Abstract：
OBJECTIVE:To find the most energy-efficient standing-up motion for quadriceps and to restore that motion in a person with complete paraplegia by using hybrid functional electrical stimulation. DESIGN:Nonrandomized control trial. SETTING:A referral center and institutional practice providing outpatient care. PARTICIPANTS:Twenty-nine volunteer samples were used to collect normal data. One patient with complete paraplegia received treatment for the restoration of standing-up motion. MAIN OUTCOME MEASUREMENTS:Joint angles and ground reaction forces were investigated during the standing-up motion with arms crossed in front of the chest with an ankle-foot orthosis set at various angles. The electromyogram (EMG) was performed during the standing-up motion with and without the orthosis. The energy costs of quadriceps during the standing-up motion were calculated using a mathematical model. Standing-up motion in a person with complete paraplegia was restored and then analyzed by measuring the vertical ground reaction force and the hip and knee angles. RESULTS:Quadriceps energy cost was lowest (p < .05) in subjects wearing the ankle-foot orthosis set at neutral with a flat sole line. In the integrated EMG the peak value of rectus femoris contraction was larger with the orthosis than without it (p < .05). A patient with complete paraplegia was able to stand up smoothly from a wheelchair based on stimulation patterns obtained from healthy subjects. CONCLUSIONS:Energy-efficient standing-up motion in a patient with complete paraplegia was restored when the patient used an ankle-foot orthosis set at neutral with a flat sole line.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Miyamoto S,Shimada Y,Sato K,Kagaya H,Matsunaga T,Obinata Gdoi
10.1016/s0003-9993(99)90305-2subject
Has Abstractpub_date
1999-01-01 00:00:00pages
40-7issue
1eissn
0003-9993issn
1532-821Xpii
S0003-9993(99)90305-2journal_volume
80pub_type
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