The effect of therapeutic electrical stimulation and repetitive facilitative exercises on upper extremity of after stroke

对131例偏瘫患者随机分为5组，分别采用MT、伊韦斯、TES、RFES、CT五种康复技术对患侧上肢进行康复治疗。每组均进行每日20 min的康复训练，共4周。以上肢运动第4周Fugl Meyer评定（FMA）总分为因变量，以年龄、卒中后天数、训练方式、上肢功能评定时间为自变量，进行决策树分析。对于手指FMA <3点，肩肘FMA <3点的患者，选择MT、TES和REFs三种方法进行康复治疗。将手指FMA> 8分、腕关节FMA <8分的偏瘫患者除CT组外，其余均分为其他训练组进行康复训练。

Five rehabilitation techniques of MT, IVES, TES, RFEs, and CT were applied to the affected upper limbs of 131 hemiplegic patients divided randomly into 5 groups. Each training group carried out daily twenty-minute rehabilitation for 4 weeks. A decision tree analysis was made using the dependent variable set to the total score of the Fugl Meyer Assessment (FMA) of the 4th week of the upper limb motion and the independent variables which were age, days after stroke onset, training methods, and the time of the upper limb function assessment. For those patients with fingers FMA of less than 3 points with a shoulder and elbow FMA also less than 3 points, three methods of MT, TES and REFs were selected for rehabilitation methods. The hemiplegic patients with fingers FMA more than 8 points and wrist FMA less than 8 points were assigned to other training groups for rehabilitation except CT group.