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一项关于中风患者坐位功能性电刺激对平衡和日常生活活动影响的试点研究。

A pilot study on the effect of functional electrical stimulation of stroke patients in a sitting position on balance and activities of daily living.

作者信息

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

机构信息

Laboratory of Health Science and Nanophysiotherapy, Department of Physical Therapy, Graduate School, Yongin University.

出版信息

J Phys Ther Sci. 2013 Sep;25(9):1097-101. doi: 10.1589/jpts.25.1097. Epub 2013 Oct 20.

DOI:10.1589/jpts.25.1097
PMID:24259923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3818750/
Abstract

[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.

摘要

[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。

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The effect of functional electrical stimulation on balance function and balance confidence in community-dwelling individuals with stroke.功能性电刺激对社区居住的中风患者平衡功能和平衡信心的影响。
Physiother Can. 2010 Spring;62(2):114-9. doi: 10.3138/physio.62.2.114. Epub 2010 Apr 23.
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The relationship between initial trunk control or postural balance and inpatient rehabilitation outcome after stroke: a prospective comparative study.初始躯干控制或姿势平衡与脑卒中后住院康复结局的关系:一项前瞻性对比研究。
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A longitudinal study of functional magnetic resonance imaging in upper-limb hemiplegia after stroke treated with constraint-induced movement therapy.一项关于中风后上肢偏瘫采用强制性运动疗法治疗的功能磁共振成像纵向研究。
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Systematic literature review of treatment interventions for upper extremity hemiparesis following stroke.中风后上肢偏瘫治疗干预措施的系统文献综述
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Sitting training early after stroke improves sitting ability and quality and carries over to standing up but not to walking: a randomised trial.中风后早期进行坐位训练可提高坐位能力和质量,并能延续至站立,但对步行无影响:一项随机试验。
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Gait training of patients after stroke using an electromechanical gait trainer combined with simultaneous functional electrical stimulation.使用机电式步态训练器结合同步功能性电刺激对中风后患者进行步态训练。
Phys Ther. 2006 Sep;86(9):1282-94. doi: 10.2522/ptj.20050183.
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Trunk performance after stroke and the relationship with balance, gait and functional ability.中风后躯干功能及其与平衡、步态和功能能力的关系。
Clin Rehabil. 2006 May;20(5):451-8. doi: 10.1191/0269215505cr955oa.
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Outcomes of the Bobath concept on upper limb recovery following stroke.Bobath概念对中风后上肢恢复的影响。
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Does an early increased-intensity interdisciplinary upper limb therapy programme following acute stroke improve outcome?急性中风后早期强化跨学科上肢治疗方案能否改善预后?
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