电刺激它能在脊髓损伤增加肌肉力量与个人骨质疏松？.pdfVIP

1090 Electrical Stimulation: Can It Increase Muscle Strength and Reverse Osteopenia in Spinal Cord Injured Individuals? Marc Be´langer, PhD, Richard B. Stein, DPhil, Garry D. Wheeler, PhD, Tessa Gordon, PhD, Bernard Leduc, MD ABSTRACT. Be´langer M, Stein RB, Wheeler GD, Gordon bone mineral density (BMD) in the paralyzed limbs (osteope- T, Leduc B. Electrical stimulation: can it increase muscle nia).9-16 strength and reverse osteopenia in spinal cord injured individu- Electrical stimulation can reverse the muscle weakness, als? Arch Phys Med Rehabil 2000;81:1090-8. although the extent of the reversal differs markedly in different studies. Most studies using electrical stimulation of muscle Objective: To study the extent to which atrophy of muscle show little or no change in bone density.10,17-20 Because of bone and progressive weakening of the long bones after spinal cord weakness, persons with SCI have an increased risk for fractures injury (SCI) can be reversed by functional electrical stimulation as a result of mild trauma, such as when transferring to or from (FES) and resistance training. a wheelchair.9,12,21 The incidence of long-bone fractures has Design: A within-subject, contralateral limb, and matching been reported to be between 1% and 6%, and it is likely design. underestimated because numerous cases are either untreated or Setting: Research laboratories in university settings. unreported at SCI centers.9,22 Similarly, Nottage22 reported an Participants: Fourt