Zusammenfassung
Dieses Kapitel stellt die häufigsten motorischen Störungsbilder nach Schädigung des „Upper Motor Neuron“ UMN vor und erläutert hierauf basierend die therapeutischen Behandlungsansätze mittels der Funktionellen Elektrostimulation. Der Schwerpunkt liegt auf der neurorehabilitativen Therapie mit der EMG-getriggerten funktionellen Mehrkanal-Elektrostimulation (EMG-MES). Im Detail werden anhand praktischer Beispiele aus dem Therapiealltag die Parametereinstellungen differenziert und ausführlich beschrieben sowie anhand von Bild- und Videoquellen demonstriert.
Der interessierte Anwender bekommt somit ein fundiertes praktisches Wissen zur unmittelbaren Umsetzung in die therapeutische Routine am neurologischen Patienten.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Change history
27 March 2021
https://doi.org/10.1007/978-3-662-61705-2
Literatur
Ackermann H (2010) Athaxien: assessment und management. In: Frommelt P, Lösslein H (Hrsg) Neurorehabilitation, 2. Aufl. Springer, Berlin/Heidelberg
Bähr M, Frotscher M (2009) Neurologisch-topische Diagnostik, 9. Aufl. Georg Thieme Verlag KG, Stuttgart
Chae J, Sheffler L, Knutson J (2008) Neuromuscular electrical stimulation for motor restoration in hemiplegia. Top Stroke Rehabil 15(5):412–426
Chen C et al (2015) Neuromuscular electrical stimulation of the median nerve facilitates low motor cortex excitability in patients with spinocerebellar ataxia. J Electromyogr Kinesiol 25(1):143–150
Coscia M et al (2019) Neurotechnology-aided interventions for upper limb motor rehabilitation in servere chronic stroke. Brain 142:2182–2197
van Cranenburg B (2014) Wiederherstellung nach Hirnschädigung. Theorie und Praxis der interdisziplinären Neurorehabilitation, 2. Aufl. Kiener, München
Eraifej J et al (2017) Effectiveness of upper limb functional electrical stimulation after stroke forthe improvement of activities of daily living and motor function: a systematic review and meta-analysis. Syst Rev 6(1):40
Foley N, Mehta S, Jutai J (2014) Upper extremity interventions. In: Teasell R (Hrsg) Evidence based review of stroke rehabilitation, 16. Aufl. Heart & Stroke Foundation Canadien Partnership for stroke recovery, Ottawa, S 1–208
Fries W, Freivogel S (2010) Motorische Rehabilitation Kapitel 16. In: Frommelt P, Lösslein H (Hrsg) Neurorehabilitation. Springer Verlag GmbH, Berlin/Heidelberg
Gabr U, Levine P, Page S (2005) Home-based electromyography-triggered stimulation in chronic stroke. Clin Rehabil 19(7):737–745
Garcia M et al (2016) Is the frequency in somatosensory electrical stimulation the key parameter in modulating the corticospinal excitability of healthy volunteers and stroke patients with spasticity? Neural Plasticity 2016:11
Golaszewski S, Frey V (2019) Neuromodulationin der Neurorehabilitation nach Schlaganfall. Jatros Neurologie& Psychiartrie 3:12–18
Hamzei F, Dettmers C, Rijntjes M et al (2008) The effect of cortico-spinal tract damage on primary sensorimotor cortex activation after rehabilitation therapy. Exp Brain Res 190:329–333
Hatem S et al (2016) Rehabilitation of motor function after stroke: a multiple systematic review focused on techniques to stimulate upper extremity recovery. Front Hum Neurosci 10:442
Hesse S, Werner C (2010) Funktionelle Elektrosstimulation. In: Lösslein F (Hrsg) Neurorehabilitation, 2. Aufl. Springer Verlag GmbH, Berlin/Heidelberg
Hlustik P, Solodkin A, Gullapalli R et al (2001) Somatotopy in human primary motor and somatosensory hand representations revisited. Cereb Cortex 11(4):312–321
Howlett O, Lannin N, Ada L (2015) Functional electrical stimulation improves activity after stroke: a systematic review with meta-analysis. Arch Phys Med Rehabil 96(5):934–943
Jeon S, Kim Y, Jung K, Chung Y (2017) The effects of electromyography-triggered electrical stimulation on shoulder subluxation, muscle activation, and function in persons with stroke: a pilot study. NeuroRehabilitation 40:9–75
Jones D, Bigland-Ritchie B, Edwards R (1979) Excitation frequency and muscle fatigue:mechanical responses during voluntary and stimulated contractions. Exp Neurol 64:414–427
Kapadia N et al (2020). „Functional Electrical Stimulation Therapy for Retraining Reaching and Grasping After Spinal Cord Injury and Stroke.“ Front Neurosci 14:718
Keeton R, Binder-Macleod S (2006) Low frequency fatigue. Phys Ther 86:1146–1150
Knutson J et al (2014) Contralaterally controlled functional electrical stimulation for recovery of elbow extension and hand opening after stroke: a pilot case series study. Am J Phys Med Rehabil 93(6):528–539
Kwakkel G, Kollen B, van der Grond J et al (2003) Probability of regaining dexterity in the flaccid upper limb: impact of severity of paresis and time since onset in acute stroke. Stroke 34(9):2181–2186
von Lewinski F et al (2009) Efficacy of EMG-triggered electrical arm stimulation in chronic hemiparetic stroke patients. Restor Neurol Neurosci 27(3):189–197
Monte-Silva K et al (2019) Electromyogram-related neuromuscular electrical stimulation for restoring wrist and hand movement in poststroke hemiplegia: a systematic review and meta-analysis. Neurorehabil Neural Repair 133(2):96–111
Nelles G (2004) Neurologische Rehabilitation. Neuronale Plastizität. Georg Thieme, Stuttgart
Patten J (1996) Neurological differential diagnosis, 2. Aufl. Springer, London
Robert Koch Institut (Hrsg) (2015) Gesundheit in Deutschland. Gesundheitsberichterstattung des Bundes. Gemeinsam getragen von RKI und Destatis. RKI, Berlin, s.n.
Schabrun S, Hiller S (2009) Evidence for the retraining of sensation after stroke: a systematic review. Clin Rehabil 23(1):27–39
Schick T et al (2017) Synergy effects of combined multichannel EMG-triggered electrical stimulation and mirror therapy in subacute stroke patients with severe or very severe arm/hand paresis. Restor Neurol Neurosci 35(3):319–332
Shumway-Cook A, Woollacott M (2001) Motor control: theory and practical applications. Lippincott Williams & Wilkins, Philadelphia
Spaich E, Svaneborg N, Jørgensen H, Andersen O (2014) Rehabilitation of the hemiparetic gait by nociceptive withdrawal reflex-based functional electrical therapy: a randomized, single-blinded study. J NeuroEngineering Rehabil 11:81
Stein C et al (2015) Effects of electrical stimulation in spastic muscles after stroke: systematic review and meta-analysis of randomized controlled trials. Stroke 46(8):2197–2205
Trepel M (2017) Neuroanatomie. Struktur und Funktion, 7. Aufl. Urban & Fischer/Elsevier GmbH, München Jena
Wang H et al (2013) Daily treatment time and functional gains of stroke patients during inpatient rehabilitation. PM & R 5(2):122–128
Winstein C, Stein J, Arena R et al (2016) Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 47(6):e98–e169
Woytowicz J et al (2017) Determining levels of upper extremity movement impairment by applying a cluster analysis to the Fugl-Meyer assessment of the upper extremity in chonic stroke. Arch Phys Med Rehabil 98(3):456–462
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature
About this chapter
Cite this chapter
Schick, T. (2021). Funktionelle Elektrostimulation bei Störungen der Motorik aufgrund von Schädigung des Zentralen Nervensystems . In: Schick, T. (eds) Funktionelle Elektrostimulation in der Neurorehabilitation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61705-2_6
Download citation
DOI: https://doi.org/10.1007/978-3-662-61705-2_6
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-61704-5
Online ISBN: 978-3-662-61705-2
eBook Packages: Medicine (German Language)