功能性电刺激 (FES) 在患有神经障碍和脚落的成年人中:短期和长期用户的整形和治疗效果
Niklas Bleichner1, Merkur Alimusaj1, Daniel W W Heitzmann1
1Clinic for Orthopedics, Heidelberg University Hospital, 69118 Heidelberg, Germany.
Bioengineering (Basel, Switzerland)
|January 28, 2026
概括
功能电刺激 (FES) 对具有先天性疾病的新用户有治疗性益处,改善了步行速度和步伐长度. 长期使用者经历了整形效应,突出了扩展评估和多样化的结果措施的需要.
科学领域:
- 神经康复疗法 神经康复疗法
- 生物力学 生物力学
- 辅助技术 辅助技术 辅助技术
背景情况:
- 功能电刺激 (FES) 是神经障碍的常见步行辅助器.
- 在患有脑等先天性疾病的成年人中,早期的FES反应尚未得到充分理解.
研究的目的:
- 研究FES在患有先天性疾病的短期和长期成年使用者的正和治疗效果.
- 使用3D步态分析分析步态适应.
主要方法:
- 长度研究比较短期 (4-12周) 和长期 (≥1年) FES使用者.
- 标准化的3D步态分析以评估动力学参数.
- 线性混合效应模型用于分析FES和时间效应.
主要成果:
- 短期使用者 (G1) 显示了治疗适应:增加速度/步骤长度,减少步骤宽度,减少背部屈曲.
- 长期使用者 (G2) 呈现了整形反应:改善背部屈曲和步行速度,治疗变化较小.
- 在G1中没有发现显著的整形效应;在G2中,额外的治疗益处很小.
结论:
- 在新使用者中,FES引起了明显的早期治疗适应,在长期使用者中引起了正反应.
- 评估期可能需要延长,结果测量应该不仅仅包括脚间距.
- 考虑FES效应需要承认先天性神经疾病的异质性.
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