Kanakis Asterios K, Benetos Ioannis S, Evangelopoulos Dimitrios Stergios, Vlamis John, Vasiliadis Elias S, Kotroni Aikaterini, Pneumaticos Spyros G
Department of Physical Medicine and Rehabilitation, KAT Hospital, Athens, GRC.
3rd Department of Orthopaedic Surgery, National and Kapodistrian University of Athens (NKUA) KAT Hospital, Athens, GRC.
Cureus. 2024 May 31;16(5):e61436. doi: 10.7759/cureus.61436. eCollection 2024 May.
Spinal cord injury (SCI) often leads to devastating motor impairments, significantly affecting the quality of life of affected individuals. Over the last decades, spinal cord electrical stimulation seems to have encouraging effects on the motor recovery of impacted patients. This review aimed to identify clinical trials focused on motor function recovery through the application of epidural electrical stimulation, transcutaneous electrical stimulation, and functional electrical stimulation. Several clinical trials met these criteria, focusing on the impact of the aforementioned interventions on walking, standing, swimming, trunk stability, and upper extremity functionality, particularly grasp. After a thorough PubMed online database research, 37 clinical trials were included in this review, with a total of 192 patients. Many of them appeared to have an improvement in function, either clinically assessed or recorded through electromyography. This review outlines the various ways electrical stimulation techniques can aid in the motor recovery of SCI patients. It stresses the ongoing need for medical research to refine these techniques and ultimately enhance rehabilitation results in clinical settings.
脊髓损伤（SCI）常常导致严重的运动功能障碍，极大地影响患者的生活质量。在过去几十年中，脊髓电刺激似乎对受影响患者的运动恢复具有令人鼓舞的效果。本综述旨在确定聚焦于通过应用硬膜外电刺激、经皮电刺激和功能性电刺激来恢复运动功能的临床试验。有几项临床试验符合这些标准，重点关注上述干预措施对行走、站立、游泳、躯干稳定性和上肢功能（特别是抓握功能）的影响。在对PubMed在线数据库进行全面检索后，本综述纳入了37项临床试验，共有192名患者。其中许多患者在功能上似乎有改善，无论是通过临床评估还是通过肌电图记录。本综述概述了电刺激技术有助于脊髓损伤患者运动恢复的各种方式。它强调了医学研究持续需要改进这些技术，并最终在临床环境中提高康复效果。
