Petrofsky J S, Phillips C A
Cent Nerv Syst Trauma. 1984 Fall;1(1):57-74. doi: 10.1089/cns.1984.1.57.
Computer-directed functional electrical stimulation that employs closed-loop (feedback) technology has been used for rehabilitation of spinal cord injured (SCI) patients. This paper summarizes the most recent developments in our laboratory. First, the design of an adaptive control system is described, and its resultant controllability is reviewed. Second, our current results with the isokinetic leg trainer are summarized with respect to muscular strength and mass and cardiovascular changes in paraplegics and quadriplegics. Third, our current results with the exercise bicycle ergometer are summarized regarding muscular endurance and cardiovascular changes in control, paraplegic, and quadriplegic subjects. Fourth, impact vibration is reviewed as a potential technique to reverse disuse osteoporosis, and clinical case studies are cited. Fifth and finally, thermoregulatory studies are presented for the first time on control, paraplegic, and quadriplegic subjects. Conclusions are drawn regarding mechanisms and recommendations made for exercise of SCI subjects in hot and humid environments.
采用闭环（反馈）技术的计算机导向功能性电刺激已用于脊髓损伤（SCI）患者的康复治疗。本文总结了我们实验室的最新进展。首先，描述了自适应控制系统的设计，并回顾了其产生的可控性。其次，总结了我们目前在等速腿部训练器方面的研究结果，涉及截瘫和四肢瘫患者的肌肉力量、肌肉质量及心血管变化。第三，总结了我们目前在运动自行车测力计方面的研究结果，涉及对照组、截瘫和四肢瘫受试者的肌肉耐力及心血管变化。第四，回顾了冲击振动作为一种逆转废用性骨质疏松潜在技术的相关内容，并引用了临床案例研究。第五也是最后一点，首次展示了对对照组、截瘫和四肢瘫受试者的体温调节研究。得出了关于机制的结论，并针对在炎热潮湿环境中脊髓损伤受试者的运动提出了建议。
