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Section: Notes Download (pdf, 0.4MB )UDC612.83+611.839DOI10.37482/2687-1491-Z024AuthorsRafail’ N. Yakupov* ORCID: 0000-0002-8105-6799Denis A. Pavlov* ORCID: 0000-0001-7593-7138 Sergey S. Anan’ev* ORCID: 0000-0001-9757-7946 Valentina A. Golodnova* ORCID: 0000-0002-0929-176X Mikhail V. Balykin* ORCID: 0000-0002-2086-4581 *Ulyanovsk State University (Ulyanovsk, Russian Federation) Corresponding author: Rafail’ Yakupov, address: ul. L’va Tolstogo 42, Ulyanovsk, 432017, Russian Federation; e-mail: rafail89@mail.ru AbstractThis paper studied the effect of multi-segmental transcutaneous electrical stimulation of the spinal cord and mechanical stimulation of leg muscles on systemic haemodynamics in two groups of individuals – with preserved and impaired motor functions – after ischemic stroke. It was found that in both groups the transcutaneous electrical stimulation of the spinal cord did not affect the tone of the autonomic centres and systemic haemodynamics. Mechanostimulation combined with transcutaneous electrical stimulation of the spinal cord increased the heart rate, stroke volume and cardiac output in subjects with preserved and disrupted supraspinal connections. Thus, the combination of transcutaneous electrical stimulation of the spinal cord and mechanical stimulation can be used to influence the cardiovascular system in rehabilitation of patients with impaired motor functions after a stroke.Keywordstranscutaneous electrical stimulation of the spinal cord, mechanostimulation of leg muscles, systemic haemodynamics, ischemic stroke, rehabilitation, supraspinal connectionsReferences1. Minassian K., Persy I., Rattay F., Dimitrijevic M.R., Hofer C., Kern H. Posterior Root–Muscle Reflexes Elicited by Transcutaneous Stimulation of the Human Lumbosacral Cord. Muscle Nerve, 2007, vol. 35, no. 3, pp. 327–336.2. Roy F.D., Gibson G., Stein R.B. Effect of Percutaneous Stimulation at Different Spinal Levels on the Activation of Sensory and Motor Roots. Exp. Brain Res., 2012, vol. 223, no. 2, pp. 281–289. 3. Gorodnichev R.M., Pivovarova E.A., Pukhov A., Moiseev S.A., Savokhin A.A., Moshonkina T.R., Shcherbakova N.A., Kilimnik V.A., Selionov V.A., Kozlovskaya I.B., Edgerton R., Gerasimenko Yu.P. Transcutaneous Electrical Stimulation of the Spinal Cord: A Noninvasive Tool for the Activation of Stepping Pattern Generators in Humans. Hum. Physiol., 2012, vol. 38, no. 2, pp. 158–167. 4. Gerasimenko Y., Gorodnichev R., Puhov A., Moshonkina T., Savochin A., Selionov V., Roy R.R., Lu D.C., Edgerton V.R. Initiation and Modulation of Locomotor Circuitry Output with Multisite Transcutaneous Electrical Stimulation of the Spinal Cord in Noninjured Humans. J. Neurophysiol., 2015, vol. 113, no. 3, pp. 834–842. 5. Sayenko D.G., Atkinson D.A., Floyd T.C., Gorodnichev R.M., Moshonkina T.R., Harkema S.J., Edgerton V.R., Gerasimenko Y.P. Effects of Paired Transcutaneous Electrical Stimulation Delivered at Single and Dual Sites over Lumbosacral Spinal Cord. Neurosci. Lett., 2015, vol. 609, pp. 229–234. 6. Balykin M.V., Yakupov R.N., Mashin V.V., Kotova E.Yu., Balykin Yu.M., Gerasimenko Yu.P. Vliyanie neinvazivnoy elektricheskoy stimulyatsii spinnogo mozga na lokomotornye funktsii patsientov s dvigatel’nymi narusheniyami tsentral’nogo geneza [The Influence of Non-Invasive Electrical Stimulation of the Spinal Cord on the Locomotor Function of Patients Presenting with Movement Disorders of Central Genesis]. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul’tury, 2017, vol. 94, no. 4, pp. 4–9. DOI: 10.17116/kurort20179444-9 7. Yakupov R.N., Balykin Yu.M., Kotova E.Yu., Balykin M.V., Gerasimenko Yu.P. Izmenenie silovykh pokazateley myshts nizhnikh konechnostey pri chreskozhnoy elektricheskoy stimulyatsii spinnogo mozga [The Change in Strength of the Muscles of the Lower Limbs in Transcutaneous Electrical Stimulation of the Spinal Cord]. Ul’yanovskiy medikobiologicheskiy zhurnal, 2015, no. 4, pp. 99–103. 8. Wirz M., Colombo G., Dietz V. Long Term Effects of Locomotor Training in Spinal Humans. J. Neurol. Neurosurg. Psychiatry, 2001, vol. 71, no. 1, pp. 93–96. 9. Cheatwood J.L., Emerick A.J., Kartje G.L. Neuronal Plasticity and Functional Recovery After Ischemic Stroke. Top. Stroke Rehabil., 2008, vol. 15, no. 1, pp. 42–50. 10. Dimyan M.A., Cohen L.G. Neuroplasticity in the Context of Motor Rehabilitation After Stroke. Nat. Rev. Neurol., 2011, vol. 7, no. 2, pp. 76–85. DOI: 10.37482/2687-1491-Z02 |
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