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[功能性肌电刺激作为一种运动功能康复方法]

[Functional myoelectrostimulation as a method for motor functions rehabilitation].

作者信息

Vitenzon A S, Mironov E M, Petrushanskaia K A

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2004;104(10):34-40.

Abstract

The main features, namely diagnostic, prognostic, therapeutic, of functional myoelectrostimulation (FMES) method are described. FMES is primarily indicated in muscle function deficit, which can be organic (neuromuscle disorders) and functional (muscle relaxation). Five most essential FMES operations include: (1) choice of correctable movements and stimulated muscles; determination of (2) amplitude and temporal stimulation programs; (3) stimulation regimes in pathological gait; (4) stimulation parameters; (5) localization of the skin electrodes on the body. A positive influence of FMES on the process of movement rehabilitation was demonstrated in 2 cases of severe central nervous system pathologies--the consequences of the spinal cord lesion in sacral-lumbar area and hemiparesis of cerebral genesis.

摘要

描述了功能性肌电刺激(FMES)方法的主要特征,即诊断、预后和治疗方面的特征。FMES主要适用于肌肉功能缺陷,其可能是器质性的(神经肌肉疾病)和功能性的(肌肉松弛)。FMES的五个最重要操作包括:(1)选择可纠正的动作和受刺激的肌肉;确定(2)刺激幅度和时间程序;(3)病理性步态中的刺激方式;(4)刺激参数;(5)身体上皮肤电极的定位。在2例严重中枢神经系统疾病中——腰骶部脊髓损伤和脑源性偏瘫的后果,证明了FMES对运动康复过程有积极影响。

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