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首页> 外文期刊>PM & R: the journal of injury, function, and rehabilitation >The Application of Neuromuscular Electrical Stimulation Training in Various Non-neurologic Patient Populations: A Narrative Review
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The Application of Neuromuscular Electrical Stimulation Training in Various Non-neurologic Patient Populations: A Narrative Review

机译：神经肌肉电刺激训练在各种非神经系统患者人群中的应用：叙事回顾。

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摘要

In the last 2 decades, neuromuscular electrical stimulation has been used increasingly in deconditioned patients with the aim of increasing muscle force. Much basic research has been conducted in the area of increasing a muscle's fatigue resistance by neuromuscular electrical stimulation but similarly thorough research with regard to increasing maximal force is missing. Insufficient clinical and basic knowledge exists on the selection of stimulation parameters that will optimize muscle hypertrophy and gains in muscle force. For volitional training, established stimuli for muscle hypertrophy (which more or less parallels maximal muscle force) are muscle tension, metabolic stress, and muscle damage. The present review summarizes findings from clinical and basic research in terms of muscle mechanical as well as acute and chronic physiologic effects of different stimulation protocols, explains the role of the various stimulation parameters in determining the effect of NMES training protocols, and gives clinical recommendations for the choice of stimulation parameters for different patient populations with different training goals, such as increasing muscle force, mass, endurance, or energy consumption. We limit this review to non-neurologic patients, because training goals of neurologic patients are specific to their functional deficits.
机译：在过去的二十年中，神经肌肉电刺激已越来越多地用于条件不佳的患者中，目的是增加肌肉力量。在通过神经肌肉电刺激来增加肌肉的抗疲劳性方面已经进行了许多基础研究，但是关于增加最大力的类似的彻底研究也缺失了。在刺激参数的选择上缺乏足够的临床和基础知识，这些参数将优化肌肉肥大和增加肌肉力量。对于自愿训练，已建立的肌肉肥大（或多或少平行于最大肌肉力量）的刺激是肌肉张力，代谢应激和肌肉损伤。本综述总结了不同刺激方案在肌肉力学以及急性和慢性生理效应方面的临床和基础研究发现，解释了各种刺激参数在确定NMES训练方案效果方面的作用，并为临床提供了建议针对具有不同训练目标的不同患者群体（例如增加肌肉力量，体重，耐力或能量消耗）选择刺激参数。由于神经病患者的培训目标是针对其功能缺陷的，因此我们将此次审查限于非神经病患者。

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