Proprioceptive neuromuscular facilitation and cranial electrical stimulation technique in a patient with stiff person syndrome
DOI:
https://doi.org/10.52428/20756208.v16i40.72Keywords:
Cranial electrical stimulation, Proprioceptive neuromuscular facilitation, Stiff person syndromeAbstract
Introduction: Stiff person syndrome is a rare disorder which affects the central nervous system. It is characterized by fluctuation muscle stiffness and persistent painful muscle spasm that involve both agonist and antagonist muscles simultaneously. Initially, the condition is intermittent and over time, it becomes continuous, the objective of this research is to characterize the combined application of Proprioceptive Neuromuscular Facilitation (PNF) and the technique of cranial electrical stimulation by microcurrents (CES) both help to alleviate the symptoms in the patient with stiff person syndrome (SPS).
Case Report: In this research wok, the analysis was carried out in a 46-year-old female patient from the city of Cochabamba. The technique to select the sample was non-probabilistic because it was a case study. Within the evaluations, various scales were used that were adapted to the pathology.
Discussion: The intervention process for the application of Proprioceptive Neuromuscular Facilitation, which has an inhibitory effect on excited motor neurons by stimulating neuromuscular receptors, makes it possible to cushion the excitatory load of motor neurons and the technique of Cranial Electrical Stimulation by microcurrents that causes electrical changes in the brain, having direct action on different brain structures such as: the limbic system, the reticular formation, the hypothalamus and the brain stem, increasing the production of endorphins and some neurotransmitters such as serotonin, dopamine and norepinephrine. The results were recorded and through tables, the clinical picture was compared before the application of the protocol and after its application, obtaining as a result, a significant improvement in the clinical picture of the rigid person syndrome.
Downloads
References
Gómez Viera N, Olivera Leal I R, Pardo Núñez A, Martínez Valdés A. Síndrome de la persona rígida. Rev cubana med [Internet]. 2018 Mar [citado 2021 Jun 30] ; 57( 1 ): 55-60. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232018000100008&lng=es.
Serra Valdes MA. Sobre la publicación de la propuesta de programa de la residencia de neurología en Cuba [carta]. Rev Cubana Neurol Neurocir. [Internet] 2015 [citado día, mes y año];5(2):195–6. Disponible en: http://www.revneuro.sld.cu/index.php/neu/article/view/228
Serratrice G. Contracturas musculares. Elsevier Masson SAS.. 2011;: p. 1-11.
Gonzalez Trujillo F, Parra Cortes K, Barrios Arrazola G, Zapata Jaramillo JG. Síndrome de persona rígida, presentación de un caso clínico y actualidad en e tratamiento. Rev Colomb Reumatol. 2019;27(2): 1-5. https://doi.org/10.1016/j.rcreu.2019.02.006
Serra Valdés MÁ, Milán Ginjaune E, García Viera M, Laurencio Espinosa JC, Carnesolta Suárez L, Valdés Fuster JL. Stiff-Man' Syndrome or Stiff-Person' Syndrome. Case Presentation. Revista Habanera de Ciencias Médicas. 2014; p. 719-727. Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/482/365.pdf
Jiménez Treviño CM. Neurofacilitación técnicas de rehabilitación neurológica aplicadas a: niños con parálisis cerebral o síndrome de Down, adultos con hemiplejia o daño neurológico. Habana: Editorial Trillas; 2016.
Bertinchamp U. Concepto FNP:facilitación neuromuscular propioceptiva. EMC Kinesiterapia Medicina Física. 2017; 38(4): 1-13. https://doi.org/10.1016/S1293-2965(17)87223-6
Seco. Métodos específicos de intervención en fisioterapia Madrid: Editorial médica Panamericana; 2016.
Albornoz Cabello M, Maya Martin J, Toledo Marhuenda JV. Electroterapia practica avances en investigacion clinica España: Elsevier, S.L.U; 2016.
Woodbury Fariña M. Efecto de la microcorriente sobre síntomas de ansiedad, depresión, insomnio y dolor. Galenus. 2015; p. 15-18.
Rothwell. Techniques and mechanisms of action of transcranial stimulation of the human motor cortex. Journal of Neuroscience Methods. 1997; 74(2): 113-122. https://doi.org/10.1016/s0165-0270(97)02242-5
Rodriguez Martín JM. Electroterapia en fisioterapia Madrid: Editorial Médica Panamericana; 2014.
Plaja J. Analgesia por medios físicos Madrid: Mc Graw Hill.; 2004.
Drummond D. ¿Qué es el síndrome de la persona rígida? Nursing. 2016; 33(3): 45. https://doi.org/10.1016/j.nursi.2016.06.019
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Franklin Daniel Gutierrez Canelas, Clara Paola Covarrubias, Liz Ibeth Giraldo Rosales
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.