Relationship between median nerve somatosensory evoked potentials and spinal cord injury levels in patients with quadriplegia

Autor(es)

de Arruda Serra Gaspar, M. I. F. ^[1] ; Cliquet, Jr., A. ^{[2, 3]} ; Fernandes Lima, V. M. ^[4] ; de Abreu, D. C. C. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Med Ribeirao Preto, Physiotherapy Course, Dept Biomech Med & Rehabil Locomotor Syst, BR-09500900 Sao Paulo - Brazil

^[2] Univ Estadual Campinas, Sch Med Sci, Dept Orthoped, Sao Paulo - Brazil

^[3] Univ Sao Paulo, Dept Elect Engn, Sao Paulo - Brazil

^[4] Publ Hlth Lab ANVISA, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: SPINAL CORD; v. 47, n. 5, p. 372-378, MAY 2009.
• Citações Web of Science: 6

Resumo

Study design: Cross-sectional study. Objectives: To observe if there is a relationship between the level of injury by the American Spinal Cord Injury Association (ASIA) and cortical somatosensory evoked potential (SSEP) recordings of the median nerve in patients with quadriplegia. Setting: Rehabilitation Outpatient Clinic at the university hospital in Brazil. Methods: Fourteen individuals with quadriplegia and 8 healthy individuals were evaluated. Electrophysiological assessment of the median nerve was performed by evoked potential equipment. The injury level was obtained by ASIA. N(9), N(13) and N(20) were analyzed based on the presence or absence of responses. The parameters used for analyzing these responses were the latency and the amplitude. Data were analyzed using mixed-effect models. Results: N(9) responses were found in all patients with quadriplegia with a similar latency and amplitude observed in healthy individuals; N(13) responses were not found in any patients with quadriplegia. N(20) responses were not found in C5 patients with quadriplegia but it was present in C6 and C7 patients. Their latencies were similar to healthy individuals (P > 0.05) but the amplitudes were decreased (P < 0.05). Conclusion: This study suggests that the SSEP responses depend on the injury level, considering that the individuals with C6 and C7 injury levels, both complete and incomplete, presented SSEP recordings in the cortical area. It also showed a relationship between the level of spinal cord injury assessed by ASIA and the median nerve SSEP responses, through the latency and amplitude recordings. Spinal Cord (2009) 47, 372-378; doi:10.1038/sc.2008.147; published online 20 January 2009 (AU)

• Processo FAPESP: 03/05856-9 - Efeito do treinamento de marcha induzida por estimulacao eletrica neuromuscular sobre a osteoporose em pacientes lesados medulares.
• Beneficiário: Alberto Cliquet Junior
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 05/53530-0 - Monitorizacao da densidade mineral ossea e trofismo muscular por tecnicas de ressonancia magnetica e tomografia computadorizada duran te o treinamento de marcha induzida por estimulacao eletrica...
• Beneficiário: Daniela Cristina Carvalho de Abreu
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
• Processo FAPESP: 96/12198-2 - Desenvolvimento de mecanismos, órgãos artificiais e biosensores na modulação, controle e comunicação em sistemas biomecânicos e de reabilitação
• Beneficiário: Alberto Cliquet Junior
• Modalidade de apoio: Auxílio à Pesquisa - Temático