Mun Byeong-Mu, Kim Tae-Ho, Lee Jin-Hwan, Lim Jin-Youg, Seo Dong-Kwon, Lee Dong-Jin
Department of Rehabilitation Science, Graduate School, Daegu University, Republic of Korea.
Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University, Republic of Korea.
J Phys Ther Sci. 2014 Apr;26(4):563-6. doi: 10.1589/jpts.26.563. Epub 2014 Apr 23.
[Purpose] This study sought to identify the gait aspects according to the FES stimulation position in stroke patients during gait training. [Subjects and Methods] To perform gait analysis, ten stroke patients were grouped based on 4 types of gait conditions: gait without FES stimulation (non-FES), gait with FES stimulation on the tibialis anterior (Ta), gait with FES stimulation on the tibialis anterior and quadriceps (TaQ), and gait with FES stimulation on the tibialis anterior and gluteus medius (TaGm). [Results] Based on repeated measures analysis of variance of measurements of gait aspects comprised of gait speed, gait cycle, and step length according to the FES stimulation position, the FES stimulation significantly affected gait aspects. [Conclusion] In conclusion, stimulating the tibialis anterior and quadriceps and stimulating the tibialis anterior and gluteus medius are much more effective than stimulating only the tibialis anterior during gait training in stroke patients using FES.
[目的] 本研究旨在确定在步态训练期间,根据功能性电刺激(FES)刺激位置,中风患者的步态特征。[对象与方法] 为进行步态分析,10名中风患者根据4种步态条件进行分组:无FES刺激的步态(非FES)、胫前肌接受FES刺激的步态(Ta)、胫前肌和股四头肌接受FES刺激的步态(TaQ)以及胫前肌和臀中肌接受FES刺激的步态(TaGm)。[结果] 根据FES刺激位置,对由步态速度、步态周期和步长组成的步态特征测量值进行重复测量方差分析,结果显示FES刺激对步态特征有显著影响。[结论] 总之,在中风患者使用FES进行步态训练时,刺激胫前肌和股四头肌以及刺激胫前肌和臀中肌比仅刺激胫前肌更有效。