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National Repository of Grey Literature

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Use of epidural spinal cord stimulation to influence motor and autonomic functions after complete spinal cord injury Fořtová, Martina ; Rybka, Vojtěch (advisor) ; Krausová, Lucie (referee) Title: Use of epidural spinal cord stimulation to influence motor and autonomic functions after complete spinal cord injury The main objective: The main aim of the bachelor thesis was to investigate the use of epidural spinal cord stimulation (eSCS) to influence motor and autonomic functions in an individual with complete spinal cord injury. We investigated whether it is possible to stimulate individual segments in the lumbosacral spinal cord after electrode implantation to restore voluntary lower limb movements and subsequently standing. We also investigated the effect on the autonomic nervous system, spasticity or trunk stability. Methods: An individual with a complete spinal cord lesion was selected for the study and implanted with a spinal cord stimulator with a 32-lead electrode inserted into the spinal canal at the L1-L2 level. The entire therapy lasted 9 months. Four examinations were performed. Before the start of the therapy, then after three and six months and the exit examination was performed after nine months of stimulation. During the examination, stimulation programs were set up primarily to stimulate muscle groups in the lower limbs. Once a certain level of control and muscle strength was achieved, stimulation was started in the sitting position, and as stability and strength... Detailed record

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