The value of dorsal column stimulation in multiple sclerosis.
Ten patients with definite and one with probable MS, all markedly inflicted, but with a varying degree of motor and bladder dysfunction were subjected to spinal cord stimulation in a controlled study. None of the patients exhibited appreciable fluctuation in symptoms in the pre-study period. Bladder symptoms were most markedly influenced by electrical stimulation. The reduction in hesitancy and urgency was of great importance to the patients. In 9 of 10 patients reduction in voiding frequency took place, the all over reduction being 8%. Maximum extension torque increased by 9% and flexion torque by 29% during the stimulation when compared to the first placebo period. In selected MS patients, i.e. patients with bladder dysfunction and with a certain muscular reserve, electrical spinal cord stimulation may have an indication.
D000328:Adult; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D007537:Isometric Contraction; D007719:Knee Joint / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009068:Movement; D009103:Multiple Sclerosis / Q000503:physiopathology / Q000628:therapy*; D010919:Placebos; D013116:Spinal Cord / Q000503:physiopathology*; D001743:Urinary Bladder / Q000503:physiopathology
D010919:Placebos