Chae John, Yu David Tzehsia
Physical Medicine and Rehabilitation and Biomedical Engineering, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio, USA.
Top Stroke Rehabil. 2002 Winter;8(4):24-39. doi: 10.1310/REXB-AKV9-2XBE-U5QA.
This article assesses the clinical efficacy of established neuromuscular electrical stimulation (NMES) technologies for motor restoration in hemiparesis and provides an overview of evolving technologies. Transcutaneous NMES facilitates motor recovery. However, its impact on physical disability remains uncertain. Transcutaneous NMES also decreases shoulder subluxation, but its effect on shoulder pain remains uncertain. Clinically deployable upper extremity neuroprosthesis systems will not be available until sometime in the distant future. However, there is stronger evidence for the clinical utility of lower extremity neuroprosthesis systems. Evolving technology utilizes semi-implanted or fully implanted systems with more sophisticated control paradigms. Initial experiences with these systems are reviewed and directions for future research are discussed in this article.
本文评估了既定的神经肌肉电刺激（NMES）技术对偏瘫患者运动恢复的临床疗效，并概述了不断发展的技术。经皮神经肌肉电刺激有助于运动恢复。然而，其对身体残疾的影响仍不确定。经皮神经肌肉电刺激还可减少肩关节半脱位，但其对肩部疼痛的影响仍不确定。临床上可部署的上肢神经假体系统在遥远的未来某个时候才会出现。然而，有更强的证据表明下肢神经假体系统具有临床实用性。不断发展的技术采用了具有更复杂控制模式的半植入或完全植入系统。本文回顾了这些系统的初步经验，并讨论了未来的研究方向。
