Matjacić Z, Hunt K, Gollee H, Sinkjaer T
Institute for Rehabilitation of Republic of Slovenia, Linhartova 51, SI-1000 Ljubljana, Slovenia.
Med Eng Phys. 2003 Jan;25(1):51-62. doi: 10.1016/s1350-4533(02)00115-7.
One of the major obstacles in restoration of functional FES supported standing in paraplegia is the lack of knowledge of a suitable control strategy. The main issue is how to integrate the purposeful actions of the non-paralysed upper body when interacting with the environment while standing, and the actions of the artificial FES control system supporting the paralyzed lower extremities. In this paper we provide a review of our approach to solving this question, which focuses on three inter-related areas: investigations of the basic mechanisms of functional postural responses in neurologically intact subjects; re-training of the residual sensory-motor activities of the upper body in paralyzed individuals; and development of closed-loop FES control systems for support of the paralyzed joints.
在截瘫患者中恢复功能性功能性电刺激辅助站立的主要障碍之一是缺乏合适的控制策略。主要问题在于如何在站立时与环境互动时整合未瘫痪上半身的有目的动作,以及支持瘫痪下肢的人工功能性电刺激控制系统的动作。在本文中,我们对解决这个问题的方法进行了综述,该方法侧重于三个相互关联的领域:对神经功能正常受试者功能性姿势反应基本机制的研究;瘫痪个体上半身残余感觉运动活动的再训练;以及用于支持瘫痪关节的闭环功能性电刺激控制系统的开发。