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直肠电刺激缓解脊髓损伤后痉挛的参数优化

远丽 武亮 李建军 徐青

中国康复理论与实践2012,Vol.18Issue(1):68-70,3.
中国康复理论与实践2012,Vol.18Issue(1):68-70,3.DOI:10.3969/j.issn.1006-9771.2012.01.021

直肠电刺激缓解脊髓损伤后痉挛的参数优化

Parameter Optimization in Rectal Probe Electrostimulation to Release Spasticity after Spinal Cord Injury

远丽 1武亮 2李建军 1徐青3

作者信息

  • 1. 首都医科大学康复医学院,北京市100068
  • 2. 中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科,北京市100068
  • 3. 北京小汤山医院康复中心,北京市102211
  • 折叠

摘要

Abstract

Objective To screen the optimal parameters of rectal probe electrostimulation (RPES) to release spasticity after spinal cord injury. Methods 10 patients with muscular tension more than 2 level of the modified Ashworth scale after spinal cord injury received the RPES in 9 parameters combinations from orthogonal array, every patient underwent a combination per day. Their muscular tension, clonus and reflex were recorded before and after each treatment. The varieties were analyzed with orthogonal design variance analysis. Results The optimal parameter for muscular tension was 10 mA, 3 /min, 15 min; for reflex: 10 mA, 4 /min, 10 min; for clonus: 40 mA, 2 /min, 15 min; spasm score: 10 mA, 2 /min, 15 min. Conclusion The stimulus intensity most affects the muscular tension, reflex and spasm score, and the frequency of stimulation most affects the clonus. The parameter components were separately for muscular tension, reflex, clonus and spasm score.

关键词

脊髓损伤/痉挛/直肠电刺激/参数/痉挛指数

Key words

spinal cord injury/ spasticity/ rectal probe electrostimualtion/ parameter/ spasm score

分类

医药卫生

引用本文复制引用

远丽,武亮,李建军,徐青..直肠电刺激缓解脊髓损伤后痉挛的参数优化[J].中国康复理论与实践,2012,18(1):68-70,3.

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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