Laboratory Design and Scientific Writing, Department of Basic Sciences, ABC Faculty of Medicine, Santo André 09060-650, Brazil.
School of Arts, Sciences and Humanities, University of São Paulo (EACH/USP), São Paulo 03828-000, Brazil.
Int J Environ Res Public Health. 2023 May 5;20(9):5728. doi: 10.3390/ijerph20095728.
(1) Background: Stroke is one of the leading causes of disability. To identify the best treatment strategies for people with stroke (PwS), the aim of the current study was to compare the effects of training on a treadmill with functional electrical stimulation (TT-FES) with training on a treadmill (TT), and to analyze the effects of sequence of training on mobility and the parameters of walking ability. (2) Methods: Prospective, longitudinal, randomized and crossover study, in which 28 PwS were distributed into groups, namely the A-B Group (TT-FES followed by TT) and B-A Group (TT followed by TT-FES), using the foot drop stimulator, and were measured with functional tests. (3) Results: We found improved mobility, balance, non-paretic limb coordination, and endurance only in the group that started with TT-FES. However, sensorimotor function improved regardless of the order of training, and paretic limb coordination only improved in the B-A Group, but after TT-FES. These data indicate that the order of the protocols changed the results. (4) Conclusions: Although biomechanical evaluation methods were not used, which can be considered a limitation, our results showed that TT-FES was superior to isolated training on a treadmill with regard to balance, endurance capacity, and coordination of the non-paretic limb.
（1）背景：中风是导致残疾的主要原因之一。为了确定针对中风患者（PwS）的最佳治疗策略，本研究旨在比较在跑步机上进行训练与功能性电刺激（TT-FES）的效果，并分析训练顺序对移动能力和行走能力参数的影响。（2）方法：前瞻性、纵向、随机和交叉研究，其中 28 名 PwS 被分为两组，即 A-B 组（TT-FES 后 TT）和 B-A 组（TT 后 TT-FES），使用足下垂刺激器，并进行功能测试。（3）结果：我们发现仅在以 TT-FES 开始的组中，移动能力、平衡、非瘫痪肢体协调性和耐力得到了改善。然而，无论训练顺序如何，感觉运动功能都得到了改善，只有 B-A 组在接受 TT-FES 后，瘫痪肢体的协调性才得到了改善。这些数据表明，方案的顺序改变了结果。（4）结论：尽管没有使用生物力学评估方法，这可以被认为是一个局限性，但我们的结果表明，与单独在跑步机上进行训练相比，TT-FES 在平衡、耐力和非瘫痪肢体协调性方面具有优势。
