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[经皮脊髓电刺激:激活人类运动神经回路的非侵入性工具]

[Transcutaneous electrical stimulation of the spinal cord: non-invasive tool for activation of locomotor circuitry in human].

作者信息

Gorodnichev R M, Pivovarova E A, Pukhov A, Moiseev S A, Savokhin A A, Moshonkina T R, Shcherbakova N A, Kilimnik V A, Selionov V A, Kozlovskaia I B, Edgerton V R, Gerasimenko Iu P

出版信息

Fiziol Cheloveka. 2012 Mar-Apr;38(2):46-56.

Abstract

A new tool for locomotor circuitry activation in the non-injured human by transcutaneous electrical spinal cord stimulation (tSCS) has been described. We show that continuous tSCS over T11-T12 vertebrae at 5-40 Hz induced involuntary locomotor-like stepping movements in subjects with their legs in a gravity-independent position. The increase of frequency of tSCS from 5 to 30 Hz augmented the amplitude of evoked stepping movements. The duration of cycle period did not depend on frequency of tSCS. During tSCS the hip, knee and ankle joints were involved in the stepping performance. It has been suggested that tSCS activates the locomotor circuitry through the dorsal roots. It appears that tSCS can be used as a non-invasive method in rehabilitation of spinal pathology.

摘要

一种通过经皮脊髓电刺激(tSCS)激活未受伤人体运动神经回路的新工具已被描述。我们发现,在T11 - T12椎骨上以5 - 40赫兹进行连续tSCS,能在腿部处于失重位置的受试者中诱发类似非自主运动的踏步动作。tSCS频率从5赫兹增加到30赫兹时,诱发的踏步动作幅度增大。周期时长并不取决于tSCS的频率。在tSCS期间,髋、膝和踝关节参与了踏步动作。有人提出,tSCS通过背根激活运动神经回路。似乎tSCS可作为一种非侵入性方法用于脊髓疾病的康复治疗。

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