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用于偏瘫患者步态矫正的多通道功能性电刺激(FES)刺激器设计的现状与前景

Present state and prospects in the design of multichannel FES stimulators for gait correction in paretic patients.

作者信息

Trnkoczy A, Stanic U, Malezic M

出版信息

TIT J Life Sci. 1978;8(1-2):17-27.

PMID:311091
Abstract

Use of multichannel electrical stimulators (MES) for the rehabilitation of patients with plegic or paretic extremity muscles in one of the most promising trends in rehabilitation. Two clinically oriented therapeutic stimulators are described. The aim and the realization of walking rate dependent functioning, gradually modulated stimulation sequences, mini-computer and hardware closed-loop control of stimulation amplitude are described. The difficulties arising from the poor interface between the technical and biological part of the system prevent the described stimulators from being used as orthotic devices. Experiments with three types of electrodes are given, and the problem of an excessive mounting time for most clinical environments is also stressed.

摘要

使用多通道电刺激器(MES)来康复瘫痪或部分瘫痪肢体肌肉的患者是康复领域最有前景的趋势之一。本文描述了两种面向临床的治疗性刺激器。介绍了其目标以及实现与步行速度相关的功能、逐渐调制的刺激序列、微型计算机和刺激幅度的硬件闭环控制。系统技术部分与生物部分之间不良的接口所产生的困难阻碍了所述刺激器用作矫形装置。给出了使用三种类型电极的实验,并强调了在大多数临床环境中安装时间过长的问题。

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