Motion Analysis, Ergonomics, Biomechanics and Motor Control Laboratory (LAMBECOM), Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Alcorcón, Spain.
Chair of Rehabilitation and Physical Medicine, Fuenlabrada University Hospital, Madrid, Spain.
Restor Neurol Neurosci. 2019;37(3):231-238. doi: 10.3233/RNN-180884.
Recovery of motor function following stroke is essential to restore adequate functionality. The use of functional electrical stimulation (FES) technology as a neuroprosthesis to enhance the motor function of the UL, and thus facilitate the performance of ADL, could lead to a stroke patient's greater activity and participation in daily life.
The aim of the present study was to establish whether the application of FES in patients who have suffered a stroke with UL motor impairment is able to modify and facilitate their reaching patterns, measured by a three-dimensional motion capture system.
20 patients with chronic stroke participated in this study. For muscle stimulation, the electrical stimulator Compex® was used. Motion analysis was performed using the VICON Motion System®. Joint movements of the thorax, shoulder and elbow were analyzed in the sagittal plane, during the reaching movement under two different conditions of stimulation: FES condition and placebo condition.
Differences between FES condition and placebo condition were observed. In the FES condition it was recorded: an increased shoulder flexion and elbow extension in the reaching movement.
Functional electrical stimulation improved reaching movement in stroke patients with upper limb impairment.
中风后运动功能的恢复对于恢复足够的功能至关重要。使用功能性电刺激（FES）技术作为神经假体来增强 UL 的运动功能，从而促进 ADL 的表现，可以使中风患者更积极地参与日常生活。
本研究的目的是确定 FES 在患有 UL 运动障碍的中风患者中的应用是否能够通过三维运动捕捉系统来改变和促进他们的伸手模式。
20 名慢性中风患者参与了这项研究。为了进行肌肉刺激，使用了 Compex®电刺激器。运动分析使用了 VICON 运动系统®进行。在两种不同的刺激条件下（FES 条件和安慰剂条件），分析了在矢状面进行的伸手运动中胸部、肩部和肘部的关节运动。
观察到 FES 条件和安慰剂条件之间的差异。在 FES 条件下，记录到伸手运动中肩的前屈和肘的伸展增加。
功能性电刺激改善了上肢受损的中风患者的伸手运动。
