Baratta R V, Solomonow M
Louisiana State University Medical Center, Department of Orthopedics, New Orleans 70112.
Crit Rev Biomed Eng. 1992;19(6):419-54.
Applications of electrical stimulation to the nerve or muscles associated with a defunct limb joint due to stroke or spinal cord injury are a viable means of restoring a certain level of functional movement to the patient. In this article, the currently acceptable physiology of motor control is outlined and used as a criterion for electrophysiological and biomechanical performance evaluation of contemporary electrical stimulation strategies used by various systems attempting to duplicate such motor control in an effort to restore meaningful limb function. Strategies associated with surface, nerve, intramuscular, and reflex stimulation are critically reviewed with special reference to voluntary sensory motor control of a limb joint rather than an isolated muscle.
对因中风或脊髓损伤导致的已丧失功能的肢体关节相关神经或肌肉进行电刺激,是使患者恢复一定程度功能运动的可行方法。本文概述了当前可接受的运动控制生理学,并将其作为评估各种系统所采用的当代电刺激策略的电生理和生物力学性能的标准,这些系统试图复制这种运动控制以恢复有意义的肢体功能。本文对与表面刺激、神经刺激、肌肉内刺激和反射刺激相关的策略进行了批判性综述,特别关注肢体关节而非单个肌肉的自主感觉运动控制。