Ha Sun-Young, Han Jun-Ho, Ko Young Jun, Sung Yun-Hee
Department of Physical Therapy, Graduate School, Kyungnam University, Changwon, Korea.
Major in Sport Service Practice, College of Welfare Covergence, Kangnam University, Yongin, Korea.
J Exerc Rehabil. 2020 Dec 28;16(6):496-502. doi: 10.12965/jer.2040780.390. eCollection 2020 Dec.
Stroke patients have limited motor function due to ankle spasticity, and various interventions are applied to solve this problem. The purpose of this study was to investigate the effects of functional electrical stimulation (FES) with ankle exercise on spinal cord motor neuron excitability and balance in stroke patients. Twenty-five stroke patients were divided into the three groups. For the intervention, the control group applied general physiotherapy, the experimental group I applied a sham FES with ankle exercise, and the experimental group II applied a FES with ankle exercise. All groups applied the intervention for 30 min per session, 5 times a week, for a total of 8 weeks. The functional reaching test (FRT), Timed Up and Go test was used to measure balance ability, and H-reflex was used to measure spinal motor neuron excitability. All tests were measured before and after the intervention. In the ankle exercise with FES group, spinal motor neuron excitability significantly decreased (<0.05), and FRT was significantly increased (<0.05). Therefore, FES with ankle exercise for stroke patients could be suggested as an effective intervention for improving motor function.
由于踝关节痉挛，中风患者的运动功能受限，为此人们采用了各种干预措施来解决这一问题。本研究的目的是探讨功能性电刺激（FES）结合踝关节运动对中风患者脊髓运动神经元兴奋性和平衡能力的影响。25例中风患者被分为三组。在干预方面，对照组采用常规物理治疗，实验组I采用假FES结合踝关节运动，实验组II采用FES结合踝关节运动。所有组每次干预30分钟，每周5次，共8周。采用功能性伸展测试（FRT）、计时起立行走测试来测量平衡能力，采用H反射来测量脊髓运动神经元兴奋性。所有测试均在干预前后进行测量。在FES结合踝关节运动组中，脊髓运动神经元兴奋性显著降低（<0.05），FRT显著增加（<0.05）。因此，对于中风患者，FES结合踝关节运动可被认为是改善运动功能的有效干预措施。
