Therapeutic electrical stimulation for motoer neurondisorders of the children.

将治疗性电刺激(TES)应用于脑性瘫痪(CP)、脑血管意外(CVA)和脊髓损伤(SCI)引起的儿童运动神经元障碍，以改善肢体的自主运动能力。采用表面电极和肌内电极的多通道TES系统进行肌肉电击训练，对3例痉挛型脑瘫患儿进行双侧肢体TES治疗。作为TES的早期效应，从钟摆试验和肌电结果可以观察到，拮抗剂的痉挛明显减少，同时收缩受到抑制。长期应用TES可使肌力和肌量增加。这些早期和晚期的TES效应导致了行走模式和速度等自主性运动的改善，并用二维分析仪进行了分析。在CVA和SCI儿童中也观察到了这样的治疗效果。

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.