Therapeutic electrical stimulation for motoer neurondisorders of the children.

儿童运动神经障碍的电刺激治疗。

• 批准号: 07680928
• 负责人: HANDA Yasunobu
• 金额: $ 1.41万
• 依托单位: Tohoku University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1995
• 资助国家: 日本
• 起止时间: 1995 至 1996
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07680928/
• 关键词: cerebral palsy; apasticity; therapeutic electrical stimulatior; electromyogram; motion analysis; 歩行

Therapeutic electrical stimulation (TES) has been applied to motor neuron disorders of the children caused by cerebral palsy (CP), cerebrovascular accident (CVA) and spinal cord injury (SCI) for the pupose of improvement of voluntary movement of the extremities.Stimulation patterns for extremity TES were obtained from EMG during motion in healthy subjects using bipolar wire electrodes. Multichannel TES systems with surface and intramuscular wire electrodes were used for electrical muscle reeducation.Three spastic type CP children received TES for their lower extremities. As an early effect of TES,it was observed from the result of pendulum test and EMG that a marked decrease in spasticity and suppression of simultaneous contraction of the antagonist were obtained, respectively. Long-term application of TES caused an increase in muscle force and volume. These early and late TES effects resulted in improvement of voluntary motion such as walking patterns and speed which were analyzed a two dimentional analyzer. Such therapeutic effects were also observed in the CVA and SCI children.

为改善脑瘫、脑血管意外和脊髓损伤所致的运动神经元障碍患儿的肢体自主运动功能，采用双极丝电极对健康儿童进行运动时的肌电图（EMG）测试，获得肢体治疗性电刺激（TES）的刺激模式。采用多道体表和肌内线电极TES系统对3例痉挛型脑瘫患儿进行下肢电刺激肌肉再教育。作为TES的早期效应，从摆锤试验和EMG结果观察到，分别获得了对拮抗剂的痉挛和同时收缩的抑制的显著减少。长期应用TES引起肌肉力量和体积的增加。这些早期和晚期TES效应导致自主运动的改善，例如步行模式和速度，其通过二维分析仪进行分析。在CVA和SCI儿童中也观察到这种治疗效果。

项目成果

比嘉 広樹: "体内埋め込み型機能的電気刺激(FEB)システムにおける伝送誤り訂正回路の有効性" 医用電子と生体工学. 34・4. 33-40 (1996)

Hiroki Higa：“植入式功能性电刺激（FEB）系统中传输纠错电路的有效性”医疗电子和生物工程34・4（1996）。

半田康延: "神経の再生と機能再建" (株)西村書店, 421 (1997)

半田康信：《神经再生与功能重建》西村商店株式会社，421（1997）

半田 康延: "Current Topics of Clinical FES in Japan" Electrophysiological Kinesiology. 51-57 (1996)

Yasunobu Handa：“日本临床 FES 的当前主题”电生理运动学 51-57 (1996)。

半田康延: "麻痺筋・発用筋に対する治療的電気刺激" 総合リハビリテーション. 24.3. 211-218 (1996)

Yasunobu Handa：“瘫痪和激活肌肉的治疗性电刺激”《一般康复》211-218（1996）。

M,Ichie, et al.: "Restoration of Motor Function with Neural Prosthesis in Bioengineering Methods" J Jph Prothodont Soc. 39. 965-970 (1995)

M,Ichie 等人：“生物工程方法中使用神经假体恢复运动功能”J Jph Prothodont Soc。