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How to assist muscle tone of an SCI patient? 


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To assist in managing muscle tone in spinal cord injury (SCI) patients, a combination of therapeutic exercises and innovative technologies can be beneficial. Therapeutic exercises involving gradual flexion and extension of fingers and toes, as outlined in a specific regimen, can aid in muscle tone rehabilitation in patients with vertebragenous pathology . Additionally, functional electrical muscle stimulation (fES) and repetitive magnetic stimulation (rMS) have shown promise in influencing spastic tone increase in SCI patients, potentially impacting reflex activity during passive muscle stretching . Furthermore, robot-assisted passive exercise devices have been designed to reduce both reflexive and non-reflexive muscle tone through repetitive motor practice, providing a novel approach to managing hypertonia in individuals with central nervous system lesions . By combining therapeutic exercises, innovative technologies, and comprehensive assessment programs, clinicians can effectively address abnormal muscle tone in SCI patients.

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Robot-assisted passive exercise at optimal speeds can reduce reflexive excitability and total muscle tone in individuals with spinal cord injury, offering a promising approach to assist muscle tone.
Journal ArticleDOI
Tracey E. Howe, Jackie Oldham 
21 Jun 1995-Nursing Standard
2 Citations
Passive limb exercises and correct limb positioning are nursing interventions to normalize muscle tone in neurologically damaged patients, including those with spinal cord injuries.
Repetitive magnetic and functional electrical stimulation can help reduce spastic tone increase in spinal cord injury patients, potentially assisting in managing muscle tone.
Assess abnormal muscle tone in SCI patients using therapist rating, patient rating, electrogoniometry, dynamometry, and polyelectromyography for comprehensive evaluation and tailored treatment.
The method involves specific exercises increasing in repetitions over 11 days, repeated in stages up to 30 times, aiding muscle tone rehabilitation in patients with vertebragenous pathology.

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