AUGMENTATION OF TRANSFERS FOR A QUADRIPLEGIC PATIENT USING AN IMPLANTED FNS SYSTEM - CASE-REPORT

被引：11

作者：

MARSOLAIS, EB

SCHEINER, A

MILLER, PC

KOBETIC, R

DALY, JJ

机构：

[1] Rehabilitation Medicine Service and Motion Study Laboratory, VA Medical Center, Cleveland, OH, 44106

[2] Division of Rehabilitation, Department of Orthopaedics, Case Western Reserve University School of Medicine, Cleveland, OH

[3] Clinical Research, VA Medical Center, Cleveland, OH

来源：

PARAPLEGIA | 1994年 / 32卷 / 08期

关键词：

QUADRIPLEGIA; FUNCTIONAL NEUROMUSCULAR STIMULATION; FNS; NEUROPROSTHESIS; FUNCTIONAL RESTORATION;

D O I：

10.1038/sc.1994.91

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 22 year old man with incomplete quadriplegia (C6-7) was unable to perform either a sliding or a pivot transfer. He was instrumented with an implanted functional neuromuscular stimulation (FNS) system, radio frequency-linked to a belt-worn controller. The system activated eight muscles selected from among quadriceps, hamstrings, posterior portion of the adductor magnus, gluteus maximus, and erector spinae, bilaterally. The two-stage implantation procedure included electrode implantation with percutaneous leads followed by stimulator implantation and removal of the percutaneous leads. All implants were well tolerated with no adverse effects. The subject was able independently to put on the external controller portion of the system and to perform a standing pivot transfer with only standby assistance. An unexpected outcome of the FNS system use was increased voluntary upper body strength that resulted in improvement of the sliding transfer from 'inability' to 'independent'.

引用

页码：573 / 579

页数：7

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