Kim Ju-Hyun, Lee Lim-Kyu, Lee Jeong-Uk, Kim Mee-Young, Yang Seung-Min, Jeon Hye-Joo, Lee Won-Deok, Noh Ji-Woong, Kim Ji-Hyun, Kim Jin-Hwan, Lee Tae-Hyun, Kim Junghwan
Laboratory of Health Science and Nanophysiotherapy, Department of Physical Therapy, Graduate School, Yongin University.
J Phys Ther Sci. 2013 Sep;25(9):1097-101. doi: 10.1589/jpts.25.1097. Epub 2013 Oct 20.
[Purpose] This study investigated the effect of functional electrical stimulation (FES) of stroke patients in a sitting position on balance and activities of daily living. [Methods] FES was applied to stroke patients (six male, three female) while in a sitting and supine position. FES was applied six times for 30 minutes each for a total of six weeks. [Results] The timed up and go (TUG) values at weeks 2, 4, and 6 after FES treatment in a sitting position were noticeably decreased in a time-dependent manner, compared with controls. In the sitting, the functional reach test (FRT) values were significantly increased in a time-dependent manner. The same values in the supine position weakly showed a similar pattern to those in the sitting position. Furthermore, the functional independent measurement (FIM) values in the sitting position were markedly increased in a time-dependent manner. In the sitting position, the intensity of FES was markedly decreased in a time-dependent manner. The same values in the supine position weakly showed a similar pattern to those in the sitting position. [Conclusion] These results suggest that the conditions of stroke patients in both the sitting and supine positions after FES treatment were improved and that FES had a greater effect in the sitting position.
[目的] 本研究调查了对坐位中风患者进行功能性电刺激(FES)对平衡能力和日常生活活动的影响。[方法] 对中风患者(6名男性,3名女性)在坐位和仰卧位时施加FES。FES每次施加30分钟,共施加6次,为期6周。[结果] 与对照组相比,坐位FES治疗后第2、4和6周的定时起立行走(TUG)值随时间显著降低。在坐位时,功能性伸展测试(FRT)值随时间显著增加。仰卧位时的相同值与坐位时的情况呈弱相似模式。此外,坐位时的功能独立性测量(FIM)值随时间显著增加。在坐位时,FES强度随时间显著降低。仰卧位时的相同值与坐位时的情况呈弱相似模式。[结论] 这些结果表明,FES治疗后中风患者在坐位和仰卧位的状况均得到改善,且FES在坐位时效果更佳。