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  4. Nervous system modulation through electrical stimulation in companion animals

Nervous system modulation through electrical stimulation in companion animals

Acta Vet Scand, 2021 · DOI: https://doi.org/10.1186/s13028-021-00585-z · Published: April 27, 2021

Spinal Cord InjuryVeterinary MedicineNeurorehabilitation

Simple Explanation

This review explores the use of electrical stimulation techniques to help dogs and cats with spinal cord injuries recover function. These techniques, including functional electrical stimulation (FES), transcutaneous electrical spinal cord stimulation (TESCS), and transcranial direct current stimulation (TDCS), are non-invasive and have shown promise in human medicine. The review discusses how these electrical stimulation methods work, focusing on their effects on the nervous system and muscles. FES stimulates muscles directly, TESCS stimulates the spinal cord through the skin, and TDCS stimulates the brain. Ultimately, the review suggests that these techniques could be a valuable addition to neurorehabilitation programs for pets with spinal injuries, potentially improving their ability to move and function. The study highlights that more research is needed.

Study Duration
Not specified
Participants
Dogs and cats with spinal cord injury
Evidence Level
Review

Key Findings

  • 1
    Functional electrical stimulation (FES) can be used to strengthen muscles, improve blood flow, and avoid progression of muscle atrophy in companion animals.
  • 2
    Transcutaneous electrical spinal cord stimulation (TESCS) may recruit a different population of motor neurons by projecting sensory and intraspinal connections, directly resulting in the amplification of spinal evoked motor potentials.
  • 3
    Transcranial direct current stimulation (TDCS) is responsible for motor cortex-modulated excitability in humans, which allows interconnections to be created not only at anatomical region at which the electrodes are placed but also in other regions

Research Summary

The review explores the history, biophysics, neurophysiology and parameters of the following neuromodulation modalities: FES, TESCS, and TDCS. Both human and small animal patients with SCI can benefit from neurorehabilitation treatment. Multidisciplinary protocols can benefit from these three electrical stimulation modalities, and the appropriate method can be selected according to the neurologic deficits on an individual basis.

Practical Implications

Improved Rehabilitation Protocols

The review suggests integrating FES, TESCS, and TDCS into veterinary neurorehabilitation protocols to potentially improve motor function in dogs and cats with spinal cord injuries.

Personalized Treatment Plans

Neurologic deficits are different between animals and a tailored rehabilitation approach is needed based on individual requirements.

Future Research Directions

Highlights the need for additional studies to determine the effectiveness of these neurorehabilitation modalities in small animals.

Study Limitations

  • 1
    Limited veterinary-specific research on electrical stimulation modalities.
  • 2
    Neuroanatomic differences between humans and small animals.
  • 3
    Parameter variations across studies make direct comparisons difficult.

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