Restoration of gait by combined treadmill training and multichannel electrical stimulation in non-ambulatory hemiparetic patients.

Restoration of gait by combined treadmill training and multichannel electrical stimulation in non-ambulatory hemiparetic patients.
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通过跑步机训练和多通道电刺激相结合来恢复不能行走的偏瘫患者的步态。

DOI:
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发表时间:
1995
期刊:
Scandinavian Journal of Rehabilitation Medicine
影响因子:
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通讯作者:
Mauritz Kh
Mauritz Kh
中科院分区:
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文献类型:
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作者:
Stefan Hesse;M. Maležič;Antje Schaffrin;Mauritz Kh

文献摘要

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采用功能性电刺激和踏车训练相结合的方法,对11例慢性瘫痪偏瘫患者进行了步态恢复。个别调整的躯干和上肢和下肢肌肉的多通道刺激,以及电机驱动的跑步机,诱导功能性步态在3至6周内。通过功能性步行分类测试评估步态能力的改善。其他运动功能由Rivermead运动评分评定。记录下肢肌力、步长、步频、步速和步态。在7名患者中,我们进行了一项单一病例研究A-B-A研究,结果表明,与我们的普通理疗方案相比,这种联合方法在步态恢复和步行速度方面具有优势(p <0.05)。
Functional electrical stimulation and treadmill training with partial body weight support through suspension by a parachute harness were combined for gait restoration in 11 chronic non-ambulatory hemiparetic patients. Individually adjusted multichannel stimulation of the trunk and of upper and lower limb muscles, as well as a motor driven treadmill, induced functional gait within 3 to 6 weeks. The improvement of gait ability was assessed by the Functional Ambulation Category test. Other motor functions were rated by the Rivermead Motor Score. The leg muscle strength, stride length, cadence, gait velocity and gait pattern were recorded. In seven of the patients, we did a single case research A-B-A study that showed that this combined approach had advantages, in regard to gait restoration and walking velocity (p <0.05) as compared with our common physiotherapeutic programme.