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使用功能性电刺激降低脊髓损伤患者的就座压力。初步报告。

Reduction of seating pressure using FES in patients with spinal cord injury. A preliminary report.

作者信息

Ferguson A C, Keating J F, Delargy M A, Andrews B J

机构信息

Bioengineering Unit, University of Strathclyde, Glasgow, Scotland.

出版信息

Paraplegia. 1992 Jul;30(7):474-8. doi: 10.1038/sc.1992.101.

DOI:10.1038/sc.1992.101
PMID:1508561
Abstract

The aim of this study was to investigate the use of functional electrical stimulation (FES) as a means of pressure sore prevention in seated spinal cord injured (SCI) subjects. Nine SCI subjects took part in tests in which electrical stimulation was applied to the quadriceps with the lower legs restrained. Ischial pressures were measured during periods of quiet sitting and FES application. A strain gauged lever arm was used to measure the knee moment during quadriceps stimulation. The average pressure drop at the right and left buttocks was 44 mmHg and 27 mmHg respectively. In general the greatest reductions occurred in subjects with larger knee moments; however, there was no direct relationship between the pressure reduction obtained and the quadriceps strength. This form of FES may be useful as a prophylactic aid in the management of pressure sores in SCI subjects.

摘要

本研究的目的是调查功能性电刺激(FES)作为预防脊髓损伤(SCI)坐姿患者压疮的一种手段的应用情况。九名脊髓损伤患者参与了测试,测试过程中在小腿被固定的情况下对股四头肌施加电刺激。在安静坐姿和施加功能性电刺激期间测量坐骨压力。使用应变片杠杆臂测量股四头肌刺激期间的膝关节力矩。左右臀部的平均压力下降分别为44 mmHg和27 mmHg。一般来说,膝关节力矩较大的患者压力下降最大;然而,获得的压力降低与股四头肌力量之间没有直接关系。这种形式的功能性电刺激可能作为预防脊髓损伤患者压疮的一种辅助手段。

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引用本文的文献

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Electrical stimulation to prevent recurring pressure ulcers in individuals with a spinal cord injury compared to usual care: the Spinal Cord Injury PREssure VOLTage (SCI PREVOLT) study protocol.脊髓损伤患者预防反复性压疮的电刺激与常规护理的比较:脊髓损伤压力电压(SCI PREVOLT)研究方案。
Trials. 2022 Feb 16;23(1):156. doi: 10.1186/s13063-022-06088-0.
2
Funktionelle Elektrostimulation Paraplegischer Patienten.截瘫患者的功能性电刺激
Eur J Transl Myol. 2014 Jul 8;24(2):2940. doi: 10.4081/ejtm.2014.2940.
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A systematic review of electrical stimulation for pressure ulcer prevention and treatment in people with spinal cord injuries.
对脊髓损伤患者预防和治疗压疮的电刺激疗法的系统评价。
J Spinal Cord Med. 2014 Nov;37(6):703-18. doi: 10.1179/2045772314Y.0000000226. Epub 2014 Jun 26.
4
Seat pressure changes after eight weeks of functional electrical stimulation cycling: a pilot study.功能性电刺激骑行八周后的座位压力变化:一项初步研究。
Top Spinal Cord Inj Rehabil. 2013 Summer;19(3):222-8. doi: 10.1310/sci1903-222.
5
Pressure sores.压疮
BMJ. 1994 Oct 1;309(6958):853-7. doi: 10.1136/bmj.309.6958.853.