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功能性电刺激(FES)和经皮电刺激神经疗法(TENS)对中风后患者步态参数的即时影响。

The immediate effect of FES and TENS on gait parameters in patients after stroke.

作者信息

Park Shin-Jun, Wang Joong-San

机构信息

Department of Physical Therapy, Gangdong College, Republic of Korea.

Department of Physical Therapy, Howon University: 64 Howondae 3-gil, Impi-myeon, Gunsan-si, Jeollabuk-do, Republic of Korea.

出版信息

J Phys Ther Sci. 2017 Dec;29(12):2212-2214. doi: 10.1589/jpts.29.2212. Epub 2017 Dec 13.

DOI:10.1589/jpts.29.2212
PMID:29643608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5890234/
Abstract

[Purpose] This study was conducted to compare the immediate effects of different electrotherapies on the gait parameters for stroke patients. [Subjects and Methods] Thirty patients with stroke were randomly assigned either to the functional electrical stimulation group or the transcutaneous electrical nerve stimulation group, with 15 patients in each group. Each electrotherapy was performed for 30 minutes simultaneously with the therapeutic exercise, and the changes in the spatial and temporal parameters of gait were measured. [Results] After the intervention, a significant, immediate improvement in cadence and speed was observed only in the functional electrical stimulation group. [Conclusion] Based on this study, functional electrical stimulation that stimulates motor nerves of the dorsiflexor muscles on the paretic side is recommended to achieve immediate improvement in the gait ability of stroke patients.

摘要

[目的] 本研究旨在比较不同电疗法对中风患者步态参数的即时影响。[对象与方法] 30例中风患者被随机分为功能性电刺激组或经皮电刺激神经组,每组15例。每种电疗法在治疗性运动的同时进行30分钟,并测量步态的空间和时间参数的变化。[结果] 干预后,仅在功能性电刺激组观察到步频和速度有显著的即时改善。[结论] 基于本研究,建议采用功能性电刺激来刺激患侧背屈肌的运动神经,以即时改善中风患者的步态能力。

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本文引用的文献

1
The effects of functional electrical stimulation on muscle tone and stiffness of stroke patients.功能性电刺激对中风患者肌肉张力和僵硬程度的影响。
J Phys Ther Sci. 2017 Feb;29(2):238-241. doi: 10.1589/jpts.29.238. Epub 2017 Feb 24.
2
Effects of a multichannel dynamic functional electrical stimulation system on hemiplegic gait and muscle forces.多通道动态功能性电刺激系统对偏瘫步态和肌肉力量的影响。
J Phys Ther Sci. 2015 Nov;27(11):3541-4. doi: 10.1589/jpts.27.3541. Epub 2015 Nov 30.
3
Immediate effects of electrical stimulation combined with passive locomotion-like movement on gait velocity and spasticity in persons with hemiparetic stroke: a randomized controlled study.电刺激联合被动类行走运动对偏瘫脑卒中患者步态速度和痉挛的即刻影响:一项随机对照研究。
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Transcutaneous electrical nerve stimulation combined with task-related training improves lower limb functions in subjects with chronic stroke.经皮电神经刺激联合任务相关训练可改善慢性卒中患者的下肢功能。
Stroke. 2007 Nov;38(11):2953-9. doi: 10.1161/STROKEAHA.107.490318. Epub 2007 Sep 27.
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The therapeutic effect of functional and transcutaneous electric stimulation on improving gait speed in stroke patients: a meta-analysis.功能性和经皮电刺激对改善中风患者步态速度的治疗效果:一项荟萃分析。
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The relation between ankle impairments and gait velocity and symmetry in people with stroke.中风患者踝关节功能障碍与步态速度及对称性之间的关系。
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Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness.经皮电刺激神经疗法:基础科学机制与临床疗效
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Gait characteristics and functional ambulation profile in patients with chronic unilateral stroke.慢性单侧中风患者的步态特征和功能性步行概况
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