The feasibility of using exoskeletal-assisted walking with epidural stimulation: a case report study
The feasibility of using exoskeletal-assisted walking with epidural stimulation: a case report study
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使用硬膜外刺激外骨骼辅助行走的可行性：病例报告研究
DOI：
10.1002/acn3.50983
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发表时间：
2020-02-05
影响因子：
5.3
通讯作者：
Lavis, Timothy D.
中科院分区：
文献类型：
--
作者：
Gorgey, Ashraf S.;Gill, Satinder;Lavis, Timothy D.
脊髓硬膜外刺激（SCES）具有恢复脊髓损伤（SCI）患者运动功能的康复潜力。然而，这与密集的康复运动方法有关，这在大型临床SCI人群中应用是不切实际的。因此，我们提出了一种康复方法，使用SCES，以提高运动控制在exoadminal-assisted步行（EAW）。在24次（12周）EAW治疗后，C7完全SCI患者的挥杆辅助从100%下降到35%。这伴随着573个无辅助步骤（占总步骤数的50%）。在EAW过程中，肌电图模式得到改善，反映了受试者有节奏地激活瘫痪肌肉的能力。与不使用SCES的步进相比，使用SCES的EAW期间的感知用力增加率。这些初步研究结果表明，使用SCES与EAW可能是一个可行的康复方法与SCI的人。
Spinal cord epidural stimulation (SCES) exhibits a rehabilitation potential of restoring locomotion in individuals with spinal cord injury (SCI). However, this is linked to an intensive rehabilitation locomotion approach, which is impractical to apply among a large clinical SCI population. We, hereby, propose a rehabilitation approach of using SCES to enhance motor control during exoskeletal-assisted walking (EAW). After 24 sessions (12 weeks) of EAW swing assistance decreased from 100% to 35% in a person with C7 complete SCI. This was accompanied by 573 unassisted steps (50% of the total number of steps). Electromyographic pattern improved during EAW, reflecting the subject's ability to rhythmically activate paralyzed muscles. Rate perceived exertion increased during EAW with SCES compared to stepping without SCES. These preliminary findings suggest that using SCES with EAW may be a feasible rehabilitation approach for persons with SCI.