Cycling Induced by Electrical Stimulation Improves Motor Recovery in Postacute Hemiparetic Patients A Randomized Controlled Trial
Cycling Induced by Electrical Stimulation Improves Motor Recovery in Postacute Hemiparetic Patients A Randomized Controlled Trial
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DOI：
10.1161/strokeaha.110.599068
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发表时间：
2011-04-01
期刊：
影响因子：
8.3
通讯作者：
Molteni, Franco
中科院分区：
文献类型：
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作者：
Ambrosini, Emilia;Ferrante, Simona;Molteni, Franco
背景和目的-本研究评估了功能性电刺激（FES）诱导的自行车运动是否比安慰剂刺激的被动自行车运动更有效地促进急性期后偏瘫患者的运动恢复和行走能力。方法-在一项双盲、随机、对照试验中，35例患者被纳入并随机接受FES诱导的自行车训练或安慰剂FES自行车运动。为期4周的治疗包括20个疗程，每个疗程持续25分钟。主要结果测量包括运动指数的腿部分量表和50米步行试验期间的步态速度。次要结果是躯干控制测试、直立运动控制测试、麻痹腿产生的平均功以及自主踩踏过程中麻痹腿和非麻痹腿之间机械功的不平衡。参与者在训练前，训练后，并在3至5个月的随访visits.Results-No显着差异，发现组间基线。重复测量方差分析（P
Background and Purpose-This study assessed whether cycling induced by functional electrical stimulation (FES) was more effective than passive cycling with placebo stimulation in promoting motor recovery and walking ability in postacute hemiparetic patients.Methods-In a double-blind, randomized, controlled trial, 35 patients were included and randomized to receive FES-induced cycling training or placebo FES cycling. The 4-week treatment consisted of 20 sessions lasting 25 minutes each. Primary outcome measures included the leg subscale of the Motricity Index and gait speed during a 50-meter walking test. Secondary outcomes were the Trunk Control Test, the Upright Motor Control Test, the mean work produced by the paretic leg, and the unbalance in mechanical work between paretic and nonparetic legs during voluntary pedaling. Participants were evaluated before training, after training, and at 3- to 5-month follow-up visits.Results-No significant differences were found between groups at baseline. Repeated-measures ANOVA (P