofen on spasticity in individuals with chronic spinal cord injury: a systematic review. J Spinal Cord Med, 2014, 37(1): 11-18.
21. Handa Y, Handa T, Ichie M, et al. Functional electrical stimulation (FES) systems for restoration of motor function of paralyzed muscles--versatile systems and a portable system. Front Med Biol Eng, 1992, 4(4): 241-255.
22. Shimada Y, Sato K, Matsunaga T, et al. Closed-loop control using a stretch sensor for restoration of standing with functional electrical stimulation in complete paraplegia. Tohoku J Exp Med, 2001, 193(3): 221-227.

West China Medical Journal

Effect of Mongolian medicine fumigation combined with sciatic nerve and rectal probe pelvic floor electrical stimulation on muscle spasticity of cervical spinal cord injury

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