Functional electrical stimulation and spinal cord injury.

Functional electrical stimulation and spinal cord injury.
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DOI:
10.1016/j.pmr.2014.05.001
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发表时间:
2014-08
影响因子:
1.7
通讯作者:
Mushahwar VK
Mushahwar VK
中科院分区:
医学4区
文献类型:
--
作者:
Ho CH;Triolo RJ;Elias AL;Kilgore KL;DiMarco AF;Bogie K;Vette AH;Audu ML;Kobetic R;Chang SR;Chan KM;Dukelow S;Bourbeau DJ;Brose SW;Gustafson KJ;Kiss ZH;Mushahwar VK

文献摘要

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脊髓损伤(SCI)可以破坏大脑和身体之间的通信,导致对其他完整的神经肌肉系统的控制丧失。使用中枢和外周神经系统的电刺激(ES)可以利用这些完整的神经肌肉系统来提供治疗性运动选择,以允许功能恢复,甚至管理或预防SCI后的许多医疗并发症。ES用于上肢、下肢和躯干功能的恢复可以使SCI患者的许多日常生活活动成为可能。恢复膀胱和呼吸功能,预防压疮可能会显着降低SCI后的发病率和死亡率。许多ES器械已经上市,所有SCI临床医生应将其作为所有符合条件的SCI患者终身康复护理计划的一部分。
Spinal cord injuries (SCI) can disrupt communications between the brain and the body, leading to a loss of control over otherwise intact neuromuscular systems. The use of electrical stimulation (ES) of the central and peripheral nervous system can take advantage of these intact neuromuscular systems to provide therapeutic exercise options, to allow functional restoration, and even to manage or prevent many medical complications following SCI. The use of ES for the restoration of upper extremity, lower extremity and truncal functions can make many activities of daily living a potential reality for individuals with SCI. Restoring bladder and respiratory functions and preventing pressure ulcers may significantly decrease the morbidity and mortality following SCI. Many of the ES devices are already commercially available and should be considered by all SCI clinicians routinely as part of the lifelong rehabilitation care plan for all eligible individuals with SCI.