Carmick J
Phys Ther. 1993 Aug;73(8):514-22; discussion 523-7. doi: 10.1093/ptj/73.8.514.
This report, part 2 of a two-part case report on the clinical use of neuromuscular electrical stimulation (NMES) for children with cerebral palsy, documents the functional changes that occurred with the application of NMES to the upper extremity of two children, 1.6 and 6.7 years of age, with hemiplegia due to cerebral palsy. The NMES was used as an adjunct to a dynamic-systems, task-oriented physical therapy program. The youngest child showed immediate improvement in the ability to crawl and use both hands together. The older child demonstrated increased sensory awareness and use of the nonfunctional hand. Preliminary findings suggest that NMES may be a useful physical therapy tool for enhancing muscle strength increasing sensory awareness, and assisting motor learning and coordination.
本报告是关于神经肌肉电刺激（NMES）在脑瘫儿童临床应用的系列病例报告的第二部分，记录了对两名分别为1.6岁和6.7岁的偏瘫型脑瘫儿童上肢应用NMES后所发生的功能变化。NMES被用作动态系统、以任务为导向的物理治疗方案的辅助手段。最小的孩子在爬行和双手同时使用的能力上立即有了改善。较大的孩子表现出感觉意识增强以及对原本无功能的手的使用。初步研究结果表明，NMES可能是一种有用的物理治疗工具，可增强肌肉力量、提高感觉意识，并辅助运动学习和协调。
