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脊髓损伤患者的功能性电刺激骑行训练

FES-cycling training in spinal cord injured patients.

作者信息

Mazzoleni S, Stampacchia G, Gerini A, Tombini T, Carrozza M C

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2013;2013:5339-41. doi: 10.1109/EMBC.2013.6610755.

Abstract

Among the objectives of spinal cord injury (SCI) rehabilitation, (i) prevention of bony, muscular and joint trophism and (ii) limitation of spastic hypertone represent important goals to be achieved. The aim of this study is to use functional electrical stimulation (FES) to activate pedaling on cycle-ergometer and analyse effects of this technique for a rehabilitation training in SCI persons. Five spinal cord injured subjects were recruited and underwent a two months FES-cycling training. Our results show an increase of thigh muscular area and endurance after the FES-cycling training, without any increase of spasticity. This approach, which is being validated on a larger pool of patients, represents a potential tool for improving the rehabilitation outcome of complete and incomplete SCI persons.

摘要

在脊髓损伤(SCI)康复的目标中,(i)预防骨骼、肌肉和关节营养障碍以及(ii)限制痉挛性肌张力过高是需要实现的重要目标。本研究的目的是使用功能性电刺激(FES)来激活在自行车测力计上的蹬踏动作,并分析该技术对脊髓损伤患者康复训练的效果。招募了5名脊髓损伤受试者,并对其进行了为期两个月的FES循环训练。我们的结果显示,FES循环训练后大腿肌肉面积和耐力增加,而痉挛没有任何增加。这种方法正在更大规模的患者群体中得到验证,是改善完全性和不完全性脊髓损伤患者康复效果的潜在工具。

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