Multicenter evaluation of electrical stimulation systems for walking

作者: Marguerite Wieler , Richard B. Stein , Michel Ladouceur , Maura Whittaker , Andrew W. Smith

DOI: 10.1016/S0003-9993(99)90188-0

关键词:

摘要: Abstract Objective: To test the long-term benefits of several noninvasive systems for functional electrical stimulation (FES) during walking. Design: Forty subjects (average years since injury, 5.4) were studied in four centers an average time 1 year. Gait parameters tested all with and without FES. Thus, served as their own controls, specific effect using FES could be separated from improvements resulting other factors (eg, training). Setting: Subjects used devices community, but a university or hospital setting. Patients: spinal cord injury ( n = 31) compared to cerebral damage 9). Main Outcome Measures: (speed, cycle time, stride length). Acceptance was by means questionnaire. Results: Some initial improvement walking speed increase >20%) occurred, continuing gains seen total improvement, 45%). The largest relative slowest walkers (speeds Conclusions: Based on acceptance these systems, greatly increased role treating gait disorders is suggested.

参考文章(49)
Nene Av, Patrick Jh, Energy cost of paraplegic locomotion using the ParaWalker--electrical stimulation "hybrid" orthosis. Archives of Physical Medicine and Rehabilitation. ,vol. 71, pp. 116- 120 ,(1990)
Pavlides C, Asanuma H, Neurobiological basis of motor learning in mammals. Neuroreport. ,vol. 8, ,(1997)
R V Baratta, H Shoji, M Solomonow, M Grimm, T Le, S Hirokawa, R D D'Ambrosia, Energy consumption in paraplegic ambulation using the reciprocating gait orthosis and electric stimulation of the thigh muscles. Archives of Physical Medicine and Rehabilitation. ,vol. 71, pp. 687- 694 ,(1990)
Richard B. Stein, Arthur Prochazka, Marquerite Wieler, Marc Bélanger, Dejan B. Popović, Garry Wheeler, Lyle A. Davis, Electrical systems for improving locomotion after incomplete spinal cord injury: An assessment Archives of Physical Medicine and Rehabilitation. ,vol. 74, pp. 954- 959 ,(1993) , 10.5555/URI:PII:000399939390273D
Joseph Classen, Joachim Liepert, Steven P. Wise, Mark Hallett, Leonardo G. Cohen, Rapid Plasticity of Human Cortical Movement Representation Induced by Practice Journal of Neurophysiology. ,vol. 79, pp. 1117- 1123 ,(1998) , 10.1152/JN.1998.79.2.1117
Alan J McComas, Victoria Galea, Hubert de Bruin, Motor Unit Populations in Healthy and Diseased Muscles Physical Therapy. ,vol. 73, pp. 868- 877 ,(1993) , 10.1093/PTJ/73.12.868
H. Devanne, B. A. Lavoie, C. Capaday, Input-output properties and gain changes in the human corticospinal pathway Experimental Brain Research. ,vol. 114, pp. 329- 338 ,(1997) , 10.1007/PL00005641
Kai-hoi Sze, Eric Wong, C.M. Lum, Jean Woo, Factors predicting stroke disability at discharge: a study of 793 Chinese. Archives of Physical Medicine and Rehabilitation. ,vol. 81, pp. 876- 880 ,(2000) , 10.1053/APMR.2000.6279