Functional electrical stimulation early after stroke improves lower limb motor function and ability in activities of daily living.
Functional electrical stimulation early after stroke improves lower limb motor function and ability in activities of daily living.
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DOI：
10.3233/nre-141129
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发表时间：
2014
影响因子：
2
通讯作者：
Guoqing You;Huiying Liang;T. Yan
中科院分区：
文献类型：
--
作者：
Guoqing You;Huiying Liang;T. Yan
研究背景卒中后早期给予功能性电刺激(FES)可改善步行能力。对日常生活活动能力(ADL)的影响尚不清楚。目的探讨短程电刺激对改善早期脑卒中患者日常生活活动能力的效果。方法37例脑卒中患者随机分为标准康复组(SR组，n=18)和FES加标准康复组(FES组，n=19)。SR包括物理治疗和作业治疗各60分钟。给予FeS 30min，诱导大鼠踝关节背屈和外翻。治疗均为每周5天，共3周。分别于治疗前、治疗后2周、3周进行综合痉挛评定量表(CS)、Fugl-Myer评定量表(FMA)、卒中患者姿势评定量表(PASS)、Berg平衡量表(BBS)、改良Barthel指数(MBI)评定。结果治疗2周后，FES组症状自评量表评分明显降低，FMA、MBI、PASS评分明显改善。治疗3周后，FES组的CS评分进一步降低，FMA、MBI、BBS评分均有改善。结论卒中后早期肢体功能锻炼可提高患者日常生活活动能力。
BACKGROUND Functional electrical stimulation (FES) to patients early after stroke has been proved to improve walking ability. The effects on abilities in activities of daily living (ADL) are not clear. OBJECTIVE To investigate the effectiveness of FES in improving lower limb function and ability in ADL of early stroke patients. METHODS Thirty-seven stroke patients were randomly allocated to standard rehabilitation (SR) group (n = 18), and FES group with FES and SR (n = 19). SR included 60 minutes each for physiotherapy and occupational therapy. FES was delivered for 30 min to induce ankle dorsiflexion and eversion. Treatments were 5 days per week for 3 weeks. Evaluations including the composite spasticity scale (CSS), lower-extremity subscale of Fugl-Myer Assessment (FMA), postural assessment scale for stroke patients (PASS), Berg Balance Scale (BBS), and modified Barthel Index (MBI) assessed before treatment, after 2 and 3 week treatment respectively. RESULTS After 2 week treatment, FES group showed a significant reduction of CSS and improvements of FMA, MBI and PASS. After 3 week treatment, FES group showed a further reduction of CSS and also improvement of FMA, MBI and BBS as well. CONCLUSIONS FES on the paretic lower limbs early after stroke improved the mobility and ability in ADL.