Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia
Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia
复制标题
DOI：
10.1161/01.str.29.5.975
复制
发表时间：
1998-05-01
期刊：
影响因子：
8.3
通讯作者：
Friedl, A
中科院分区：
文献类型：
--
作者：
Chae, J;Bethoux, F;Friedl, A
背景和目的——本研究的目的是评估神经肌肉刺激在增强急性中风幸存者上肢运动和功能恢复方面的功效。方法——入住住院康复病房的 46 名中风幸存者被随机分配接受神经肌肉刺激或安慰剂。 28 名受试者完成了这项研究，治疗组接受表面神经肌肉刺激，进行手腕和手指的伸展练习。对照组的麻痹前臂接受安慰剂刺激。所有受试者每天接受 1 小时的治疗，总共 15 次治疗。在治疗前、治疗后以及治疗后 4 周和 12 周时，使用 Fugl-Meyer 运动评估的上肢部分和功能独立测量的自我护理部分以盲法评估结果。结果-治疗受试者和对照受试者具有可比较的基线特征。参数分析显示，治疗组治疗后 Fugl-Meyer 评分显着增加（13.1 对比 6.5；P=0.05）、治疗后 4 周（17.9 对比 9.7；P=0.05）和治疗后 12 周（20.6 对比 11.2；P=0.06），功能独立测量评分在任何时间段的组间均无差异(P>0.10),结论-数据表明神经肌肉刺激增强急性脑卒中幸存者的上肢运动恢复。然而，这项研究的样本量太小，无法检测神经肌肉刺激对自我护理功能的任何显着影响。
Background and Purpose-The purpose of this study was to assess the efficacy of neuromuscular stimulation in enhancing the upper extremity motor and functional recovery of acute stroke survivors.Methods-Forty-six stroke survivors admitted to an inpatient rehabilitation unit were randomly assigned to receive either neuromuscular stimulation or placebo. Twenty-eight subjects completed the study, The treatment group received surface neuromuscular stimulation to produce wrist and finger extension exercises. The control group received placebo stimulation over the paretic forearm. All subjects were treated 1 hour per day, for a total of 15 sessions. Outcomes were assessed in a blinded manner with the upper extremity component of the Fugl-Meyer Motor Assessment and the self-care component of the Functional Independence Measure at pretreatment, after treatment, and at 4 and 12 weeks after treatment.Results-The treatment subjects and control subjects had comparable baseline characteristics. Parametric analyses revealed significantly greater gains in Fugl-Meyer scores for the treatment group after treatment (13.1 versus 6.5; P=0.05), at 4 weeks after treatment (17.9 versus 9.7; P=0.05), and at 12 weeks after treatment (20.6 versus 11.2; P=0.06), Functional Independence Measure scores were not different between groups at any of the time periods (P>0.10),Conclusions-Data suggest that neuromuscular stimulation enhances the upper extremity motor recovery of acute stroke survivors. However, the sample size in this study was too small to detect any significant effect of neuromuscular stimulation on self-care function.