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The influence of Gait Training Combined with Portable Functional Electrical Stimulation on motor function, balance and gait ability in stroke patients
Journal of Back and Musculoskeletal Rehabilitation ( IF 1.4 ) Pub Date : 2022-06-16 , DOI: 10.3233/bmr-210154
Yangjin Lee 1 , Kyunghun Kim 2
Affiliation  

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.

中文翻译:

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、平衡能力和步态能力的影响

背景:运动功能、平衡和步态能力的问题通常发生在中风患者中,并导致不对称的姿势失衡和步态模式。目的:研究步态训练(GT)联合便携式功能性电刺激(FES)对脑卒中患者运动功能、平衡能力和步态能力的影响。方法:对 34 名中风后患者进行了一项单盲、随机对照试验,这些患者被随机分配到两组:1) FES + GT 组 (n = 17) 和安慰剂 FES + GT (PLBO + GT) 组 (n = 17). 所有干预措施均持续 30 分钟,每周 5 天,持续 4 周。Fugl-Meyer 评估 (FMA) 用于测量下肢的运动功能。以绩效为导向的机动性评估 (POMA) 用于平衡和步态能力。OptoGait 用于分析步态能力。结果:两组在运动功能、平衡和步态能力方面均表现出显着改善。与 PLBO + GT 组相比,FES + GT 组在 4 周后表现出运动功能、平衡和步态能力的显着改善。结论:应用FES进行步态训练可有效改善脑卒中患者的运动功能、平衡能力和步态能力。
更新日期:2022-06-16
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