Upper-Limb Recovery After Stroke: A Randomized Controlled Trial Comparing EMG-Triggered, Cyclic, and Sensory Electrical Stimulation.
Upper-Limb Recovery After Stroke: A Randomized Controlled Trial Comparing EMG-Triggered, Cyclic, and Sensory Electrical Stimulation.
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DOI：
10.1177/1545968316650278
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发表时间：
2016-11
影响因子：
4.2
通讯作者：
Chae J
中科院分区：
文献类型：
--
作者：
Wilson RD;Page SJ;Delahanty M;Knutson JS;Gunzler DD;Sheffler LR;Chae J
本研究比较了周期性神经肌肉电刺激（NMES）、肌电图（EMG）触发的NMES和感觉刺激对上肢偏瘫患者运动障碍和活动受限的影响。一项多中心、单盲、多臂平行组研究，研究对象为卒中后6个月内未住院的偏瘫卒中幸存者。122名受试者随机接受周期性NMES、EMG触发的NMES或感觉刺激，每个工作日两次，每次40分钟，持续8周。受试者在治疗结束后随访6个月。所有三组的Fugyl-Meyer评估（F（1，111）=92.6，p<0.001）、Fugyl-Meyer腕和手评估（F（1，111）=66.7，p<0.001）和改良手臂运动能力测试（时间效应，F（1，111）=91.0，p<0.001）均显著增加。在Fugl-Meyer评估（F（2，384）= 0.2，p =0.83）、Fugl-Meyer腕和手评估（F（2，384）= 0.4，p =0.70）或改良手臂运动能力测试（F（2，379）= 1.2，p =0.31）中，各组之间的改善无显著差异。所有组在卒中后6个月内应用电刺激治疗后，损伤和功能限制均显著改善。改善可能是由于自发恢复。基于给予的电刺激类型，没有差异。
This study compared the effect of cyclic neuromuscular electrical stimulation (NMES), electromyography (EMG)-triggered NMES, and sensory stimulation on motor impairment and activity limitations in patients with upper limb hemiplegia. A multicenter, single-blind, multi-arm parallel-group study of non-hospitalized hemiplegic stroke survivors within 6 months of stroke. 122 subjects were randomized to receive either cyclic NMES, EMG triggered NMES, or sensory stimulation twice every weekday in 40-minute sessions, over an 8 week-period. Subjects were followed for 6 months after treatment concluded. There were significant increases in the Fugl-Meyer Assessment (F(1,111)=92.6, p<0.001), Fugyl-Meyer Assessment Wrist and Hand (F(1,111)=66.7, p<0.001), and modified Arm Motor Ability Test (time effect, F(1,111)=91.0, p<0.001) for all three groups. There was not a significant difference in the improvement among groups in the Fugl-Meyer Assessment (F(2,384) = 0.2, p =0.83), Fugl-Meyer Assessment Wrist and Hand (F(2,384) = 0.4, p =0.70), or the modified Arm Motor Ability Test (F(2,379) = 1.2, p =0.31). All groups exhibited significant improvement of impairment and functional limitation with electrical stimulation therapy applied within 6 months of stroke. Improvements were likely due to spontaneous recovery. There was not a difference based on the type of electrical stimulation that was administered.
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