INSERM UMR 1093 - CAPS, Université de Bourgogne Franche-Comté, UFR des Sciences du Sport, Dijon, France.
Center of Rehabilitation Val Rosay, Saint Didier au Mont d'or, France.
J Spinal Cord Med. 2023 Nov;46(6):986-990. doi: 10.1080/10790268.2023.2165369. Epub 2023 Apr 3.
Brown-Séquard Syndrome (BSS) is a rare neurological condition associated with Spinal Cord Injury (SCI). Hemisection of the spinal cord causes paralysis of the homolateral side, and thermoalgesic dysfunction on the opposite side. Cardiopulmonary and metabolic alterations have been reported. For all these patients, regular physical activity is highly recommended and functional electrical stimulation (FES) may be a good option, especially for those with paraplegia. However, to our knowledge, the effects of FES have primarily been studied in those with complete SCI and data regarding application and effects in patients with incomplete lesions (with sensory feedback) is lacking. The present case report therefore evaluated the feasibility and effectiveness of a 3-month FES-rowing program in a patient with BSS.
Knee extensor muscle strength and thickness, walking and rowing capacities as well as quality of life were evaluated before and after 3 months of FES-rowing (two sessions per week) in a 54 year old patient with BSS.
The individual had excellent tolerance and adherence to the training protocol. All measured parameters were greatly improved after 3 months: on average, + 30% rowing capacity, + 26% walking capacity, + 24.5% isometric strength, + 21.9% quadriceps muscle thickness, + 34.5% quality of life.
FES-rowing appears to be well tolerated and highly beneficial for a patient with incomplete SCI and could therefore be considered as an appealing exercise option for these patients.
布朗-色夸综合征（BSS）是一种罕见的与脊髓损伤（SCI）相关的神经系统疾病。脊髓的半切会导致同侧瘫痪，对侧出现痛温觉功能障碍。已有心肺代谢改变的报道。对于所有这些患者，强烈建议定期进行身体活动，功能性电刺激（FES）可能是一个很好的选择，特别是对于那些患有截瘫的患者。然而，据我们所知，FES 的影响主要在完全性 SCI 患者中进行了研究，而关于在不完全性损伤（有感觉反馈）患者中应用和效果的数据则缺乏。因此，本病例报告评估了 FES 划船方案在 BSS 患者中 3 个月的可行性和有效性。
在一位 54 岁 BSS 患者接受 3 个月的 FES 划船（每周两次）治疗前后，评估了伸膝肌力量和厚度、步行和划船能力以及生活质量。
该患者对训练方案具有极好的耐受性和依从性。所有测量参数在 3 个月后均有显著改善：平均而言，划船能力增加了 30%，步行能力增加了 26%，等长力量增加了 24.5%，股四头肌厚度增加了 21.9%，生活质量增加了 34.5%。
FES 划船对于不完全性 SCI 患者耐受性良好，效果显著，因此可以被认为是这些患者的一种有吸引力的运动选择。
