Merletti R, Zelaschi F, Latella D, Galli M, Angeli S, Sessa M B
Scand J Rehabil Med. 1978;10(3):147-54.
A group of forty-nine hemiparetic patients with limited emotional, communication and sensibility involvement and with recent lesion of cerebrovascular aetiology was randomly divided into two groups of twenty-four and twenty-five subjects. Both groups received traditional physiotherapy treatment for one hour/day, one group received twenty min/day of peroneal nerve stimulation. The maximum voluntary dorsal flexion moments of the ankle joint of the affected and non affected extremities were measured with an isometric brace twice a week for one month and for both groups. The recovery of moment in the stimulated group turned out to be about three times greater than in the control group and considerably less dependent upon age, time from lesion, initial value, side of lesion. Three patients using a peroneal brace at home as an assisting device were again evaluated two months later and a further improvement was observed. This work gives statistical support to previous observations based on very few cases and provides a statistically reliable answer concerning the entity of FES induced recovery of muscle force in hemiparetic subjects.
一组49名偏瘫患者，情感、沟通和感觉功能受限，且有近期脑血管病因导致的损伤，被随机分为两组，分别为24人和25人。两组患者均接受每天1小时的传统物理治疗，其中一组每天接受20分钟的腓总神经刺激。在一个月的时间里，每周两次使用等距支架测量患侧和未患侧踝关节的最大自主背屈力矩，两组均如此。结果发现，刺激组的力矩恢复比对照组大约大三倍，且对年龄、损伤时间、初始值、损伤侧的依赖性要小得多。两个月后，对三名在家中使用腓骨支架作为辅助装置的患者再次进行评估，发现有进一步改善。这项工作为之前基于极少病例的观察提供了统计学支持，并就功能性电刺激诱导偏瘫患者肌肉力量恢复的程度提供了统计学上可靠的答案。
