Four weeks of functional electrical stimulated cycling after spinal cord injury: a clinical cohort study
Four weeks of functional electrical stimulated cycling after spinal cord injury: a clinical cohort study
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DOI：
10.1097/mrr.0000000000000062
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发表时间：
2014-09-01
影响因子：
1.7
通讯作者：
Schobersberger, Wolfgang
中科院分区：
文献类型：
--
作者：
Kuhn, Daniel;Leichtfried, Veronika;Schobersberger, Wolfgang
本研究的目的是确定功能性电刺激自行车（FES自行车）的疗效和影响，脊髓损伤患者在他们的康复期间，在一个特殊的急性监护病房。30例患者[10例美国脊髓损伤协会损伤量表（AIS）A级，3例AIS B级，15例AIS C级，2例AIS D级]，年龄44 ± 15.5岁，脊髓损伤后2个月（中位数）（四分位距，1.0-4.25）。在急性住院康复期间，患者每周2天参加20分钟的FES自行车计划，持续4周。测量对肌肉横截面、肌肉和腿围、痉挛和步行能力参数（距离、时间、辅助工具）的影响。还记录了肌肉刺激强度和输出参数（蹬踏时间和距离）。髋关节外展和内收时痉挛减少（分别为70%和98.1%）。膝关节屈曲和伸展时的痉挛减少了66.8%和76.6%，足背伸展时减少了67.8%（对于所有患者，P
The aim of this study was to determine the efficacy and the effects of functional electrical stimulated cycling (FES cycling) in patients with spinal cord injury during their rehabilitation in a special acute care unit. Thirty patients [10 with American Spinal Injury Association Impairment Scale (AIS) grade A, three with AIS grade B, 15 with AIS grade C, two with AIS grade D] aged 44 +/- 15.5 years and 2 (median) (interquartile range, 1.0-4.25) months after spinal cord injury were included in the study. The patients participated in a 20-min FES-cycling program 2 days per week for 4 weeks during their acute inpatient rehabilitation. The influence on muscle cross-section, muscle and leg circumference, spasticity, and the walking ability parameter (distance, time, aids) was measured. Muscle stimulation intensity and output parameters (pedalling time and distance) were also recorded. Spasticity decreased during hip abduction and adduction (70 and 98.1%, respectively). Spasticity during knee flexion and knee extension decreased by 66.8 and 76.6%, and a decrease was found during dorsal foot extension (67.8%; for all, P