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腓总神经刺激器在偏瘫患者康复中的应用

Peroneal nerve stimulator in rehabilitation of hemiplegic patients.

作者信息

Takebe K, Kukulka C, Narayan M G, Milner M, Basmajian J V

出版信息

Arch Phys Med Rehabil. 1975 Jun;56(6):237-9.

PMID:1079717
Abstract

Of nine hemiplegic patients having foot-drop who were test-treated with the Philips functional electronic peroneal stimulator, only three who tolerated continued use of the stimulator for five weeks had improvement in function. Findings in these cases indicate that to be selected for trial use of a stimulator a hemiplegic patient should fulfill the following criteria: (1) be in the hospital, (2) be ambulant with or without a cane and/or short leg brace, (3) have no severe contracture of the ankle joint, (4) have no severe spasticity, (5) have no obvious lower motor neuron lesions, (6) be cooperative and intelligent, (7) have no severe manual difficulty (he should be able to put on the stimulator without assistance), and (8) be able to tolerate the discomfort from the stimulation.

摘要

在9名患有足下垂的偏瘫患者中,使用飞利浦功能性电子腓骨刺激器进行试验性治疗,只有3名能够耐受并持续使用该刺激器达5周的患者功能得到改善。这些病例的研究结果表明,偏瘫患者若要被选作刺激器的试用对象,应符合以下标准:(1)住院;(2)能独立行走,无论是否使用拐杖和/或短腿支具;(3)无严重踝关节挛缩;(4)无严重痉挛;(5)无明显下运动神经元病变;(6)合作且智力正常;(7)无严重手部功能障碍(应能在无协助的情况下佩戴刺激器);(8)能耐受刺激带来的不适。

相似文献

1
Peroneal nerve stimulator in rehabilitation of hemiplegic patients.腓总神经刺激器在偏瘫患者康复中的应用
Arch Phys Med Rehabil. 1975 Jun;56(6):237-9.
2
A randomized controlled trial of an implantable 2-channel peroneal nerve stimulator on walking speed and activity in poststroke hemiplegia.一项关于植入式双通道腓总神经刺激器对中风后偏瘫患者步行速度和活动能力影响的随机对照试验。
Arch Phys Med Rehabil. 2007 Aug;88(8):971-8. doi: 10.1016/j.apmr.2007.05.002.
3
Treatment of drop foot using an implantable peroneal underknee stimulator.使用可植入式膝下腓骨刺激器治疗足下垂。
Scand J Rehabil Med. 1987;19(1):37-43.
4
Gait analysis in stroke patients to assess treatments of foot-drop.对中风患者进行步态分析以评估足下垂的治疗方法。
Arch Phys Med Rehabil. 1976 Jul;57(1):305-10.
5
Improvement in functional ambulation as a therapeutic effect of peroneal nerve stimulation in hemiplegia: two case reports.腓总神经刺激对偏瘫患者功能性步行能力的改善作用:两例病例报告
Neurorehabil Neural Repair. 2007 Jul-Aug;21(4):366-9. doi: 10.1177/1545968306297869. Epub 2007 Mar 16.
6
Peroneal nerve conduction velocity after chronic electrical stimulation.慢性电刺激后腓总神经传导速度
Arch Phys Med Rehabil. 1975 Jun;56(6):240-3.
7
Clinical experience of electronic peroneal stimulators in 50 hemiparetic patients.50例偏瘫患者使用电子腓骨刺激器的临床经验
Scand J Rehabil Med. 1979;11(3):111-21.
8
Kinematic and kinetic analysis of the walking pattern in hemiplegic patients with foot-drop using a peroneal nerve stimulator.使用腓总神经刺激器对足下垂偏瘫患者步行模式的运动学和动力学分析。
Clin Biomech (Bristol). 2000 Jun;15(5):340-51. doi: 10.1016/s0268-0033(99)00082-0.
9
Gait comparison of subjects with hemiplegia walking unbraced, with ankle-foot orthosis, and with Air-Stirrup brace.偏瘫患者在不使用支具、使用踝足矫形器和使用空气波压力治疗仪支具时的步态比较。
Phys Ther. 1988 Aug;68(8):1197-203.
10
Chronic electrical stimulation for the modification of spasticity in hemiplegic patients.
Scand J Rehabil Med Suppl. 1988;17:115-21.

引用本文的文献

1
Long-term outcomes of semi-implantable functional electrical stimulation for central drop foot.半植入式功能性电刺激治疗中枢性马蹄内翻足的长期疗效。
J Neuroeng Rehabil. 2019 Jun 11;16(1):72. doi: 10.1186/s12984-019-0542-8.
2
Modified implanted drop foot stimulator system with graphical user interface for customised stimulation pulse-width profiles.带有图形用户界面的改良植入式垂足刺激器系统,用于定制刺激脉冲宽度曲线。
Med Biol Eng Comput. 2003 Nov;41(6):701-9. doi: 10.1007/BF02349978.
3
Therapeutic effects of functional electrical stimulation of extremities.
Med Biol Eng Comput. 1981 Jul;19(4):470-8. doi: 10.1007/BF02441314.
4
Effects of waveform parameters on comfort during transcutaneous neuromuscular electrical stimulation.
Ann Biomed Eng. 1985;13(1):59-74. doi: 10.1007/BF02371250.