Berner Yitshal N, Lif Kimchi Orit, Spokoiny Varda, Finkeltov Bronia
Geriatric Medicine, Geriatric Rehabilitation Unit, Meir Hospital, Kfar Saba 44281, Israel.
Arch Gerontol Geriatr. 2004 Sep-Oct;39(2):125-32. doi: 10.1016/j.archger.2004.02.003.
The most common neurological damage in acute stroke/cerebrovascular accident (CVA) is a decline in the senso-motor capacities of both the upper and the lower extremities with a more severe injury in the upper ones. Motor improvement of the affected limb can be attained through frequent intensive exercise by electrical stimulation (ES). The objective of this study was to examine the effect of the ES treatment using Handmaster ES device on the functional rehabilitation of elderly patients after acute CVA. Twenty-two elderly with different levels of damage and partial movements in their upper limb joints underwent a 3-week treatment. Nine of them were treated for additional 3-weeks after a 3-week break. After the first 3-week treatment, significant improvements were observed, in all the subjects, in the active range of motion (ROM) of the shoulder and the wrist joints, on manual dexterity tests and on functional independence measure (FIM). After the two periods of treatment the nine subjects exhibited significant improvements in ROM and in manual dexterity. FIM score increased by the same rate after each of the three stages. This preliminary study has proven that the Handmaster treatment can improve the geriatric rehabilitation outcome of elderly patients with senso-motor deficit caused by acute CVA.
急性中风/脑血管意外（CVA）中最常见的神经损伤是上肢和下肢感觉运动能力下降，上肢损伤更严重。通过电刺激（ES）频繁进行强化锻炼可使患肢的运动功能得到改善。本研究的目的是探讨使用手部治疗仪进行电刺激治疗对急性CVA后老年患者功能康复的影响。22例上肢关节损伤程度不同且有部分活动能力的老年患者接受了为期3周的治疗。其中9例在休息3周后又接受了3周的治疗。经过最初3周的治疗，所有受试者的肩关节和腕关节主动活动范围（ROM）、手动灵巧性测试和功能独立性测量（FIM）均有显著改善。经过两个治疗阶段后，这9例受试者的ROM和手动灵巧性有显著改善。三个阶段中每个阶段后FIM评分均以相同的速率增加。这项初步研究证明，手部治疗仪治疗可改善急性CVA所致感觉运动功能障碍老年患者的康复效果。
