A CLINICAL EXERCISE SYSTEM FOR PARAPLEGICS USING FUNCTIONAL ELECTRICAL-STIMULATION

被引：25

作者：

BREMNER, LA

SLOAN, KE

DAY, RE

SCULL, ER

ACKLAND, T

机构：

[1] Department of Medical Physics, Royal Perth Hospital, Perth

[2] Department of Human Movement and Recreation, University of Western Australia, Perth

来源：

PARAPLEGIA | 1992年 / 30卷 / 09期

关键词：

FUNCTIONAL ELECTRICAL STIMULATION; BICYCLE ERGOMETRY; PARAPLEGIA; SPINAL CORD INJURY;

D O I：

10.1038/sc.1992.128

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A low cost clinical exercise system was developed for the spinal cord injured, based on a bicycle ergometer and electrical stimulation. A pilot project was conducted, using the system, to examine the effects of stimulation induced cycling in long term paraplegics. The project comprised 2 phases of exercise, a strengthening phase involving a 12 week programme of electrical stimulation to the quadriceps and hamstrings and a 12 week cycling phase. Physiological, morphological and biochemical parameters were measured for each subject, at the beginning of the programme and following each phase. Results showed that a programme of stimulation induced lower limb exercise increased the exercise tolerance of all patients, as determined by a progressive increase in exercise time, cycling rate and exercise load. The enhanced exercise tolerance was a result of increases in local muscle strength and endurance. Increases in thigh muscle area and joint range of motion were recorded and all incomplete subjects reported an improvement in functional capabilities and general wellbeing.

引用

页码：647 / 655

页数：9

共 40 条

[31]

Marsolais E.B., Kobetic R., Functional walking in paralysed patients by means of electrical stimulation, Clin Orthop Rel Res, 175, pp. 30-36, (1983)

[32]

Fournier A., Goldberg M., Green B., Brucker B., Petrofsky J., Eismont F., A evaluation of the effects of computer assisted muscle stimulation in paraplegics patients, Orthopaedics, 7, (1984)

[33]

Holle J., Frey M., Gruber H., Kern H., Stohr H., Thoma H., Functional electrostimulation of paraplegics: Experimental investigations and first clinical experience with an implantable stimulation device, Orthopaedics, 7, (1984)

[34]

Kralj A., Bajd T., Functional Electrical Stimulation, Standing and Walking after Spinal Cord Injury, (1989)

[35]

Pollack S.F., Axen K., Speilholz N., Levin N., Haas F., Ragnarsson K.T., Aerobic training effects of electrically induced lower extremity exercise in spinal cord injured people, Arch Phys Med Rehabil, 70, pp. 214-219, (1989)

[36]

Munsat T., McNeal D., Waters R., Effects of nerve stimulation on human muscle, Arch Neural, 33, pp. 608-617, (1976)

[37]

Levine S., Kett R., Cederna P., Bowers L., Brooks S., Electrical muscle stimulation for pressure variation at the seating interface, J Rehabil Res Dev, 26, 4, pp. 1-8, (1989)

[38]

Levine S., Kett R., Cederna P., Brooks S., Electric muscle stimulation for pressure sore prevention: Tissue shape variation, Arch Phys Med Rehabil, 71, pp. 210-215, (1990)

[39]

Levine M., Knott M., Kabat H., Relaxation of spasticity by electrical stimulation of antagonistic muscles, Arch Phys Med Rehabil, 33, pp. 673-688, (1952)

[40]

Shindo N., Jones R., Reciprocal patterened stimulation of the lower limbs in severe spasticity, Physiotherapy, 73, pp. 579-582, (1987)

← 1 2 3 4 →