Institute for Information Transmission Problems of RAS, Moscow, Russia.
NeuroRehabilitation. 2011;29(1):67-77. doi: 10.3233/NRE-2011-0679.
Here we developed and tested a novel system for early motor rehabilitation in acute stroke when patients are unable to stand and walk without assistance. Stepping performance may be largely facilitated by providing treatment in the supine position on a tilt table using step-synchronized functional electrical stimulation (FES) with assisted leg movements and progressive limb loading.
Sixty-one individuals with acute stroke were randomly assigned to two groups, experimental and control. The first group received both a conventional therapy and FES-therapy combined with progressive limb loading, whereas the control group received a conventional therapy only. Changes after treatment were assessed using clinical scores and neurophysiological measurements of movement performance.
After treatment, there was an improvement of the clinical scores, muscle forces and everyday life activity performance in both groups, however, significantly higher in the experimental group. Active rhythmic movements of the non paretic leg often provoked muscle activity in the paretic leg as well as there was a reduction of the contralateral leg muscle contraction during paretic leg movements.
The developed FES and leg displacement-assisted therapy facilitates a smooth transition to walking in the vertical position and increases the patient's functional abilities and the effectiveness of rehabilitation.
当患者无法在没有辅助的情况下站立和行走时，我们开发并测试了一种新的急性中风早期运动康复系统。通过在倾斜台上使用与辅助腿部运动和渐进式肢体加载同步的步幅功能电刺激 (FES) 在仰卧位提供治疗，可以大大促进步幅性能。
61 名急性中风患者被随机分配到实验组和对照组两组。第一组接受常规治疗和 FES 治疗与渐进式肢体加载相结合，而对照组仅接受常规治疗。使用运动表现的临床评分和神经生理测量来评估治疗后的变化。
治疗后，两组的临床评分、肌肉力量和日常生活活动表现均有所改善，但实验组改善更为显著。非瘫痪侧的主动节律性运动经常会引起瘫痪侧的肌肉活动，并且在瘫痪侧腿部运动时对侧腿部肌肉收缩减少。
开发的 FES 和腿部位移辅助治疗有助于平稳过渡到垂直位置的行走，并提高患者的功能能力和康复效果。
