脊柱刺激和移动设备

实验性的：神经系统疾病

评估移动装置和脊柱刺激对神经系统疾病患者的个体和综合效果。

设备：脊柱刺激

将使用刺激器以非侵入方式刺激颈部和/或下背部的脊柱（颈椎和/或腰椎

其他名称：

• SpineX

设备：Mobility Device

Use of mobility device, an ankle exoskeleton, during walking sessions.

其他名称：

• Biomotum 火花

Muscle Coordination

Level of co-contraction between the ankle plantarflexor and tibialis anterior muscles during gait monitored from electromyography recordings on the more-affected limb during the final minute of the walking trial.

Modified Ashworth Scale of Spasticity

Change in summed score of spasticity from the gastrocnemius and soleus muscles on the more affected limb after completing the walking trial. Lower values indicate greater reductions in spasticity after trial. The maximum score on the Modified Ashworth Scale is a 5, indicating excessive spasticity and rigidity. The minimum score is 0 indicating normal muscle tone. This outcome measure sums the two ankle plantarflexor muscles on the more affected limb, including the gastrocnemius and soleus muscles, resulting in a maximum score of 10 and minimum score of 0 at a given time point.

Plantarflexor Muscle Strength

Change in maximum voluntary contraction level of the plantarflexor muscles in the more affect limb taken as the average of three trials where the participant exerts the maximum amount of force measured from a handheld dynamometer with verbal encouragement comparing trial with mobility device and spinal stimulation to mobility device alone. Lower values indicate greater reduction in strength after trial with mobility device and spinal stimulation versus mobility device alone.