Moon Sang-Hyun, Choi Jung-Hyun, Park Si-Eun
Department of Physical Therapy, Dream Hospital, Republic of Korea.
Department of Physical Therapy, Institute for Elderly Health and Welfare, Namseoul University, Republic of Korea.
J Phys Ther Sci. 2017 Feb;29(2):238-241. doi: 10.1589/jpts.29.238. Epub 2017 Feb 24.
[Purpose] The purpose of this study was to determine the effects of functional electrical stimulation on muscle tone and stiffness in stroke patients. [Subjects and Methods] Ten patients who had suffered from stroke were recruited. The intervention was functional electrical stimulation on ankle dorsiflexor muscle (tibialis anterior). The duration of functional electrical stimulation was 30 minutes, 5 times a week for 6 weeks. The Myoton was used a measure the muscle tone and stiffness of the gastrocnemius muscle (medial and lateral part) on paretic side. [Results] In the assessment of muscle tone, medial and lateral part of gastrocnemius muscle showed differences before and after the experiment. Muscle stiffness of medial gastrocnemius muscle showed differences, and lateral gastrocnemius muscle showed differences before and after the experiment. The changes were greater in stiffness scores than muscle tone. [Conclusion] These results suggest that FES on ankle dorsiflexor muscle had a positive effect on muscle tone and stiffness of stroke patients.
[目的] 本研究旨在确定功能性电刺激对中风患者肌肉张力和僵硬度的影响。[对象与方法] 招募了10名中风患者。干预措施为对踝背屈肌（胫骨前肌）进行功能性电刺激。功能性电刺激的持续时间为30分钟，每周5次，共6周。使用Myoton测量患侧腓肠肌（内侧和外侧部分）的肌肉张力和僵硬度。[结果] 在肌肉张力评估中，腓肠肌内侧和外侧部分在实验前后存在差异。腓肠肌内侧肌肉僵硬度存在差异，外侧腓肠肌在实验前后也存在差异。僵硬度评分的变化大于肌肉张力。[结论] 这些结果表明，对踝背屈肌进行功能性电刺激对中风患者的肌肉张力和僵硬度有积极影响。
