Effects of Augmented Reality with Functional Electric Stimulation on Muscle Strength, Balance and Gait of Stroke Patients
Effects of Augmented Reality with Functional Electric Stimulation on Muscle Strength, Balance and Gait of Stroke Patients
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DOI：
10.1589/jpts.24.755
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发表时间：
2012-09-01
影响因子：
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通讯作者：
Lee, Byoung-Hee
中科院分区：
文献类型：
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作者：
Kim, In-Chul;Lee, Byoung-Hee
[目的]本研究探讨跑步机步态训练中功能性电刺激（FES）结合增强现实（AR）对中风患者肌肉力量、平衡和步态的治疗效果。 [受试者] 28 名慢性卒中受试者分为三组：跑步机步态训练期间使用 FES 结合 AR（AR-FES 组，n=9）、跑步机上使用 FES 进行步态训练（FES 组，n=10）、跑步机组（n=9）。 [方法]所有组均进行为期8周的步态训练，每周3次，每次20分钟。为了确定 AR-FES 的效果，使用测力计测量了肌肉力量，并评估了 Berg 平衡量表 (BBS) 和定时 upandgo (TUG) 测试。 [结果]AR-FES组和FES组肌肉力量显着增加。所有组的 BBS 均显着增加，但三组之间没有差异。所有组的 TUG 也都有显着改善。 AR-FES 组的结果优于跑步机组。 [结论] 虽然还需要对跑步机上的 FES 步态训练和 AR-FES 步态训练进行更多研究，但 AR-FES 改善了中风患者的肌肉力量和步态。这些结果表明保守治疗方法在临床试验中的多种应用。
[Purpose] This study examined the therapeutic effects of functional electrical stimulation (FES) with augmented reality (AR) during treadmill gait training on the muscle strength, balance and gait of stroke patients. [Subjects] Twenty-eight subjects with chronic stroke were divided into three groups: FES with AR during treadmill gait training (AR-FES group, n=9), gait training with FES on a treadmill (FES group, n=10), treadmill group (n=9). [Methods] All these groups were given 8 weeks of gait training 3 times a week, 20 minutes per session. To identify the effect of AR-FES, muscle strength was measured with a dynamometer, and the Berg balance scale (BBS) and timed upandgo (TUG) test were also assessed. [Results] The muscle strength increased significantly in the AR-FES and FES groups. The BBS showed a significant increase in all groups but there was no difference among the three groups. The TUG also improved significantly in all groups. The AR-FES group showed a better result than the treadmill group. [Conclusion] Although more study of gait training with FES on a treadmill and gait training with AR-FES will be needed, AR-FES improved the muscle strength and gait of stroke patients. These results suggest a variety of applications in clinical trials of conservative therapeutic methods.