Shin Hyung Eun, Kim Miji, Lee Daehyun, Jang Jae Young, Soh Yunsoo, Yun Dong Hwan, Kim Sunyoung, Yang Jisoo, Kim Maeng Kyu, Lee Hooman, Won Chang Won
Department of Biomedical Science and Technology, Graduate School, Kyung Hee University, Seoul, Korea.
Department of Biomedical Science and Technology, East-West Medical Research Institute, Kyung Hee University College of Medicine, Seoul, Korea.
Ann Geriatr Med Res. 2022 Mar;26(1):16-24. doi: 10.4235/agmr.22.0006. Epub 2022 Mar 22.
Stroke-related disabilities cause poor physical performance, especially among older adults, and can lead to sarcopenia. Functional electrical stimulation (FES) has been used to improve physical performance in individuals with neurological disorders and increase muscle mass and strength to counteract muscle atrophy. This review covers the principles, underlying mechanisms, and therapeutic effects of FES on physical performance and skeletal muscle function in post-stroke older adults. We found that FES restored weakened dorsiflexor and hip abductor strength during the swing and stance phases of gait, respectively, to help support weight-bearing and upright posture and facilitate static and dynamic balance in this population. FES may also be effective in improving muscle mass and strength to prevent muscle atrophy. However, previous studies on this topic in post-stroke older adults are scarce, and further studies are needed to confirm this supposition.
与中风相关的残疾会导致身体机能不佳，在老年人中尤为如此，并且可能导致肌肉减少症。功能性电刺激（FES）已被用于改善患有神经疾病个体的身体机能，并增加肌肉质量和力量以对抗肌肉萎缩。本综述涵盖了FES对中风后老年人身体机能和骨骼肌功能的原理、潜在机制及治疗效果。我们发现，FES分别在步态的摆动期和站立期恢复了减弱的背屈肌和髋外展肌力量，以帮助支撑负重和直立姿势，并促进该人群的静态和动态平衡。FES在增加肌肉质量和力量以预防肌肉萎缩方面可能也有效。然而，此前关于中风后老年人这一主题的研究较少，需要进一步研究来证实这一推测。
