Abstract
Injuries to the vertebral column resulting in damage to the spinal cord are uncommon with an annual incidence at about 20-40 per million population and a prevalence somewhere between 183 000 and 230 000 in the United States (Go et al. 1995). Although small in number, the cost in personal terms to the individual, his family and to society in health, social and other resources is immense. Through the pioneering work of many including Riddoch and Guttman in Britain and Munro and Bors in the United States (Collins and Chehrazi 1982), management of spinal cord injury (SCI) is becoming an acknowledged medical subspecialty in its own right and preliminary efforts are underway by the American Board of Physical Medicine and Rehabilitation to create special certification in SCI management.
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References
Beckman J (1987) The Louisiana State University reciprocating gait orthosis. Physiotherapy 73:386–392
Brown E (1990) Dorsal rhizotomy for spastic cerebral palsy: report of diagnostic therapeutic technology assessment panel of the American Medical Association. JAMA 264:2569–2574
Butler PB, Major RE (1987) The Para Walker: a rational approach to the provision of reciprocal ambulation of paraplegic patients. Physiotherapy 73:393–397
Collins WP, Chehrazi B (1982) Concepts of the acute management of spinal cord injury. In: Matthews WB, Glasor CH (eds) Recent advances in clinical neurology. Churchill Livingstone, Edinburgh, pp 67–82
Dralj A, Grobelnik S (1973) Functional electrical stimulation - a new hope for paraplegic patients? Bull Prosthet Res 10–20:75–102
Flores JH Jr (1985) Electrically induced isometric exercise as a means of preventing muscle atrophy and bone demineralization. MSc thesis, Wright State University
Glaser RM (1983) Locomotion via paralyzed leg muscles: feasibility study for leg propelled vehicle. J Rehabil R D 20:87–92
Glaser RM (1986) Physiologic aspects of spinal cord injury and functional neuromuscular stimulation.Cent Nerve Syst Trauma 3:49–62
Glaser RM (1994) Functional neuromuscular stimulation: exercise conditioning of spinal cord injured patients. Int J Sports Med 15:142–148
Go BK, DeVivo MJ, Richards, JS (1995) The epidemiology of spinal cord injury. In: Stover SL, DeLisa JA, Whiteneck GG (eds) Spinal cord injury: clinical outcomes from the model systems. Aspen, Maryland, pp 21–55.
Gonzalez EEG, Corcoran PJ (1994) Energy expenditure during ambulation. In Downey JA, Myers SJ, Gonzalez EG, Lieberman JS (eds) The physiologic basis of rehabilitation medicine. Butterworth- Heinemenn, Massachusetts, pp 413–446
Grundy D, Russell J (1986) ABC of spinal cord injury: medical management in the spinal injuries unit. Br Med J 292:183–187
Hirokawa S, Grimm M, Le T et al. (1990) Energy consumption in paraplegic ambulation using reciprocating gait orthosis and electric stimulation of the thigh muscles. Arch Phys Med Rehabil 71:687–694
Hooker SP, Figoni SF, Glaser RM, Rodgers MM, Ezenwa BN, Faghri PD (1990) Physiologic responses to prolonged electrically stimulated leg-cycle exercise in the spinal cord injured. Arch Phys Med Rehabil 71:863–869
Kalz RT, Rymer WZ (1989) Spastic hypertonia, mechanisms and measurement. Arch Phys Med Rehabil 70:144–155
Leeds EM, Klose KJ, Ganz W, Serafini A, Green BA (1990) Bone mineral density after bicycle ergonometry training. Arch Phys Med Rehabil 71:207–209
Levine SP, Kett RL, Cederna PS, Brooks SV (1990a) Electrical muscle stimulation for pressure sore prevention: tissue shape variation. Arch Phys Med Rehabil 71:210–215
Levine SP, Kett RL, Gross MD, Wilson BA, Cederna PS, Juni JE (1990b) Blood flow in the gluteus maxirnus of seated individuals during electrical muscle stimulation. Arch Phys Med Rehabil 71:682–686
Liberson WT, et al. (1961) Funtional electrotherapy: stimulation of the peroneal nerve synchronized with the swing phase of the gait of hemilegic patients. Arch Phys Med Rehabil 101–105
Licht S (1971) Electrodiagnosis and electromyography, 3rd edn. Elizabeth Licht, New Haven, CT Marsden CD (1988) Spasticity. In: Goodwill CJ, Chamberlain MA (eds) Rehabilitation of the physically disabled adult. Croom Helm, London, pp 455–464
Marsolais EB, Kobetic R (1983) Functional walking in paralyzed patients by means of electrical stimulation. Clin Orthop 175:30–36
Marsolais EB, Kobetic R (1986) Implantation techniques and experience with percutaneous intramuscular electrodes in the lower extremities. J Rehabil R D 23:1–8
Marsolais EB, Kobetic R (1987) Functional electrical stimulation for walking in paraplegia. J Bone Joint Surg 69A:728–733
Nance PW, Shears A, Nance DM (1989) Reflex changes induced by Clonidine in spinal cord injured patients. Paraplegia 27:296–301
Nene AV, Patrick JK (1990) Energy cost of paraplegia locomotion using the Para Walker-electrical stimulation “hybrid” orthosis. Arch Phys Med Rehabil 71:116–120
Ochs G, Stuppler A, Myerson BA et al. (1989) Intrathecal baclofen for long-term treatment of spasticity: a multicentre study. J Neurol Neurosurg Psychiatry 52:933–939
Parke B, Penn RD, Savoy SM, Coreas D (1989) Functional outcome after delivery of intrathecal baclofen. Arch Phys Med Rehabil 70:30–32
Patterson RP, Lockwood JS, Dykstra DD (1990) Functional electric stimulation system using electrode garment. Arch Phys Med Rehabil 71:340–342
Petrofsky JS (1978) Control of the recruitment and firing frequencies of motor units in electrically stimulated muscles in the cat. Med Biol Eng Comput 16:302–308
Petrofsky JS (1979) Digital analogue hybrid 3-channel sequential stimulator. Med Biol Eng Comput 17:421–424
Petrofsky JS, Phillips CA (1979) Constant-velocity contractions in skeletal muscle by sequential stimulation of muscles in the cat. Med Biol Eng Comput 16:302–308
Petrofsky JS, Phillips CA (1983) Computer controlled walking in the paralyzed individual. J Neurol Orthop Surg 4:153–164
Petrofsky JS, Phillips CA (1984) The use of functional electrical stimulation for rehabilitation of spinal cord injured patients. Cent Nerve Syst Trauma 1:57–73
Petrofsky JS, Heaton HH, Glaser RM, Phillips CA (1983a) Applications of the Apple as a microprocessor controlled stimulator. Collegiate Microcomputer 1:97–104
Petrofsky JS, Heaton HH, Phillips CA (1983b) Outdoor bicycle for exercise in paraplegics and quadriplegics. J Biomed Eng 5:292–296
Petrofsky JS, Phillips CA, Heaton HH, Glaser RM (1984a) Bicycle ergometer for paralyzed muscle. J Clin Eng 9:13–19
Petrofsky JS, Phillips CA, Heaton HH (1984b) Feedback control system for walking in man. Comp Biol Med 14:135–149
Petrofsky JS, Heaton HH, Phillips CA, Glaser RM (1984c) Leg exerciser for training of paralyzed muscle by closed lop control. Med Biol Eng Comput 22:298–303
Phillips CA, Petrofsky JS, Hendeshot DM, Stafford D (1984) Closed loop control for restoration of movement in paralyzed muscle. Orthopedics 7:1289–1302
Weingarden SI, Belen JG (1992) Clonidine transdermal system for treatment of spasticity in spinal cord injury, Arch Phys Med Rehabil 73:876–77
WHO (1980) International classification of impairments, disabilities, and handicap. World Health Organization, Geneva
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Weber, R.J., Davis, R.C. (1997). SCI Rehabilitation: Concepts, Mobility, Functional Electrical Stimulation,Spasticity. In: Critchley, E., Eisen, A. (eds) Spinal Cord Disease. Springer, London. https://doi.org/10.1007/978-1-4471-0911-2_32
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DOI: https://doi.org/10.1007/978-1-4471-0911-2_32
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1233-4
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