Fully implantable peripheral nerve stimulation for the treatment of hemiplegic shoulder pain: a case report.
Am J Phys Med Rehabil
; 94(2): 146-53, 2015 Feb.
Article
em En
| MEDLINE
| ID: mdl-25251248
ABSTRACT
This case report describes the first participant treated with a fully implantable, single-lead peripheral nerve stimulation system for refractory hemiplegic shoulder pain. During the 6-wk trial stage, a temporary lead was placed percutaneously near the terminal branches of the axillary nerve to the deltoid. The primary outcome measure was the Brief Pain Inventory-Short Form Question 3, a 0-10 pain numeric rating scale. The participant experienced 75% pain reduction and proceeded to the implantation stage, where he received a single-lead, implantable pulse generator. After 3 wks, the participant became pain-free. However, 7 wks after implantation, the system was turned off because of an unrelated acute medical illness. Hemiplegic shoulder pain reemerged with a Brief Pain Inventory-Short Form Question 3 score of 9. After 11 wks of recovery, peripheral nerve stimulation was reinitiated and the participant became pain-free through the 9-mo follow-up. At 12 mos, Brief Pain Inventory-Short Form Question 3 score was 1. This case report demonstrates the feasibility of a single-lead, fully implantable peripheral nerve stimulation system for refractory hemiplegic shoulder pain.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Dor Intratável
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Estimulação Elétrica Nervosa Transcutânea
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Dor de Ombro
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Neuroestimuladores Implantáveis
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Hemiplegia
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Aged
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Humans
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Male
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article