Amirova Liubov, Avdeeva Maria, Shishkin Nikita, Gudkova Anna, Guekht Alla, Tomilovskaya Elena
Laboratory of Gravitational Physiology of the Sensorimotor System, Institute of Biomedical Problems of the Russian Academy of Sciences, Moscow, Russia.
Consultative and Diagnostic Department, Solovyov Scientific and Practical Psychoneurological Center of the Moscow Department of Health, Moscow, Russia.
Front Physiol. 2022 Jul 18;13:921434. doi: 10.3389/fphys.2022.921434. eCollection 2022.
In this brief report, we present preliminary findings from a study of the use of electromyostimulation (EMS) in neurological patients. Assuming the approach to be sufficiently effective, we decided to investigate the motor system of elderly neurological patients before and after a course of Russian currents EMS, which were developed for Soviet athletes and cosmonauts. To this point, 19 patients-EMS ( = 11) and control ( = 8)-have successfully completed the study. The study included patients aged 60-90 years with confirmed walking and balance disorders with a history of chronic cerebral ischemia. Patients in the experimental group underwent a course of modulated EMS of the hip and shin muscles from 3 to 9 procedures. Preliminary results of the study showed good patient acceptance of EMS. After the course, the EMS group showed a significant improvement from baseline in the Tinetti Test (+1.4 points, = 0.0045), Rivermead Mobility Index (+0.5 points, = 0.0022), and Timed Up and Go Test (-1.2 s, = 0.0053). There was also a significant improvement in balance quality of 8.6% ( = 0.04). Shin muscle strength, although trending positively, did not change significantly. There was also no change in hip and shin muscles' tone. No significant changes were observed in the control group in the same tests. It can be concluded that stimulation of the hip and shin muscles with Russian (Kotz) currents has a positive effect on the motor system of elderly neurological patients. Significant effects with a course of short duration indicate that this EMS regimen is promising.
在本简要报告中，我们展示了一项关于神经疾病患者使用肌电刺激（EMS）的研究的初步结果。假设该方法足够有效，我们决定对老年神经疾病患者在接受为苏联运动员和宇航员研发的俄罗斯电流EMS疗程前后的运动系统进行研究。至此，19名患者——11名接受EMS治疗，8名作为对照组——已成功完成该研究。该研究纳入了年龄在60至90岁之间、确诊存在行走和平衡障碍且有慢性脑缺血病史的患者。实验组患者接受了3至9次对髋部和小腿肌肉的调制EMS疗程。该研究的初步结果显示患者对EMS的接受度良好。疗程结束后，EMS组在Tinetti测试中较基线有显著改善（提高1.4分，P = 0.0045），在Rivermead运动指数中提高（0.5分，P = 0.0022），在定时起立行走测试中缩短（-1.2秒，P = 0.0053）。平衡质量也有8.6%的显著改善（P = 0.04）。小腿肌肉力量虽呈上升趋势，但无显著变化。髋部和小腿肌肉张力也未改变。对照组在相同测试中未观察到显著变化。可以得出结论，用俄罗斯（科茨）电流刺激髋部和小腿肌肉对老年神经疾病患者的运动系统有积极影响。短疗程产生显著效果表明这种EMS治疗方案很有前景。
