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LATERAL CORD STIMULATION (LCS) TO RELIEVE SPASTICITY. EXPERIMENTAL PROTOCOL AND RESULTS

This experiment demmonstrates lateral cord electrical stimulation producing increases in threshold to declenche abnormally propagated electromyographic evoked responses induced by electrical stimulation of 4th lumbar root in pigs with experimental cortical and subcortical lesion, its results, its physiopathogenical and therapeutical relations with spasticity.Cerebellar Electrical Stimulation sometimes has limited results as a treatment for spasticity accompanying Cerebral Palsy, because this stimulation can produce a mixture of excitatory and inhibitory impulses on Spinal Cord neural circuits of uncertain effects.The rationale of this research is to produce a more inhibitory and safer action by indirect cerebellar stimulation through Spino-cerebellar tracts on lateral cord surface avoiding collateral action produced by current electrical spreading on cerebellar surface.To demonstrate this hypothesis pigs with surgical unilateral cortical and subcortical brain damage were used. A double laminectomy, cervical (C3-C4) and lumbar (L3-L6) was made and thresholds for spasmogenic abnormal electromyographic responses, disseminated on adjacents segments, facilitated by spinal liberation, and produced by extradural electrical stimulation of 4th lumbar root, were measured before and after a lateral cord cervical stimulation.So, our studied variable is the minimal amount of current declenching electromyographic responses in far placed myotomes(L7).Results in ten animals show significant increase of threshold after Lateral Cord Stimulation (LCS).These findings allow extrapolate the transfer of results and propose LCS as a new tool to treat human spasticity.