Weingarden H P, Zeilig G, Heruti R, Shemesh Y, Ohry A, Dar A, Katz D, Nathan R, Smith A
Department of Neurologic Rehabilitation, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Am J Phys Med Rehabil. 1998 Jul-Aug;77(4):276-81. doi: 10.1097/00002060-199807000-00002.
A new hybrid functional electrical stimulation orthosis system for the upper limb has been designed to allow for ease of use in the home as a daily treatment modality, as well as offer the opportunity for function enhancement. In a pilot study, the system was used by ten patients with chronic stable hemiparesis secondary to cerebral vascular accident and head injuries. The patients were referred by their treating physicians or therapists after meeting the inclusion criteria of good general health, being greater than one year after head injury, or being ten months post-stroke, with no observed neurologic changes in the prior six weeks. Each of these patients had received prolonged physical therapy, either continuous from the initial inpatient rehabilitation treatment or on an intermittent basis over a period of years. The baseline status for factors related to increased muscle tone, i.e., passive range of motion at the wrist and elbow, posture at rest, posture immediately following activity, and spasticity were quantified before the treatment protocol with the functional electrical stimulation orthosis. Active range of motion and tests of functional use of the involved upper limb were also assessed. The patients were instructed in the protocol, trained in the use of the system, and then used the electrical orthosis at home for up to several hours per day. Follow-up assessments were at six months. A statistically significant improvement was noted in all muscle tone/spasticity parameters measured. A separate report will describe the effects on voluntary motion and functional capabilities.
一种新型的上肢混合功能性电刺激矫形器系统已被设计出来，以便于在家中作为日常治疗方式使用，同时也为功能增强提供机会。在一项初步研究中，该系统被10名因脑血管意外和头部受伤导致慢性稳定偏瘫的患者使用。这些患者是在满足一般健康状况良好、头部受伤超过一年或中风后十个月且在过去六周内未观察到神经学变化等纳入标准后，由他们的治疗医生或治疗师转诊而来的。这些患者中的每一位都接受过长期的物理治疗，要么从最初的住院康复治疗开始持续进行，要么在数年的时间里间歇性地接受治疗。在使用功能性电刺激矫形器进行治疗方案之前，对与肌张力增加相关的因素的基线状态进行了量化，即手腕和肘部的被动活动范围、休息时的姿势、活动后立即的姿势以及痉挛情况。还评估了受累上肢的主动活动范围和功能使用测试。患者接受了治疗方案的指导，接受了系统使用培训，然后在家中每天使用电动矫形器长达数小时。随访评估在六个月时进行。在所有测量的肌张力/痉挛参数方面都观察到了统计学上的显著改善。一份单独的报告将描述对自主运动和功能能力的影响。
