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A Case Study of Functional Electrical Stimulation(FES) for Paraplegic Patients

한국전문물리치료학회지 1996년 3권 3호 p.32 ~ 43
이재호, 김택훈,
소속 상세정보
이재호 (  ) - 을지의과대학병원 구강악안면외과
김택훈 (  ) - 을지의과대학병원 구강악안면외과

Abstract


The purpose of this case study was to introduce functional electrical stimulation(FES) for paraplegic
patients. FES provides the ability to rise from sitting to standing, maintenance of a standing position,
and the ability to walk with a reciprocal gait. Six channels of electrical stimulation are sufficient for
synthesis of a simple reciprocal gait pattern in these patients. During the double-stance phase, knee
extensor muscles of both knees are stimulated, providing sufficient support for the body. Only one knee
extensor muscle group is excited during the single-stance phase. The swing phase of the contralateral
lower extremity is accomplished by eliciting the synergic flexor muscle response through electrical
stimulation of afferent nerves. The transition from the double-stance phase to the swing phase is
controlled by two hand switches used by the therapist or built into the handles of the walking frame
for using by the patient. A twenty-five years old male was with a T9/T9 spinal cord injury due to a
traffic accident and admitted to Yonsei Rehabilitation Hospital for comprehensive treatment. After
30 days of training using the ParastepR he was able to stand for 10 minutes. After 43 days, he was
able to walk and at discharged he could walk for 100 meters.

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