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The most difficult thing to achieve in the case of a spinal cord injury (SCI) and/or spinal trauma is to objectively assess the progress and voluntary motor recovery. The exercise becomes even more hazardous when one sets as a preliminary rule that each SCI or spinal trauma is unique and original both in its bone and spinal anatomical location, and in its consequences on the whole body. Starting from here, we assume that there is no standard approach but an observation process to be adapted for each special case. For example, two SCI individuals suffering from a complete transection of the spinal cord at anatomical level T5 will show totally different clinical pictures. They may be affected, or not, by spasticity – even flaccidity for some cases with a loss of mass muscle – or neurological pain. Each case is different and should have its own approach. Before any examination can take place, a preliminary face-to-face interview to understand the injury and its manifestations is fundamental. Every single thing should be investigated during this interview whether it concerns the motor or sensory level, as well as the bowels and bladder functions, and sexual function. The information collected should be as thorough as possible. A psychological check-up should not be discarded either as it provides the SCI individual's input regarding his/her body image and relations s/he has with others. Electromyography monitoring is a pioneering work published in the peer-review journal Cell Transplantation and presented in various scientific meetings. Avicenna (980-1037), a Persian philosopher and physician commonly known as Ibn Sīnā, was credited with the following quotation “the sick person cannot only be encompassed through his disease”.

intech ebooks

Electromyography Monitoring for Complete and Incomplete Transections of the Spinal Cord in Humans Who Received a Cell Therapy Combined with LASERPONCTURE® or LASERPONCTURE® Only: Methodology, Analysis, and Results