Restoration of elbow extension via functional electrical stimulation in individuals with tetraplegia.
作者： William D. Memberg , Patrick E. Crago , Michael W. Keith
DOI: 10.1682/JRRD.2003.11.0477
关键词:
摘要: Functional electrical stimulation of the triceps is a method restoring elbow extension to individuals with paralyzed triceps. Eleven arms cervical-level spinal cord injuries (SCIs) received electrode as an addition hand-grasp neuroprosthesis. Stimulation was controlled either part preprogrammed pattern or via switch accelerometer that connected neuroprosthesis external controller. The outcome measures were (1) moments at different positions, (2) performance in controllable workspace experiments, and (3) comparison alternative providing these individuals--a posterior deltoid (PD) tendon transfer. Stimulated 11 ranged from 0.8 13.3 N.m. stimulated varied angle manner consistent length-tension properties Triceps provided significantly stronger moment than PD generated by transfer being activated together always greater used separately. long head should be avoided persons weak shoulder abduction, since adducts limits function cases. Statistically, neuroprostheses increased ability successfully reach move object decreased time required acquire while reaching.
sci-hub.st 参考文章(25)
KEVIN L. KILGORE, P. HUNTER PECKHAM, MICHAEL W. KEITH, GEOFFREY B. THROPE, KATHRYN STROH WUOLLE, ANNE M. BRYDEN, RONALD L. HART, An implanted upper-extremity neuroprosthesis. Follow-up of five patients. Journal of Bone and Joint Surgery, American Volume. ,vol. 79, pp. 533- 541 ,(1997) , 10.2106/00004623-199704000-00008
W.D. Memberg, W.M. Murray, S.I. Ringleb, K.L. Kilgore, S.A. Snyder, A transducer to measure isometric elbow moments. Clinical Biomechanics. ,vol. 16, pp. 918- 920 ,(2001) , 10.1016/S0268-0033(01)00071-7
M Margaret Wierzbicka, Allen W. Wiegner, Orthosis for Improvement of Arm Function in C5/C6 Tetraplegia JPO Journal of Prosthetics and Orthotics. ,vol. 8, pp. 86- 92 ,(1996) , 10.1097/00008526-199600830-00004
E Rabischong, P Benoit, M Benichou, Y Allieu, Length-tension relationship of the posterior deltoid to triceps transfer in C6 tetraplegic patients Spinal Cord. ,vol. 31, pp. 33- 39 ,(1993) , 10.1038/SC.1993.6
M Itzkovich, A Catz, I Ona, A new double-purpose device for elbow extension in tetraplegia with paralysis below C5 Spinal Cord. ,vol. 31, pp. 116- 118 ,(1993) , 10.1038/SC.1993.20
B.T. Smith, M.J. Mulcahey, R.R. Betz, Development of an upper extremity FES system for individuals with C4 tetraplegia international conference of the ieee engineering in medicine and biology society. ,vol. 4, pp. 264- 270 ,(1996) , 10.1109/86.547926
Julian E. Kuz, Ann E. Van Heest, James H. House, Biceps-to-triceps transfer in tetraplegic patients: Report of the medial routing technique and follow-up of three cases Journal of Hand Surgery (European Volume). ,vol. 24, pp. 161- 172 ,(1999) , 10.1053/JHSU.1999.JHSU24A0161
Stephen H. Lacey, R. Geoffrey Wilber, P. Hunter Peckham, Alvin A. Freehafer, The posterior deltoid to triceps transfer: a clinical and biomechanical assessment Journal of Hand Surgery (European Volume). ,vol. 11, pp. 542- 547 ,(1986) , 10.1016/S0363-5023(86)80195-2
R. H. Nathan, An FNS-based system for generating upper limb function in the C4 quadriplegic Medical & Biological Engineering & Computing. ,vol. 27, pp. 549- 556 ,(1989) , 10.1007/BF02441635
A. Castro-Sierra, A. Lopez-Pita, A new surgical technique to correct triceps paralysis. Hand. ,vol. 15, pp. 42- 46 ,(1983) , 10.1016/S0072-968X(83)80034-5