Hybrid functional electrical stimulation orthosis system for the upper limb: effects on spasticity in chronic stable hemiplegia.
Hybrid functional electrical stimulation orthosis system for the upper limb: effects on spasticity in chronic stable hemiplegia.
复制标题
上肢混合功能电刺激矫形器系统：对慢性稳定偏瘫痉挛的影响。
DOI：
10.1097/00002060-199807000-00002
复制
发表时间：
1998
影响因子：
3
通讯作者：
Amanda Smith
中科院分区：
文献类型：
--
作者：
H. Weingarden;G. Zeilig;R. Heruti;Yehezkel Shemesh;Abraham Ohry;A. Dar;Deganit Katz;R. Nathan;Amanda Smith
一种用于上肢的新型混合功能电刺激矫形器系统已被设计为允许易于在家庭中使用作为日常治疗方式，以及提供功能增强的机会。在一项初步研究中，该系统被用于10例继发于脑血管意外和头部损伤的慢性稳定偏瘫患者。患者在符合一般健康状况良好、头部受伤后一年以上或中风后十个月、前六周未观察到神经系统变化的纳入标准后，由其主治医生或治疗师转诊。这些患者都接受了长期的物理治疗，从最初的住院康复治疗开始持续进行，或者在一段时间内间歇性地进行。在使用功能性电刺激矫形器治疗方案之前，对与肌张力增加相关的因素的基线状态进行量化，即腕部和肘部的被动活动度、休息时的姿势、活动后的姿势和痉挛。还评估了受累上肢的活动范围和功能使用测试。患者按照协议进行指导，接受系统使用方面的培训，然后每天在家使用电矫形器长达几个小时。6个月时进行随访评估。所有测量的肌张力/痉挛参数均有统计学上的显著改善。另一份报告将描述对自主运动和功能的影响。
A new hybrid functional electrical stimulation orthosis system for the upper limb has been designed to allow for ease of use in the home as a daily treatment modality, as well as offer the opportunity for function enhancement. In a pilot study, the system was used by ten patients with chronic stable hemiparesis secondary to cerebral vascular accident and head injuries. The patients were referred by their treating physicians or therapists after meeting the inclusion criteria of good general health, being greater than one year after head injury, or being ten months post-stroke, with no observed neurologic changes in the prior six weeks. Each of these patients had received prolonged physical therapy, either continuous from the initial inpatient rehabilitation treatment or on an intermittent basis over a period of years. The baseline status for factors related to increased muscle tone, i.e., passive range of motion at the wrist and elbow, posture at rest, posture immediately following activity, and spasticity were quantified before the treatment protocol with the functional electrical stimulation orthosis. Active range of motion and tests of functional use of the involved upper limb were also assessed. The patients were instructed in the protocol, trained in the use of the system, and then used the electrical orthosis at home for up to several hours per day. Follow-up assessments were at six months. A statistically significant improvement was noted in all muscle tone/spasticity parameters measured. A separate report will describe the effects on voluntary motion and functional capabilities.