Alberta Children's Hospital , Calgary, AB, Canada.
Alberta Children's Hospital Research Institute , Calgary, AB, Canada.
Dev Neurorehabil. 2020 Aug;23(6):407-411. doi: 10.1080/17518423.2020.1773956. Epub 2020 Jun 7.
Some conditions within specific populations are so rare rigorous evidence is unavailable. Childhood hyperkinesis is one example, yet presents an opportunity to examine sensation's contribution to motor function.
The patient experienced functional difficulty from hyperkinesis as a result of childhood stroke. Home-based passive neuromuscular electrical stimulation (NMES) was implemented an hour/day, six days/week, over 6 weeks (36 hours). Clinical and robotic measures (Assisting Hand Assessment, Box and Block Test, Jebsen Taylor Test of Hand Function, Kinarm) were administered before and after the intervention and at 9 months.
NMES was feasible and well tolerated. Clinically important gains of arm function were maintained at 9 months. Robotic measures showed improved hyperkinesis, namely reduced movement segmentation and improved target approximation, in addition to improved proprioceptive function after NMES.
This case study illustrates the use of NMES within a previously unexplored population and highlights the potential importance of sensory systems to motor gains.
某些特定人群中的某些情况非常罕见，因此无法获得严格的证据。儿童多动障碍就是一个例子，但它为研究感觉对运动功能的贡献提供了机会。
该患者因童年期中风而出现多动障碍，导致功能困难。在家中进行了一小时/天，每周六天的被动神经肌肉电刺激（NMES），共 6 周（36 小时）。在干预前后以及 9 个月时进行了临床和机器人测量（辅助手评估、方块和积木测试、Jebsen Taylor 手功能测试、Kinarm）。
NMES 是可行且耐受良好的。手臂功能的临床重要改善在 9 个月时得以维持。机器人测量显示，NMES 后多动障碍得到改善，即运动分段减少，目标接近度提高，本体感觉功能改善。
本病例研究说明了 NMES 在以前未探索过的人群中的应用，并强调了感觉系统对运动收益的重要性。
