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电刺激疗法对腰椎管狭窄症手术后残留足下垂的影响:一例报告

Effects of Electrical Stimulation Therapy for Residual Foot Drop Following Lumbar Spinal Stenosis Surgery: A Case Report.

作者信息

Yanagida Hikaru, Uetani Yuuki, Takimoto Tomomi

机构信息

Department of Rehabilitation, Jiseikai-Nerimatakanodai Hospital, Tokyo, JPN.

出版信息

Cureus. 2025 Jun 10;17(6):e85676. doi: 10.7759/cureus.85676. eCollection 2025 Jun.

Abstract

This case report describes a patient with residual foot drop following lumbar spinal stenosis (LSS) surgery, who demonstrated improvement after undergoing neuromuscular electrical stimulation (NMES) and functional electrical stimulation (FES). The patient, a 70-year-old man, had foot drop attributed to LSS. During the initial phase of treatment, NMES using high-voltage pulsed current was applied to facilitate contraction of the ankle dorsiflexor muscles. As his walking ability stabilized, FES was introduced during ambulation to support functional muscle activation. As a result, the patient experienced improvements in gait function, ankle dorsiflexion function, and fear of walking. This case suggests that in patients with residual foot drop after LSS surgery, a combination of NMES to enhance muscle contraction and FES to assist walking may contribute to functional recovery.

摘要

本病例报告描述了一名腰椎管狭窄症(LSS)手术后遗留足下垂的患者,该患者在接受神经肌肉电刺激(NMES)和功能性电刺激(FES)后症状有所改善。患者为一名70岁男性,足下垂由LSS引起。在治疗初期,采用高压脉冲电流进行NMES以促进踝背屈肌收缩。随着其步行能力稳定,在行走过程中引入FES以支持功能性肌肉激活。结果,患者的步态功能、踝背屈功能以及行走恐惧均有所改善。该病例表明,对于LSS手术后遗留足下垂的患者,联合使用增强肌肉收缩的NMES和辅助行走的FES可能有助于功能恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e1/12245141/c7c864c1675c/cureus-0017-00000085676-i01.jpg

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