The functional impact of the Freehand System on tetraplegic hand function. Clinical Results.

作者: P Taylor , J Esnouf , J Hobby

DOI: 10.1038/SJ.SC.3101373

关键词:

摘要: Study Design: A B design with subjects acting as their own control when the device is turned off. Objective: Evaluation of efficacy NeuroControl Freehand System. Setting: supra regional spinal unit in UK. Methods: The system an implanted Functional Electrical Stimulation (FES) for restoration lateral and palmar grasps following C5 or C6 tetraplegia. Its use was assessed using Grasp Relies Test (GRT), Activities Daily Living (ADL), Grip strength two-point discrimination. Results: Seven out nine are currently daily users device. There were statistically significant increases number types task achieved repetitions those tasks Release Test. produced a functionally strong grasp where no grip at all possible prior to implantation. Three four who had sensory ability implant showed improvements Most selected ADL assessment indicating improvement independence. Conclusion: can significantly improve functional lesion tetraplegics. Sponsorship: This study funded by charity INSPIRE.

参考文章(11)
G. LUNDBORG, Brain plasticity and hand surgery: an overview. Journal of Hand Surgery (European Volume). ,vol. 25, pp. 242- 252 ,(2000) , 10.1054/JHSB.1999.0339
Kathryn Stroh Wuolle, Clayton L. Van Doren, Anne M. Bryden, P. Hunter Peckham, Michael W. Keith, Kevin L. Kilgore, Julie H. Grill, Satisfaction with and usage of a hand neuroprosthesis. Archives of Physical Medicine and Rehabilitation. ,vol. 80, pp. 206- 213 ,(1999) , 10.1016/S0003-9993(99)90123-5
Michael W. Keith, P. Hunter Peckham, Geoffrey B. Thrope, Kathy C. Stroh, Brian Smith, James R. Buckett, Kevin L. Kilgore, James W. Jatich, Implantable functional neuromuscular stimulation in the tetraplegic hand Journal of Hand Surgery (European Volume). ,vol. 14, pp. 524- 530 ,(1989) , 10.1016/S0363-5023(89)80017-6
L. B. DAHLIN, Y. KOMOTO-TUFVESSON, S. SÄLGEBACK, Surgery of the Spastic Hand in Cerebral Palsy Improvement in stereognosis and hand function after surgery Journal of Hand Surgery (European Volume). ,vol. 23, pp. 334- 339 ,(1998) , 10.1016/S0266-7681(98)80053-3
Kathryn Stroh Wuolle, Clayton L. Van Doren, Geoffrey B. Thrope, Michael W. Keith, P.Hunter Peckham, Development of a quantitative hand grasp and release test for patients with tetraplegia using a hand neuroprosthesis Journal of Hand Surgery (European Volume). ,vol. 19, pp. 209- 218 ,(1994) , 10.1016/0363-5023(94)90008-6
Michael W. Keith, Kevin L. Kilgore, P. Hunter Peckham, Kathryn Stroh Wuolle, Graham Creasey, Michel Lemay, Tendon transfers and functional electrical stimulation for restoration of hand function in spinal cord injury Journal of Hand Surgery (European Volume). ,vol. 21, pp. 89- 99 ,(1996) , 10.1016/S0363-5023(96)80160-2
P. H. Peckham, J. T. Mortimer, E. B. Marsolais, Controlled prehension and release in the C5 quadriplegic elicited by functional electrical stimulation of the paralyzed forearm musculature Annals of Biomedical Engineering. ,vol. 8, pp. 369- 388 ,(1980) , 10.1007/BF02363440
J. HOBBY, P. N. TAYLOR, J. ESNOUF, Restoration of tetraplegic hand function by use of the neurocontrol freehand system. Journal of Hand Surgery (European Volume). ,vol. 26, pp. 459- 464 ,(2001) , 10.1054/JHSB.2001.0587
Sara Carroll, Catherine Coope, Douglas Brown, Gerard Sormann, Stephen Flood, Michael Denison, Australian experience with the Freehand System for restoring grasp in quadriplegia. Australian and New Zealand Journal of Surgery. ,vol. 70, pp. 563- 568 ,(2000) , 10.1046/J.1440-1622.2000.01899.X
A DELLON, The sensational contributions of Erik Moberg Journal of Hand Surgery (European Volume). ,vol. 15, pp. 14- 24 ,(1990) , 10.1016/0266-7681(90)90042-3