Electrical Stimulation and Neuromuscular Disorders

In many cases of neuromuscular disorders the physician is faced with a complete lack of therapeutic approaches. This helplessness places the doctor in a position of conflict between his desire to help and his awareness that there is no treatment. In this

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With 56 Figures and 9 Tables

Springer-Verlag Berlin Heidelberg New York Tokyo

Professor Dr. W. A. NIX Neurologische Klinik U niversiHitskliniken Langenbeckstr. 1 D-6500 Mainz Professor Dr. G. VRBovA Department of Anatomy and Centre for Neuroscience University College Gower Street London, WClE 6BT United Kingdom

ISBN-13: 978-3-642-71339-2 DOl: 10.1007/978-3-642-71337-8

e-ISBN-13: 978-3-642-71337-8

Library of Congress Cataloging-in-Publication Data. Electrical stimulation and neuromuscular disorders. "The papers are the proceedings [of] the First International Symposium on Electrical Stimulation and Neuromuscular Disease in Mainz. West Germany, March 29-30,1985" - Pref. Includes bibliographies and index. 1. Neuromuscular diseases - Congresses. 2. Electric stimulation - Congresses. LNix, W.A. (Wilfred A.), 1947. II. Vrbova, Gerta. III. International Symposium on Electrical Stimulation and Neuromuscular Disease (1st: 1985: Mainz, Rhineland-Palatinate, Germany) [DNLM: 1. Electrotherapy - congresses. 2. Neuromuscular Diseases - therapy - congresses. WE 550 E381985] RC925.5.E441986 616.7'40645 86-13052 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Copyright Law, where copies are made for other than private use, a fee is payable to "Verwertungsgesellschaft Wort", Munich. © by Springer-Verlag Berlin Heidelberg 1986 Softcover reprint of the hardcover 1st edition 1986

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product Liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature.

2125/3130-543210

Preface

In many cases of neuromuscular disorders the physician is faced with a complete lack of therapeutic approaches. This helplessness places the doctor in a position of conflict between his desire to help and his awareness that there is no treatment. In this situation it is tempting to indiscriminately use any procedure that avoids an admission of medical helplessness while satisfying the patient's demand for treatment. Electrical interventions are often used to avoid this situation. Due to the random use of therapeutic approaches it is not known what really happens. Presumptions and biased empirical observations have led to the extensive use of different forms of electrical stimulation regimes in neuromuscular diseases. Due to this unsatisfactory situation it is necessary to know more about appropriate methods that are being used in particular disorders. The search for a better understand