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在慢性脊髓损伤中使用功能电刺激治疗的上肢肌肉恢复配置文件.

Gustavo Balbinot1, Guijin Li2, Alexandra Chen3

  • 1Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, British Columbia, Canada; Movement Neurorehabilitation and Neurorepair laboratory, Simon Fraser University, Burnaby, British Columbia, Canada; Institute for Neuroscience and Neurotechnology, Simon Fraser University, Burnaby, British Columbia, Canada; KITE Research Institute, University Health Network, Toronto, Ontario, Canada; Center for Advancing Neurotechnological Innovation to Application, University Health Network, Toronto, Ontario, Canada; Krembil Research Institute, University Health Network, Toronto, Ontario, Canada; Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, British Columbia, Canada.

Neuromodulation : journal of the International Neuromodulation Society
|October 16, 2025
PubMed
概括

功能电刺激疗法 (FEST) 可以改善慢性椎脊髓损伤 (SCIs) 的肌肉力量. 达到一点的强度增加通常需要59天和19次会议,结果受到损伤特征和神经完整性的影响.

关键词:
电子生理学 电子生理学功能性的电刺激.这些指导方针是指导方针.脊髓损伤导致的脊髓损伤表面电力学图 (surface electromyography) 是一种表面电力学图.

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科学领域:

  • 神经科学是一个神经科学.
  • 康复医学 康复医学 康复医学
  • 临床电生理学 临床电生理学

背景情况:

  • 脊髓损伤 (SCIs) 会导致显著的功能障碍.
  • 功能电刺激疗法 (FEST) 用于改善肌肉力量,当自然恢复高原.
  • 在慢性SCI中,FEST的个体肌肉恢复概况尚不清楚.

研究的目的:

  • 描述慢性宫SCI的FEST期间个体肌肉力量增长的时间和规模.
  • 确定预测对FEST的反应的因素.

主要方法:

  • 一项对17名患有慢性宫SCI的参与者的队列研究,评估了136个用FEST治疗的肌肉.
  • 基线电生理学通过表面电肌学评估皮质脊髓管 (CST) 完整性和下部运动神经元池刺激性.

主要成果:

  • 在136个肌肉中,有67个肌肉对FEST做出了反应,肌肉运动分数 (MMS) 的中位数增加了1个肌肉的强度.
  • 达到一个MMS的增加需要大约59天和19个FEST会话.
  • 预测FEST反应的预测因素包括基线MMS,病变特征和CST完整性指标.

结论:

  • 用FEST增加肌肉力量1个点需要大约59天和19次会议.
  • 中枢神经系统完整性和较低的运动神经元反应能力可能会影响FEST的结果.
  • 结果可以为宫SCI的FEST指南提供信息,从而实现个性化康复策略.