Walking training with foot drop stimulator controlled by a tilt sensor to improve walking outcomes: a randomized controlled pilot study in patients with stroke in subacute phase.
Walking training with foot drop stimulator controlled by a tilt sensor to improve walking outcomes: a randomized controlled pilot study in patients with stroke in subacute phase.
复制标题
DOI：
10.1155/2012/523564
复制
发表时间：
2012
影响因子：
1.5
通讯作者：
Pratesi L
中科院分区：
文献类型：
--
作者：
Morone G;Fusco A;Di Capua P;Coiro P;Pratesi L
足下垂是神经系统疾病中很常见的问题。神经肌肉电刺激（NMES）已被证明是一种可替代的方法来纠正足下垂，提高中风患者的行走能力。本研究选取20例亚急性期脑卒中患者，随机分为两组：一组采用NMES（即Walkaide组，WG），对照组采用常规神经运动康复。两组接受相同的治疗时间。WG组的步行速度（168±39%）显著高于CG组（129±29%,P = 0.032），在运动方面（功能步行分类评分：P = 0.023）。在机动性和力方面，即使不显著，也有改善（Rivermead机动性指数：P = 0.057；手动肌肉测试：P = 0.059）。在日常生活活动的独立性、神经学评估和痉挛减轻方面，两组之间也观察到类似的变化。这些结果强调了在亚急性期使用神经刺激器进行步行训练时受足下垂影响的患者的潜在疗效。
Foot drop is a quite common problem in nervous system disorders. Neuromuscular electrical stimulation (NMES) has showed to be an alternative approach to correct foot drop improving walking ability in patients with stroke. In this study, twenty patients with stroke in subacute phase were enrolled and randomly divided in two groups: one group performing the NMES (i.e. Walkaide Group, WG) and the Control Group (CG) performing conventional neuromotor rehabilitation. Both groups underwent the same amount of treatment time. Significant improvements of walking speed were recorded for WG (168 ± 39%) than for CG (129 ± 29%, P = 0.032) as well as in terms of locomotion (Functional Ambulation Classification score: P = 0.023). In terms of mobility and force, ameliorations were recorded, even if not significant (Rivermead Mobility Index: P = 0.057; Manual Muscle Test: P = 0.059). Similar changes between groups were observed for independence in activities of daily living, neurological assessments, and spasticity reduction. These results highlight the potential efficacy for patients affected by a droop foot of a walking training performed with a neurostimulator in subacute phase.