Surgical technique for installing an eight-channel neuroprosthesis for standing.
Surgical technique for installing an eight-channel neuroprosthesis for standing.
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安装八通道站立神经假体的手术技术。
DOI：
10.1097/00003086-200104000-00035
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发表时间：
2001
影响因子：
4.2
通讯作者：
Marsolais,EB
中科院分区：
文献类型：
--
作者：
DavisJr,JA;Triolo,RJ;Uhlir,JP;Bhadra,N;Lissy,DA;Nandurkar,S;Marsolais,EB
已经开发出一种标准化手术程序，可在下肢植入八通道功能性神经肌肉刺激系统，用于脊髓损伤患者的站立、锻炼和转移。植入的组件包括：(1) 一个八通道接收刺激器、(2) 肌外膜电极、(3) 肌内电极和 (4) 内联连接器。开发过程包括确定电极放置的目标肌肉组和相应的手术方法、确定手术过程的阶段以及评估植入神经假体的有效性和稳定性。双侧肌肉群由股外侧肌、臀大肌、半膜肌和竖脊肌组成。通过一系列尸体研究和术中测试开发了神经入口点的手术方法。电极放置与骨标志相关并基于标准骨科方法。神经假体的组件在一次手术中安装，分三个阶段。该程序已成功应用于七个人，产生强烈的、孤立的刺激收缩，足以抬高和降低身体、用助行器保持站立以及进行枢轴转移。标准化手术程序具有可重复性和可教学性，将用于即将进行的植入神经假体的多中心临床试验。
A standardized surgical procedure to implant an eight-channel functional neuromuscular stimulation system in the lower extremities for standing, exercise, and transfers for individuals with spinal cord injury has been developed. The implanted components include:(1) one eight-channel receiver-stimulator,(2) epimysial electrodes,(3) intramuscular electrodes, and (4) inline connectors. The development process included identifying the target muscle set for electrode placement and the corresponding surgical approaches, determining the stages of the surgical procedure, and assessing the effectiveness and stability of the implanted neuroprosthesis. The bilateral muscle set consists of the vastus lateralis, the gluteus maximus, the semimembranosus, and the erector spinae. Surgical approaches to the nerve entry points were developed through a series of cadaveric studies and intraoperative tests. Electrode placement is related to bony landmarks and based on standard orthopaedic approaches. The components of the neuroprosthesis are installed in one surgical session, with three stages. This procedure has been applied successfully in seven individuals, resulting in strong, isolated stimulated contractions adequate to raise and lower the body, maintain standing with a walker, and perform pivot transfers. The standardized surgical procedure is repeatable and teachable and will be used in upcoming multicenter clinical trials of the implanted neuroprosthesis.
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影响因子：
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作者：
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DOI：
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发表时间：
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期刊：
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影响因子：
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影响因子：
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