SSR Treatment with a Patient with Brown-Sequard Syndrome

LuethiKarin

Dear all
My Patient had a traumatic injury and now a Tetraplegia sub C4 (AISA D) shown as a Brown-Sequard Syndrome. Brown-Sequard syndrome is a relatively rare syndrome its caused by damage to one half of the spinal cord. By definition, resulting in paralysis and loss of Proprioception on the same side as the lesion of the spinal cord, and loss of pain and temperature sensation on the opposite side as the lesion. (As you know for sure, because of the different crossings of the nervetracts)

He has now 4 month after the injury at the same side as the lesion of the spinal cord, less strength in the upper limb and paresthesia in the area of the n. ulnaris. And he has a disturbed pain and temperature sensation in the upper limb on the opposite side as the lesion of the spinal cord. Sometimes a soft touch hurts and sometimes he feels no pain, some temperature changes hurts him.

My Questions:
Is vibration a method for the side with the disturbed temperature and pain sensory?

Which method would you use for the disturbed pain and temperature sensory?

Thanks for all information you could give me.

Kind regards

Karin Lüthi