Functional Electrical Stimulation for home use in patients after stroke

Q4 Medicine
Nika Goljar Kregar, N. Bizovičar, M. Rudolf, Maja Batinič
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引用次数: 0

Abstract

Aim: The aim of this pragmatic observational study was to identify for which purposes Functional electrical stimulation (FES) has been prescribed in University Rehabilitation Institute of Republic of Slovenia – Soča (URI-Soča) for long term treatment at home and whether prescribing practice has been changed over time in the last 10 years. Methods: A pragmatic cohort retrospective study included 373 stroke patients that performed inpatient rehabilitation at the Department for rehabilitation of patients after stroke URI-Soča between January 2010 and December 2019, and used FES at home after discharge. Results: FES was most often prescribed to patients with mild disability and severely affected upper extremity after stroke. Half of the patients used FES on the paretic upper extremity, 46.9% on the hemiparetic upper and lower extremity and only minority (2.9%) on the affected lower extremity alone. The upper limb stimulation predominated almost in the whole observational period. 22.3% of the patients used FES for more than 1 year, on average 3.5 years. A combination of FES and botulinum toxin therapies was used as a spasticity treatment of affected upper extremity in almost one third of patients (29.8%). In a group that used FES for more than one year, botulinum toxin therapies were statistically significantly more frequent (P<0.001). Conclusions: Almost one-third of patients included in this study got FES for home use to manage spasticity. More than a half of those who used FES at home for years used combination of botulinum toxin and FES therapies which suggests they felt effectiveness of combined treatment approach.
脑卒中患者家庭使用的功能性电刺激
目的:这项实用观察性研究的目的是确定斯洛文尼亚共和国大学康复研究所(URI Soča)为哪些目的开具了功能性电刺激(FES)处方,用于在家进行长期治疗,以及在过去10年中处方做法是否随时间而改变。方法:一项实用的队列回顾性研究纳入了373名中风患者,这些患者在2010年1月至2019年12月期间在URI SočA中风后患者康复部进行住院康复,出院后在家中使用FES。结果:FES最常用于轻度残疾和中风后上肢严重受损的患者。一半的患者在上肢偏瘫时使用FES,46.9%在上肢和下肢偏瘫时使用,只有少数患者(2.9%)仅在受影响的下肢使用。上肢刺激几乎在整个观察期内占主导地位。22.3%的患者使用FES超过1年,平均3.5年。近三分之一(29.8%)的患者采用FES和肉毒杆菌毒素联合治疗上肢痉挛。在一个使用FES超过一年的组中,肉毒杆菌毒素治疗的频率在统计学上显著更高(P<0.001)。结论:本研究中几乎三分之一的患者在家中使用FES来治疗痉挛。超过一半的在家使用FES多年的人使用肉毒杆菌毒素和FES疗法的组合,这表明他们感觉到了联合治疗方法的有效性。
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
Medicina Fluminensis
Medicina Fluminensis Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
34
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