关键词: electrical stimulation epidural spinal cord stimulation (escs) function functional electrical stimulation (fes) motor recovery spinal cord injury spinal cord stimulation transcutaneous spinal cord stimulation (tscs)

来  源:   DOI:10.7759/cureus.61436   PDF(Pubmed)

Abstract:
Spinal cord injury (SCI) often leads to devastating motor impairments, significantly affecting the quality of life of affected individuals. Over the last decades, spinal cord electrical stimulation seems to have encouraging effects on the motor recovery of impacted patients. This review aimed to identify clinical trials focused on motor function recovery through the application of epidural electrical stimulation, transcutaneous electrical stimulation, and functional electrical stimulation. Several clinical trials met these criteria, focusing on the impact of the aforementioned interventions on walking, standing, swimming, trunk stability, and upper extremity functionality, particularly grasp. After a thorough PubMed online database research, 37 clinical trials were included in this review, with a total of 192 patients. Many of them appeared to have an improvement in function, either clinically assessed or recorded through electromyography. This review outlines the various ways electrical stimulation techniques can aid in the motor recovery of SCI patients. It stresses the ongoing need for medical research to refine these techniques and ultimately enhance rehabilitation results in clinical settings.
摘要:
脊髓损伤(SCI)通常会导致毁灭性的运动障碍,显著影响受影响个体的生活质量。在过去的几十年里,脊髓电刺激似乎对受影响患者的运动恢复有令人鼓舞的影响。这篇综述旨在通过应用硬膜外电刺激来确定专注于运动功能恢复的临床试验。经皮电刺激,和功能性电刺激。几项临床试验符合这些标准,关注上述干预措施对步行的影响,站立,游泳,树干稳定性,和上肢功能,尤其是把握。经过全面的PubMed在线数据库研究,该综述包括37项临床试验,共192名患者。他们中的许多人似乎在功能上有所改善,临床评估或通过肌电图记录。这篇综述概述了电刺激技术可以帮助SCI患者运动恢复的各种方式。它强调了医学研究的持续需求,以完善这些技术并最终提高临床环境中的康复效果。
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