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步态训练联合便携式功能性电刺激对脑卒中患者运动功能、平衡及步态能力的影响。

The influence of Gait Training Combined with Portable Functional Electrical Stimulation on motor function, balance and gait ability in stroke patients.

机构信息

Department of Physical Therapy, Kyungbuk College, Gyeongsangbuk-do, Korea.

Department of Physical Therapy, Gimcheon University, Gyeongsangbuk-do, Korea.

出版信息

J Back Musculoskelet Rehabil. 2022;35(6):1171-1178. doi: 10.3233/BMR-210154.

Abstract

BACKGROUND

Problems with motor functions, balance and gait ability commonly occur in stroke patients and cause asymmetric posture imbalance and gait patterns.

OBJECTIVE

We examined the effects of gait training (GT) combined with portable functional electrical stimulation (FES) on motor functions, balance and gait ability of stroke patients.

METHODS

A single blind, randomized control trial was conducted with 34 post stroke patients who were randomly allocated to two groups: 1) FES + GT group (n= 17) and the placebo FES + GT (PLBO + GT) group (n= 17). All interventions were given for 30 minutes, 5 days a week for 4 weeks. Fugl-Meyer assessment (FMA) was used to measure motor function of lower extremity. Performance oriented mobility assessment (POMA) was used to balance and gait ability. OptoGait was used to analyze gait ability.

RESULTS

Both groups showed significant improvements in motor function, balance and gait ability. The FES + GT group showed significantly greater improvement in motor function, balance and gait abilities after four weeks compared to the PLBO + GT group.

CONCLUSION

It was found that the gait training applied with FES is effective in improving the motor function, balance and gait abilities of stroke patients.

摘要

背景

运动功能、平衡和步态能力问题在脑卒中患者中很常见,导致姿势不对称失衡和步态模式异常。

目的

我们研究了步态训练(GT)联合便携式功能性电刺激(FES)对脑卒中患者运动功能、平衡和步态能力的影响。

方法

采用单盲、随机对照试验,将 34 名脑卒中后患者随机分为两组:1)FES+GT 组(n=17)和假 FES+GT(PLBO+GT)组(n=17)。所有干预措施均持续 4 周,每周 5 天,每天 30 分钟。采用 Fugl-Meyer 评估(FMA)评估下肢运动功能,采用功能性步行量表(POMA)评估平衡和步态能力,采用 OptoGait 分析步态能力。

结果

两组患者的运动功能、平衡和步态能力均有显著改善。FES+GT 组在 4 周后,其运动功能、平衡和步态能力的改善明显优于 PLBO+GT 组。

结论

应用 FES 的步态训练可有效改善脑卒中患者的运动功能、平衡和步态能力。

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