麻痺筋の痙縮に対する治療的刺激(TES)の定量的効果判定と適応選択

治疗刺激（TES）对瘫痪肌肉痉挛的定量效应测定和适应性选择

• 批准号: 06771056
• 负责人: 木内 博之
• 金额: $ 0.58万
• 依托单位: Tohoku University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Encouragement of Young Scientists (A)
• 财政年份: 1994
• 资助国家: 日本
• 起止时间: 1994 至 无数据
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-06771056/
• 关键词: 治療的電気刺激(TES); 片麻痺(hemiparesis); 痙縮(spasticity); H波(H-wave)

"麻痺筋の痙縮に対する治療的電気刺激(TES)の定量的効果判定と適応選択"脳内出血および脳梗塞(1例は髄膜腫術後)の10症例12肢(上肢9例、下肢4例)の痙縮に対して、経皮的埋め込み電極を刺入留置し、ポ-タブル刺激装置(日本電気三栄製FES-MATE1230)を用いて1日60〜120分のTESを最低2ヶ月行った。全例に12段階片麻痺Grading・徒手痙縮評価(特に刺激筋の拮抗筋)・表面動作筋電図・CTによる筋volume測定を行い、2例に脛骨神経の刺激筋電図(H波・M波)導出・2例にKIN-KOMによる足関節の筋力測定を実施し、効果を判定した。全例においてTES後に片麻痺Gradeの改善を認め、この傾向は発症1カ月以内の早期開始例および開始時の片麻痺Gradeが比較的高い不全麻痺症例で強くなっていた。また早期開始例では中等度以上の痙縮は出現せず、開始時すでに痙縮が認められた症例ではTESによる痙縮軽減効果を認め、これは刺激直後に顕著であった。動作筋電図の増強も早期開始例に強く、しばしば刺激筋の拮抗筋にも増強が見られた。CTによる筋のvolume評価では筋萎縮の予防・改善効果が認められた。これらの結果から、発症早期の不全麻痺症例および痙縮の高度な症例がTES適応になると判断された。刺激筋電図(H波・M波)を導出した症例では、経皮的埋め込み電極を用いた刺激によって1ヶ月以上の長期にわたる安定した記録が可能となり、総腓骨神経刺激直後にH波電位の低下が認められ、有力な診断手技になると考えられた。以上の結果を95年3月の第20回脳卒中学会において発表した(発表者;高橋 博達)。

Quantitative evaluation of electrical stimulation (TES) in the treatment of anaesthesia, internal bleeding, thrombosis, infarction (1 case), 10 cases (upper limb 9 cases, lower limb 4 cases), 12 limbs (upper limb 9 cases, lower limb 4 cases). The minimum 2-month TES is 60: 120 minutes per day for the stimulation device (Nippon computer three-pack FES-MATE1230). In the whole case, 12 segments of Grading manual exercise (special stimulation antagonist) were performed on the surface of CT. The test of volume was performed in 2 cases, and the strength of 2 cases of KIN-KOM was determined by H wave M wave. The whole case was treated with Grade after TES to improve the severity of the disease and to improve the severity of the disease within 1 month after the onset of the disease. At the beginning of the trial, the patients with severe incomplete anaesthesia had a higher Grade ratio than that of the latter. In the early stage, when the temperature was moderate or above, the symptoms of the disease occurred in the early stage, and the symptoms of the disease occurred in the early stage. In the case of the symptoms, the symptoms occurred in the early stage, and the symptoms occurred in the early stage. The symptoms occurred in the early stage, and the symptoms occurred in the early stage. The symptoms occurred in the early stage, and the symptoms occurred immediately after the TES stimulation. In the early stage of the exercise, the antagonistic tendons of the antagonistic tendons and the antagonistic tendons were strongly enhanced. CT, volume, tendon, muscle, muscle and muscle. The results showed that in the early stage of the disease, incomplete anesthesia was found in the early stage of the disease, and the height of the disease was significantly higher than that in the early stage of the disease. the results showed that in the early stage of the disease, incomplete anaesthesia was diagnosed in the early stage of the disease. The height of the disease was significantly higher than that of the TES. Stimulation tendons (H-wave M-waves) show signs of dysphagia, long-term tranquilizers and diazepam records for more than 1 month. After stimulation of peroneal god, the level of H-wave electricity is low, and the power to cut off the hand is not good. The above results showed that in the 20th round of the Stroke Society from March 1995 to March 1995, the Stroke Society (Stroke Society) had a long history of the Stroke Society.