DOSAGE OF NEUROMUSCULAR ELECTRICAL STIMULATION: IS IT A DETERMINANT OF UPPER LIMB FUNCTIONAL IMPROVEMENT IN STROKE PATIENTS?
DOSAGE OF NEUROMUSCULAR ELECTRICAL STIMULATION: IS IT A DETERMINANT OF UPPER LIMB FUNCTIONAL IMPROVEMENT IN STROKE PATIENTS?
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DOI：
10.2340/16501977-0917
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发表时间：
2012-02-01
影响因子：
3.5
通讯作者：
Hsieh, Ching-Lin
中科院分区：
文献类型：
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作者：
Hsu, Shu-Shyuan;Hu, Ming-Hsia;Hsieh, Ching-Lin
目的：探讨上肢功能恢复的预测因素，特别强调神经肌肉电刺激的剂量反应在中风后patients.Subjects：95例中风患者接受了为期4周的神经肌肉电刺激intervention.Design：前瞻性预测分析。收集基线受试者特征、卒中相关数据和干预相关数据。多元线性回归分析，以确定潜在的预测因素相关的主要outcome.Results：回归模型显示，初始Fugl-Meyer上肢评分是最重要的预测ARAT评分变化后的测试，其次是自中风发作的时间和中风病变的位置。在2个月的随访中，神经肌肉电刺激剂量成为一个显着的决定因素，除了上述predictors. Conclusions：初始运动严重程度和病变部位的主要预测因素，为上肢功能改善的脑卒中患者。神经肌肉电刺激剂量成为脑卒中后2个月随访时上肢功能恢复的重要决定因素。脑卒中后早期康复治疗中更强的神经肌肉电刺激治疗与更好的上肢运动功能恢复相关。
Objective: To investigate the predictors related to upper extremity functional recovery, with special emphasis on neuromuscular electrical stimulation dose-response in patients after stroke.Subjects: Ninety-five patients with stroke who received a 4-week neuromuscular electrical stimulation intervention.Design: Prospective predictive analysis.Methods: The change score of the Action Research Arm Test (ARAT) was used as the main outcome. Baseline subject characteristics, stroke-related data, and intervention-related data were collected. Multiple linear regression analysis was applied to identify the potential predictors related to main outcome.Results: The regression model revealed that the initial Fugl-Meyer upper limb score was the most important predictor for ARAT change score post-test, followed by time since stroke onset and location of stroke lesion. At 2-month follow-up, the neuromuscular electrical stimulation dosage became a significant determinant in addition to the above predictors.Conclusion: Initial motor severity and lesion location were the main predictors for upper limb functional improvement in stroke patients. Neuromuscular electrical stimulation dosage became a significant determinant for upper limb functional recovery after stroke at 2-month follow-up. More intensive neuromuscular electrical stimulation therapy during early rehabilitation is associated with better upper limb motor function recovery after stroke.