Yagi R
Nihon Seikeigeka Gakkai Zasshi. 1985 Apr;59(4):383-95.
Functional electrical stimulation (FES) will become one of the useful reconstructive methods for the paralyzed upper extremity due to upper motor neuron lesion. As a basic study, the author analyzed the electromyogram of the grasp and the lateral pinch movements in three normal hands. On the basis of this electromyographic analysis, FES was applied for the hands of two tetraplegics and three hemiplegics using percutaneous wire electrodes. As a result, three types of holding patterns were obtained in the paralyzed hands by FES, namely, parallel extension grip, grasp and lateral pinch. Clinically, the author made a FES system for the tetraplegic patient, and utilized it for the activities of daily living. The patient could get hand opening, parallel extension grip, grasp and lateral pinch in his paralyzed hand by using this FES system, and he obtained a certain measure of independence of the activities of daily living such as eating, writing and so on.
功能性电刺激（FES）将成为因上运动神经元损伤导致的瘫痪上肢的有效重建方法之一。作为一项基础研究，作者分析了三只正常手部抓握和侧捏动作的肌电图。基于此项肌电图分析，使用经皮线电极对两名四肢瘫痪患者和三名偏瘫患者的手部进行了FES治疗。结果，通过FES在瘫痪手部获得了三种握持模式，即平行伸展抓握、抓握和侧捏。临床上，作者为一名四肢瘫痪患者制作了一个FES系统，并将其用于日常生活活动。该患者通过使用这个FES系统，其瘫痪手部能够实现手张开、平行伸展抓握、抓握和侧捏动作，并且在诸如进食、书写等日常生活活动中获得了一定程度的自理能力。
