Use of Functional Electrical Stimulation in the Lower Extremities of Incomplete Spinal Cord Injured Patients
After a program of therapeutic electrical stimulation, 3 groups of incomplete spinal cord injured (SCI) patients were identified, those in whom an improvement of both voluntary and stimulated muscle force was observed, those with an increase in stimulation response only, and patients in whom no effe...
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| Veröffentlicht in: | Artificial organs 1999-05, Vol.23 (5), p.403-409 |
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| creator | Bajd, Tadej Kralj, Alojz Štefančič, Martin Lavrač, Nada |
| description | After a program of therapeutic electrical stimulation, 3 groups of incomplete spinal cord injured (SCI) patients were identified, those in whom an improvement of both voluntary and stimulated muscle force was observed, those with an increase in stimulation response only, and patients in whom no effect of electrical stimulation training could be recorded. As it is difficult to predict the outcome of the electrical stimulation rehabilitation process, a diagnostic procedure was developed to predict soon after accidents which incomplete SCI patients are candidates for permanent use of a functional electrical stimulation (FES) orthotic aid. The candidates for chronic use of FES are patients with weak ankle dorsiflexors and sufficiently strong knee extensors. These patients are equipped with a single channel peroneal stimulator augmenting dorsiflexion and knee and hip flexion in a total lower limb flexion response. By applying FES to the ankle plantar flexors, the swing phase of walking can be significantly shortened and faster walking obtained. |
| doi_str_mv | 10.1046/j.1525-1594.1999.06360.x |
| format | Article |
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As it is difficult to predict the outcome of the electrical stimulation rehabilitation process, a diagnostic procedure was developed to predict soon after accidents which incomplete SCI patients are candidates for permanent use of a functional electrical stimulation (FES) orthotic aid. The candidates for chronic use of FES are patients with weak ankle dorsiflexors and sufficiently strong knee extensors. These patients are equipped with a single channel peroneal stimulator augmenting dorsiflexion and knee and hip flexion in a total lower limb flexion response. 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As it is difficult to predict the outcome of the electrical stimulation rehabilitation process, a diagnostic procedure was developed to predict soon after accidents which incomplete SCI patients are candidates for permanent use of a functional electrical stimulation (FES) orthotic aid. The candidates for chronic use of FES are patients with weak ankle dorsiflexors and sufficiently strong knee extensors. These patients are equipped with a single channel peroneal stimulator augmenting dorsiflexion and knee and hip flexion in a total lower limb flexion response. By applying FES to the ankle plantar flexors, the swing phase of walking can be significantly shortened and faster walking obtained.</description><subject>Ankle Joint - physiology</subject><subject>Electric Stimulation Therapy - instrumentation</subject><subject>Electric Stimulation Therapy - methods</subject><subject>Female</subject><subject>Foot - physiology</subject><subject>Forecasting</subject><subject>Functional electrical stimulation</subject><subject>Gait</subject><subject>Hip Joint - physiology</subject><subject>Humans</subject><subject>Knee Joint - physiology</subject><subject>Leg - physiology</subject><subject>Male</subject><subject>Muscle Contraction - physiology</subject><subject>Muscle Hypotonia - therapy</subject><subject>Muscle Spasticity - therapy</subject><subject>Muscle, Skeletal - physiology</subject><subject>Orthotic Devices</subject><subject>Peroneal Nerve - physiology</subject><subject>Range of Motion, Articular - physiology</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Spinal Cord Injuries - therapy</subject><subject>Spinal cord injury</subject><subject>Treatment Outcome</subject><subject>Walking - physiology</subject><issn>0160-564X</issn><issn>1525-1594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1u1DAURi0EokPhFZBX7BJuxv8LFmU0HSqNWkSpys5yHEd4cJLBdtTp25OQqmLJyle-3_mudBDCFZQVUP7xUFZszYqKKVpWSqkSOOFQnl6g1fPiJVpBxaFgnP44Q29SOgCAoMBfo7MKiJBqrVYo3CWHhxZfjr3NfuhNwNvgbI7eTuNt9t0YzLzAvsf5p8P74cFFvD3l6DqfvUszfdXboTsGlx2-Pfq5ZDPEZvo-jNE1-OvU4Pqc3qJXrQnJvXt6z9Hd5fb75kuxv9ldbS72haVcQcEJaRi1tgZoLUihJKdSgqW1aBqhBFfUmEbypqKKtYwKZmxdM1BrYSdQkHP0Yek9xuH36FLWnU_WhWB6N4xJcyWJWhM-BeUStHFIKbpWH6PvTHzUFejZtD7oWaieherZtP5rWp8m9P3TjbHuXPMPuKidAp-WwIMP7vG_i_XFzbd5mvhi4X3K7vTMm_hLc0EE0_fXO71j8prew2cN5A_iUJxC</recordid><startdate>199905</startdate><enddate>199905</enddate><creator>Bajd, Tadej</creator><creator>Kralj, Alojz</creator><creator>Štefančič, Martin</creator><creator>Lavrač, Nada</creator><general>Blackwell Science Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199905</creationdate><title>Use of Functional Electrical Stimulation in the Lower Extremities of Incomplete Spinal Cord Injured Patients</title><author>Bajd, Tadej ; Kralj, Alojz ; Štefančič, Martin ; Lavrač, Nada</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4690-633d54ccb00fc0879864880c4b7dd797694aad86d1495f5475acbb50927cd5473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Ankle Joint - physiology</topic><topic>Electric Stimulation Therapy - instrumentation</topic><topic>Electric Stimulation Therapy - methods</topic><topic>Female</topic><topic>Foot - physiology</topic><topic>Forecasting</topic><topic>Functional electrical stimulation</topic><topic>Gait</topic><topic>Hip Joint - physiology</topic><topic>Humans</topic><topic>Knee Joint - physiology</topic><topic>Leg - physiology</topic><topic>Male</topic><topic>Muscle Contraction - physiology</topic><topic>Muscle Hypotonia - therapy</topic><topic>Muscle Spasticity - therapy</topic><topic>Muscle, Skeletal - physiology</topic><topic>Orthotic Devices</topic><topic>Peroneal Nerve - physiology</topic><topic>Range of Motion, Articular - physiology</topic><topic>Spinal Cord Injuries - physiopathology</topic><topic>Spinal Cord Injuries - therapy</topic><topic>Spinal cord injury</topic><topic>Treatment Outcome</topic><topic>Walking - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bajd, Tadej</creatorcontrib><creatorcontrib>Kralj, Alojz</creatorcontrib><creatorcontrib>Štefančič, Martin</creatorcontrib><creatorcontrib>Lavrač, Nada</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Artificial organs</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bajd, Tadej</au><au>Kralj, Alojz</au><au>Štefančič, Martin</au><au>Lavrač, Nada</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of Functional Electrical Stimulation in the Lower Extremities of Incomplete Spinal Cord Injured Patients</atitle><jtitle>Artificial organs</jtitle><addtitle>Artificial Organs</addtitle><date>1999-05</date><risdate>1999</risdate><volume>23</volume><issue>5</issue><spage>403</spage><epage>409</epage><pages>403-409</pages><issn>0160-564X</issn><eissn>1525-1594</eissn><abstract>After a program of therapeutic electrical stimulation, 3 groups of incomplete spinal cord injured (SCI) patients were identified, those in whom an improvement of both voluntary and stimulated muscle force was observed, those with an increase in stimulation response only, and patients in whom no effect of electrical stimulation training could be recorded. As it is difficult to predict the outcome of the electrical stimulation rehabilitation process, a diagnostic procedure was developed to predict soon after accidents which incomplete SCI patients are candidates for permanent use of a functional electrical stimulation (FES) orthotic aid. The candidates for chronic use of FES are patients with weak ankle dorsiflexors and sufficiently strong knee extensors. These patients are equipped with a single channel peroneal stimulator augmenting dorsiflexion and knee and hip flexion in a total lower limb flexion response. By applying FES to the ankle plantar flexors, the swing phase of walking can be significantly shortened and faster walking obtained.</abstract><cop>Boston, USA</cop><pub>Blackwell Science Inc</pub><pmid>10378929</pmid><doi>10.1046/j.1525-1594.1999.06360.x</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0160-564X |
| ispartof | Artificial organs, 1999-05, Vol.23 (5), p.403-409 |
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| language | eng |
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| source | MEDLINE; Wiley Journals |
| subjects | Ankle Joint - physiology Electric Stimulation Therapy - instrumentation Electric Stimulation Therapy - methods Female Foot - physiology Forecasting Functional electrical stimulation Gait Hip Joint - physiology Humans Knee Joint - physiology Leg - physiology Male Muscle Contraction - physiology Muscle Hypotonia - therapy Muscle Spasticity - therapy Muscle, Skeletal - physiology Orthotic Devices Peroneal Nerve - physiology Range of Motion, Articular - physiology Spinal Cord Injuries - physiopathology Spinal Cord Injuries - therapy Spinal cord injury Treatment Outcome Walking - physiology |
| title | Use of Functional Electrical Stimulation in the Lower Extremities of Incomplete Spinal Cord Injured Patients |
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