P-2-06-13
ASSISTIVE STANDING IN ALS BY MEANS OF FUNCTIONAL ELECTRICAL STIMULATION
H. Shimizu, H. Minami, I. Handa, Y. Matsumura, R. Yagi, Y. Handa (Tohoku University, Sendai, Japan)
Purpose: The purpose of this study was to improve standing ability for amyotrophic lateral sclerosis (ALS) patients by means of functional electrical stimulation (FES).
Method: For electrical stimulation, 21-32 intramuscular wire electrodes were implanted into the muscles of lower extremities of three ALS patients, and a portable stimulator (FESMATE 1230, NEC Co. LTD., JAPAN) was used. Before FES-standing, therapeutic electrical stimulation (TES) was applied for 6-17 months to strengthen muscle power.
Result: The muscle power during electrical stimulation was fairly increased compared to voluntary contraction. Based on the analysis of two dimensional motion analyzer, the standing-up motion by the assist of FES was improved.
Conclusion: By the application of TES for ALS patients ,the muscle power was increased. Furthermore, the patients could stand-up easily by the assist of FES.
P-2-06-14
EVALUATION OF PHYSICAL CAPACITIES ASSOCIATED WITH REHABILITATION OF DUCHENNE MUSCULAR DYSTROPHY
Y Matsuka ( National sanatorium Tokushima Hospital, Tokushima, Japan)
M Nojima (Ehime University, Matsuyama, Japan), T Suto (Iyo Hospital, Iyo, Japan)
In 163 Duchenne muscular dystrophic patients managed by our rehabilitation program since 1964, the clinical investigation of their physical capacities has shown the following results associated with rehabilitation care; (1) effectiveness of stretching exercises including trunk musculature, (2 ) gain of ambulation in the KAFO for an average of 41 months, (3) significant control of spinal deformities by the application of various orthoses from the early stage, (4) functional classification for upper extremity rated on 9 stages, grouping of patterns of finger deformity in 7 types, in addition, availability of the adaptive aids and devices including the communication equipment, (5) establishment of respiratory care system, including education of glossopharyngeal breathing exercises, training in the use of breathing aids and the devised cuirass respirator.
Conclusion: For the rehabilitation management of muscular dystrophy, the optimal evaluation of the physical capacities is indispensable. Prospective comprehensive care may assisting the patient in leading as prolonged a life as possible.
