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Selecting candidates for a lower limb stimulator implant programme: a patient-centred method.

D N Rushton·F M Barr·N de N Donaldson·V J Harper·T A Perkins·P N Taylor·A M Tromans
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Abstract

OBJECTIVE: To develop an effective selection procedure for lower limb functional neurostimulation (LLFNS) for standing in paraplegia. DESIGN: The selection procedure and exclusion criteria were based on the previous experience for two clinical centres with experience of LLFNS. SETTING: Two Regional Spinal Injuries units in southern England. SUBJECTS: 254 fully rehabilitated paraplegics living in the community. INTERVENTION: Patients were invited to participate in the programme, and if suitable to subject themselves to a rigorous staged selection procedure from which they could withdraw at any time. OUTCOME MEASURE: Functionally successful home standing using closed-loop surface electrical stimulation. RESULTS: 57/254 patients were suitable on paper and were accessible. 19 of these (CI = 10-28) were interested in the project and attended one of the spinal centres for details. Twelve (CI = 5-19) of these fulfilled the selection criteria and started on the training programme; and 10 of them completed the muscle training programme successfully. Seven patients (CI = 2-12) achieved closed-loop standing in the laboratory and four patients (CI = 1-8) did so at home.

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AdultAnxietyBone DensityDepressionElectric Stimulation TherapyFemaleHumansLegMaleMiddle AgedMuscle SpasticityMusclesParaplegiaPatient-Centered CarePersonnel SelectionPhysical EnduranceProstheses and ImplantsRegional Blood FlowTorqueJournal ArticleResearch Support, Non-U.S. Gov't

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D N Rushton, F M Barr, N de N Donaldson, V J Harper, T A Perkins, P N Taylor, A M Tromans. 1998. Selecting candidates for a lower limb stimulator implant programme: a patient-centred method.. https://doi.org/10.1038/sj.sc.3100635

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