医学
物理疗法
冲程(发动机)
随机对照试验
物理医学与康复
功能性电刺激
刺激
试点试验
心理学
外科
内科学
机械工程
工程类
作者
Megumi Shimodozono,Tomokazu Noma,Shûji Matsumoto,Ryuji Miyata,Seiji Etoh,Kazumi Kawahira
出处
期刊:Brain Injury
[Informa]
日期:2013-12-04
卷期号:28 (2): 203-210
被引量:46
标识
DOI:10.3109/02699052.2013.860472
摘要
To investigate the effectiveness of repetitive facilitative exercise (RFE) under surface neuromuscular electrical stimulation (NMES) in patients with post-stroke hemiplegia.This randomized, controlled, observer-blinded, pilot trial randomized 27 adults with severe arm impairment [Fugl-Meyer Arm scale (FMA) ≤ 20] due to stroke of 3-13 weeks duration into three groups and provided treatment on a 4-week, 40 minutes/day, 5 days/week schedule. The RFE-under-NMES group were given 100-150 repetitions of standardized movements of shoulder, elbow and wrist joints of their affected arm with concurrent low-amplitude NMES for each corresponding musculature. The RFE group was given the same exercise regimen but without NMES. The control group was treated with a conventional arm rehabilitation programme without NMES. FMA was assessed at baseline and 4 weeks.All 27 participants (nine in each group) completed the trial. At 4 weeks, the RFE-under-NMES group evidenced significantly greater improvement compared with the control group on the FMA (p = 0.003), but not with the RFE group (p = 0.092). The RFE group showed improvement compared with the control group, but it was not significant (p = 0.199).RFE under NMES is feasible in clinical settings and may be more effective than conventional rehabilitation in lessening arm impairment after sub-acute stroke.
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