Iyanaga Takuya, Abe Hayata, Oka Takashi, Miura Tetsuya, Iwasaki Rumiko, Takase Mai, Isatake Minoru, Doi Atsushi
Department of Rehabilitation, Fukuoka Seisyukai Hospital, Fukuoka, Japan.
Center of Advanced Rehabilitation "HOPE", Fukuoka Seisyukai Hospital, Fukuoka, Japan.
J Exerc Rehabil. 2019 Feb 25;15(1):95-102. doi: 10.12965/jer.1836500.250. eCollection 2019 Feb.
The purpose of this study was to investigate the effect of recumbent cycling with integrated volitional control electrical stimulation (IVES) on gait ability in stroke patients. Six stroke patients (all male; average age, 55.7±8.3 years) participated. Recumbent cycling (R-cycling) was performed with and without IVES in the power assist (IVES-P) mode. The targeted muscle for electrostimulation was the tibialis anterior. Patients performed 10 min of IVES-P mode plus R-cycling (program A) or R-cycling alone (program B), once per day, 5 times per week. Patients completed two sets of each program, alternating between programs each week. Gait speed and the number of steps numbers on a 10-m walking test was assessed before and after each interventional session. Program A improved gait speed, but not the number of steps, to a greater extent than that in program B. Specifically, the combined intervention significantly improved gait speed in the first set, but not the second set of the intervention. R-cycling with IVES-P mode improved gait speed during the recovery stage in stroke patients to a greater extent than that achieved with R-cycling alone. Thus, this combined therapy has potential as a standardized treatment in the field of rehabilitation medicine.
本研究的目的是探讨整合了自主控制电刺激（IVES）的卧式骑行对中风患者步态能力的影响。六名中风患者（均为男性；平均年龄55.7±8.3岁）参与了研究。在助力模式（IVES-P）下，分别进行了有和没有IVES的卧式骑行（R-骑行）。电刺激的目标肌肉是胫前肌。患者每天进行一次10分钟的IVES-P模式加R-骑行（方案A）或仅进行R-骑行（方案B），每周5次。患者完成每个方案各两组，每周在两个方案之间交替进行。在每次干预前后，评估10米步行测试中的步态速度和步数。方案A比方案B在更大程度上提高了步态速度，但步数没有增加。具体而言，联合干预在第一组干预中显著提高了步态速度，但在第二组干预中没有。与单独的R-骑行相比，IVES-P模式的R-骑行在中风患者的恢复阶段更大程度地提高了步态速度。因此，这种联合疗法在康复医学领域有作为标准化治疗方法的潜力。
