Use of functional electrical stimulation in the lower extremities of incomplete spinal cord injured patients
Use of functional electrical stimulation in the lower extremities of incomplete spinal cord injured patients
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DOI：
10.1046/j.1525-1594.1999.06360.x
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发表时间：
1999-05-01
影响因子：
2.4
通讯作者：
Lavrac, N
中科院分区：
文献类型：
--
作者：
Bajd, T;Kralj, A;Lavrac, N
治疗性电刺激程序后，确定了3组不完全脊髓损伤（SCI）患者，观察到自愿和刺激肌肉力量的改善，仅刺激反应增加的患者，以及无法记录电刺激训练效果的患者。由于很难预测电刺激康复过程的结果，因此开发了一种诊断程序，用于在事故发生后不久预测哪些不完全SCI患者是永久使用功能性电刺激（FES）矫形器的候选人。长期使用FES的候选人是踝关节背屈肌弱和膝关节伸肌足够强的患者。这些患者配备了单通道腓神经刺激器，在全下肢屈曲反应中增强背屈以及膝关节和髋关节屈曲。通过将FES应用于踝跖屈肌，可以显著缩短行走的摆动阶段并获得更快的行走。
After a program of therapeutic electrical stimulation, 3 groups of incomplete spinal cord injured (SCI) patients were identified, those in whom an improvement of both voluntary and stimulated muscle force was observed, those with an increase in stimulation response only, and patients in whom no effect of electrical stimulation training could be recorded. As it is difficult to predict the outcome of the electrical stimulation rehabilitation process, a diagnostic procedure was developed to predict soon after accidents which incomplete SCI patients are candidates for permanent use of a functional electrical stimulation (FES) orthotic aid. The candidates for chronic use of FES are patients with weak ankle dorsiflexors and sufficiently strong knee extensors. These patients are equipped with a single channel peroneal stimulator augmenting dorsiflexion and knee and hip flexion in a total lower limb flexion response. By applying FES to the ankle plantar flexors, the swing phase of walking can be significantly shortened and faster walking obtained.