Effectiveness of Contralaterally Controlled Functional Electrical Stimulation versus Neuromuscular Electrical Stimulation on Upper Limb Motor Functional Recovery in Subacute Stroke Patients: A Randomized Controlled Trial.

IF 3 4区医学 Q2 NEUROSCIENCES

Neural Plasticity Pub Date : 2021-12-22 eCollection Date: 2021-01-01 DOI:10.1155/2021/1987662

Songhua Huang, Peile Liu, Yinglun Chen, Beiyao Gao, Yingying Li, Chan Chen, Yulong Bai

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引用次数: 4

Abstract

Purpose: To compare the effectiveness of contralaterally controlled functional electrical stimulation (CCFES) versus neuromuscular electrical stimulation (NMES) on motor recovery of the upper limb in subacute stroke patients.

Materials and methods: Fifty patients within six months poststroke were randomly assigned to the CCFES group (n = 25) and the NMES group (n = 25). Both groups underwent routine rehabilitation plus 20-minute stimulation on wrist extensors per day, five days a week, for 3 weeks. Fugl-Meyer Assessment of upper extremity (FMA-UE), action research arm test (ARAT), Barthel Index (BI), and surface electromyography (sEMG) were assessed at baseline and end of intervention.

Results: After a 3-week intervention, FMA-UE and BI increased in both groups (p < 0.05). ARAT increased significantly only in the CCFES group (p < 0.05). The changes of FMA-UE, ARAT, and BI in the CCFES group were not greater than those in the NMES group. The improvement in sEMG response of extensor carpi radialis by CCFES was greater than that by NMES (p = 0.026). The cocontraction ratio (CCR) of flexor carpi radialis did not decrease in both groups.

Conclusions: CCFES improved upper limb motor function, but did not show better treatment effect than NMES. CCFES significantly enhanced the sEMG response of paretic extensor carpi radialis compared with NMES, but did not decrease the cocontraction of antagonist.

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对侧控制功能性电刺激与神经肌肉电刺激对亚急性脑卒中患者上肢运动功能恢复的有效性:一项随机对照试验。

目的:比较对侧控制功能电刺激(CCFES)与神经肌肉电刺激(NMES)对亚急性脑卒中患者上肢运动恢复的效果。材料与方法:50例脑卒中后6个月内的患者随机分为CCFES组(n = 25)和NMES组(n = 25)。两组患者均接受常规康复治疗，外加每天20分钟的腕伸肌刺激，每周五天，持续3周。在基线和干预结束时评估上肢Fugl-Meyer评估(FMA-UE)、动作研究臂测试(ARAT)、Barthel指数(BI)和表面肌电图(sEMG)。结果:干预3周后，两组患者FMA-UE、BI均升高(p < 0.05)。ARAT仅在CCFES组显著升高(p < 0.05)。CCFES组FMA-UE、ARAT、BI变化均不大于NMES组。CCFES对桡侧腕伸肌肌电反应的改善明显大于NMES (p = 0.026)。两组桡侧腕屈肌收缩比(CCR)均未降低。结论:CCFES改善了上肢运动功能，但治疗效果并不优于NMES。与NMES相比，CCFES显著增强了患儿桡侧腕伸肌的肌电反应，但未减少拮抗剂的收缩。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neural Plasticity NEUROSCIENCES-

CiteScore

6.80

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Neural Plasticity is an international, interdisciplinary journal dedicated to the publication of articles related to all aspects of neural plasticity, with special emphasis on its functional significance as reflected in behavior and in psychopathology. Neural Plasticity publishes research and review articles from the entire range of relevant disciplines, including basic neuroscience, behavioral neuroscience, cognitive neuroscience, biological psychology, and biological psychiatry.