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缺血性脑血管意外亚急性期偏瘫患者中功能性电刺激联合运动疗法与单纯运动疗法的比较。

Comparison of functional electrical stimulation associated with kinesiotherapy and kinesiotherapy alone in patients with hemiparesis during the subacute phase of ischemic cerebrovascular accident.

作者信息

Modesto Paulo Cesar, Pinto Fernando Campos Gomes

机构信息

Hospital do Servidor Público Estadual (IAMSPE-SP), São Paulo SP, Brazil.

出版信息

Arq Neuropsiquiatr. 2013 Apr;71(4):244-8. doi: 10.1590/0004-282x20130009.

Abstract

OBJECTIVE

To compare the functional electrical stimulation associated with functional kinesiotherapy alone in patients after ischemic cerebrovascular accident.

METHODS

The study included 20 patients who were divided into two groups: Group I (GI): functional electrical stimulation plus functional kinesiotherapy and Group II (GII): functional kinesiotherapy. We evaluated active and passive range of motion, in knee flexion and extension muscle strength, activities of daily living and quality of life. The evaluations were conducted in the pretreatment period, after 10 sessions and after 20 physical therapy sessions.

RESULTS

There was a significant improvement in all variables studied for both groups. However, significant improvements for the sub-items functional capacity and social aspects were seen only in the patients treated with associated functional electrical stimulation and kinesiotherapy.

CONCLUSION

Although both groups of patients improved with the treatment, the association of functional electrical stimulation and kinesiotherapy showed superiority in two quality of life items, in the sub-items functional capacity and social aspects.

摘要

目的

比较缺血性脑血管意外患者单纯功能运动疗法与功能电刺激联合功能运动疗法的效果。

方法

本研究纳入20例患者,分为两组:第一组(GI):功能电刺激联合功能运动疗法;第二组(GII):功能运动疗法。我们评估了主动和被动活动范围、膝关节屈伸肌肉力量、日常生活活动能力和生活质量。评估在治疗前、10次治疗后和20次物理治疗后进行。

结果

两组所有研究变量均有显著改善。然而,仅在接受功能电刺激联合运动疗法治疗的患者中,功能能力和社会方面的子项目有显著改善。

结论

虽然两组患者治疗后均有改善,但功能电刺激与运动疗法联合应用在生活质量的两个项目、功能能力和社会方面的子项目上显示出优势。

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