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关于截瘫患者功能性电刺激骑行推荐参数与方案:初步报告

Towards Parameters and Protocols to Recommend FES-Cycling in Cases of Paraplegia: A Preliminary Report.

作者信息

Guimarães Juliana Araujo, da Fonseca Lucas Oliveira, Dos Santos-Couto-Paz Clarissa Cardoso, Bó Antônio Padilha Lanari, Fattal Charles, Azevedo-Coste Christine, Fachin-Martins Emerson

机构信息

NTAAI, Faculdade de Ceilândia, Universidade de Brasília , Brasília, Brazil.

NTAAI, Faculdade de Ceilândia, Universidade de Brasília, Brasília, Brazil; LARA, Faculdade de Tecnologia, Universidade de Brasília, Brasília, Brazil.

出版信息

Eur J Transl Myol. 2016 Jun 13;26(3):6085. doi: 10.4081/ejtm.2016.6085.

DOI:10.4081/ejtm.2016.6085
PMID:27990239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5128972/
Abstract

Functional Electrical Stimulation assisted cycling (FES-Cycling) is increasingly becoming an alternative option recommended to people with spinal cord injury struggling with paraplegia and interested in practicing sports. In order to propose preconditions to guide FES-Cycling recommendation, we aimed to investigate some features and their potential relationships with responsiveness to Neuromuscular Electrical Stimulation (NMES). Fourteen volunteers attended a public recruitment forum to be assessed about their responsiveness through the 16-sessions of NMES. Volunteers were separated in two groups (responsive and non-responsive to NMES) which were investigated in the light of some personal, clinical, structural and functional features. Fifty seven percent of the initial sample responded to electrical stimulation with a visual contraction. This responsive group was predominantly composed by subjects presenting traumatic spinal cord injuries above T12 vertebral level. Only two subjects became responsive at the 3rd and 16th sessions. Among the observed features, the etiology and level of injuries seems to be more associated to responsiveness. Our observations seem to indicate that subjects with traumatic spinal cord injury above T12 level were the best potential candidates for FES-cycling.

摘要

功能性电刺激辅助骑行(FES-Cycling)越来越成为向脊髓损伤导致截瘫且有运动锻炼意愿的人群推荐的一种替代选择。为了提出指导FES-Cycling推荐的前提条件,我们旨在研究一些特征及其与神经肌肉电刺激(NMES)反应性的潜在关系。14名志愿者参加了一个公开招募论坛,通过16次NMES评估其反应性。志愿者被分为两组(对NMES有反应和无反应),并根据一些个人、临床、结构和功能特征进行研究。初始样本中有57%的人在视觉上有肌肉收缩反应。这个有反应的组主要由T12椎体水平以上有创伤性脊髓损伤的受试者组成。只有两名受试者在第3次和第16次治疗时出现反应。在观察到的特征中,损伤的病因和水平似乎与反应性更相关。我们的观察似乎表明,T12水平以上有创伤性脊髓损伤的受试者是FES-骑行的最佳潜在候选人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ea/5128972/f4d4e6fcf91e/ejtm-2016-3-6085-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ea/5128972/0a242c46f7bf/ejtm-2016-3-6085-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ea/5128972/f4d4e6fcf91e/ejtm-2016-3-6085-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ea/5128972/0a242c46f7bf/ejtm-2016-3-6085-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ea/5128972/f4d4e6fcf91e/ejtm-2016-3-6085-g002.jpg

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