Department of Rehabilitation Medicine, West China Hospital, Sichuan University, 610041 Chengdu, China.
J Rehabil Med. 2019 Feb 1;51(2):103-108. doi: 10.2340/16501977-2510.
To investigate the effectiveness of contralaterally controlled functional electrical stimulation (CCFES) on the recovery of active wrist dorsiflexion and upper limb function in patients with early-phase stroke (<15 days post-stroke).
Patients in the CCFES group were treated with routine rehabilitation combined with CCFES, while those in the conventional neuromuscular electrical stimulation (NMES) group were treated with routine rehabilitation combined with NMES. Time intervals from stroke onset to appearance of wrist dorsiflexion, and from onset of treatment to appearance of wrist dorsiflexion were recorded (in days). Functional assessments were also performed at baseline and endpoint.
Nineteen out of 21 patients in the CCFES group and 12 out of 20 patients in the NMES group regained active wrist dorsiflexion during the treatment and follow-up period (90.5% vs 60%, p = 0.025). The mean time interval from onset of treatment to appearance of active wrist dorsiflexion was signifcantly shorter in the CCFES group than in the NMES group (p < 0.001). The CCFES group had signifcantly higher scores for upper extremity function (p = 0.001), strength of extensor carpi (p = 0.002), active ROM for wrist dorsiflexion (p = 0.003), activities of daily living score (p = 0.023) and ICF score (p < 0.001) than the NMES group at the endpoint.
CCFES signifcantly shortened the time for regaining wrist dorsiflexion, and improved the upper extremity function and general health of patients with early-phase stroke. CCFES therefore has potential as a clinical intervention.
研究对侧控制功能性电刺激（CCFES）对早期脑卒中（<15 天）患者主动腕背屈和上肢功能恢复的疗效。
CCFES 组患者在常规康复治疗的基础上加用 CCFES，常规神经肌肉电刺激（NMES）组患者在常规康复治疗的基础上加用 NMES。记录从发病到出现腕背屈的时间间隔，以及从发病到开始治疗出现腕背屈的时间间隔（以天计）。治疗前和治疗结束时进行功能评估。
CCFES 组 21 例患者中有 19 例，NMES 组 20 例患者中有 12 例在治疗和随访期间恢复了主动腕背屈（90.5% vs 60%，p=0.025）。CCFES 组从发病到出现主动腕背屈的治疗时间间隔明显短于 NMES 组（p<0.001）。治疗结束时，CCFES 组上肢功能（p=0.001）、腕背伸伸肌力量（p=0.002）、主动腕背屈 ROM（p=0.003）、日常生活活动评分（p=0.023）和国际功能、残疾和健康分类（ICF）评分（p<0.001）均显著高于 NMES 组。
CCFES 可显著缩短恢复腕背屈的时间，改善早期脑卒中患者的上肢功能和整体健康状况。因此，CCFES 具有作为一种临床干预手段的潜力。
