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Transcutaneous Spinal Stimulation Combined with Locomotor Training Improves Functional Outcomes in a Child with Cerebral Palsy: A Case Study.
Children (Basel)
November 2024
Department of Neurosurgery, Houston Methodist Hospital/Research, 6565 Fannin St, Houston, TX 77030, USA.
Background And Purpose: activities-based locomotor training (AB-LT) is a restorative therapeutic approach to the treatment of movement deficits in people with non-progressive neurological conditions, including cerebral palsy (CP). Transcutaneous spinal stimulation (TSS) is an emerging tool in the rehabilitation of individuals with sensorimotor deficits caused by neurological dysfunction. This non-invasive technique delivers electrical stimulation over the spinal cord, leading to the modulation of spinal sensorimotor networks.
View Article and Find Full Text PDFAn Empirical Model-Based Algorithm for Removing Motion-Caused Artifacts in Motor Imagery EEG Data for Classification Using an Optimized CNN Model.
Sensors (Basel)
November 2024
Humanitarian Technology (HuT) Labs, Department of Electronics and Communication Engineering, Amrita Vishwa Vidyapeetham, Amritapuri 690525, India.
Article Synopsis
- EEG is a non-invasive, portable technique widely used in brain-computer interfaces (BCIs) to help individuals with severe mobility issues control devices like wheelchairs through motor imagery signals.
- The study introduces a new approach for enhancing the quality of EEG recordings by addressing motion artifacts, which traditional methods struggle with, especially for users in motion.
- Utilizing a modified CNN deep learning algorithm and considering real-world variables, the research achieved a high classification accuracy of 94.04% in distinguishing movements, showcasing its effectiveness for practical BCI applications.
Anterior chain activation and high intensity gait training to improve walking in an adult with cerebral palsy: a case report.
Physiother Theory Pract
December 2024
Doctor of Physical Therapy Program, DeSales University, Center Valley, PA, USA.
Background And Purpose: Adults living with Cerebral Palsy (CP) who are non-ambulatory are at increased risk for falls, contractures, reduced bone density, and pain. There is limited evidence for core strength training, anterior chain activation exercises, or high intensity gait training (HIGT) to improve gait function in adults with CP. The purpose of this case report is to describe the use of anterior chain muscle activation and HIGT to improve walking in a non-ambulatory adult male with quadriplegic CP.
View Article and Find Full Text PDFSpontaneous Spinal Epidural Hematoma During Pregnancy: A Case Report.
Cureus
November 2024
Neurosurgery, VM Medical Park Samsun Hospital, Samsun, TUR.
Spontaneous spinal epidural hematoma (SSEH) during pregnancy is an extremely rare neurological emergency, often presenting with sudden neck pain and progressive limb weakness. This report describes a 26-year-old pregnant woman at 26 weeks of gestation who developed paraplegia and severe muscle weakness without prior trauma. MRI revealed a cervical epidural hematoma, leading to an emergency C6 and C7 laminectomy.
View Article and Find Full Text PDFMultimodal surgical strategy for mixed refractory hypertonia in a patient with cerebral palsy: C1-2 puncture and pectoral pocket for baclofen pump implantation following lumbosacral ventral-dorsal rhizotomy. Illustrative case.
J Neurosurg Case Lessons
December 2024
Division of Pediatric Neurosurgery, Ann & Robert H. Lurie Children's Hospital, Chicago, Illinois.
Background: Intrathecal baclofen pump (ITBP) therapy has been successfully used to treat hypertonia in children with cerebral palsy (CP) since its Food and Drug Administration approval in 1984. CP affects multiple organ systems, leading to the accumulation of medical access and implantable devices, increasing the medical complexity of these children. The authors present the case of a patient with extreme surgical complexity and review the medical decision-making and surgical details.
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