기능적 전기 자극: Part II - 척수손상인의 기능적 보행울 중심으로 -
Functional Electrical Stimulation: Part II
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When applying FES to patients, proper evaluation must be performed prior to treatingpatient. Patients with thoracic lesions between T4-T12 are suitable for FES. However,these patients must have excitability of the leg muscles. Thus, excitability testing isan essential part of the screening program(stimulation at 80V gives a response). Before standing or w떠king is attempted the patients must perform restrengtheningexercise, so that the Quadriceps muscle group minimum strength is 40 Nm(corresponding to a manual grade of F+ to G). After that walking and standing canbe attempted. The effects of FES are as fol1ows: prevents pressure sores;development and maintenance of muscle properties; prevents disuse atrophy andcontractures.
Abstract
When applying FES to patients, proper evaluation must be performed prior to treatingpatient. Patients with thoracic lesions between T4-T12 are suitable for FES. However,these patients must have excitability of the leg muscles. Thus, excitability testing isan essential part of the screening program(stimulation at 80V gives a response). Before standing or w떠king is attempted the patients must perform restrengtheningexercise, so that the Quadriceps muscle group minimum strength is 40 Nm(corresponding to a manual grade of F+ to G). After that walking and standing canbe attempted. The effects of FES are as fol1ows: prevents pressure sores;development and maintenance of muscle properties; prevents disuse atrophy andcontractures.