Effect of different combinations of contralaterally controlled functional electrical stimulation and task oriented training on hand function in stroke
Objective:To investigate the effect of different combinations of contralaterally controlled functional e-lectrical stimulation(CCFES)and task oriented training on hand function in stroke.Methods:A total of 60 subjects with stroke within 1 month treated in our hospital were randomly assigned into synchronous group(30 cases)receiv-ing CCFES and task-oriented training simultaneously,and the desynchronous group(30 cases)receiving task-orien-ted training sequentially after CCFES treatment.Both groups received 20 min of electrical stimulation/time,and all received routine rehabilitation training,and the treatment program was 5 times per week for 4 weeks.Fugl-Meyer Motor function score(FMA),The Wolf Motor Function Test(WMFT),Surface Electromyography(sEMG)and Barthel Index(BI)were used to evaluate upper limb and wrist motor function and independence of daily living before and after 4 weeks of treatment,respectively.Results:Before treatment,there was no significant difference in upper limb FMA,Wolf,RMS ratio(affected side myoelectric RMS/unaffected side myoelectric RMS during active dorsal wrist extension)and BI between the two groups.Compared with before treatment,the above evaluation scores in both groups were improved after treatment(P＜0.05),and better in synchronous group(P＜0.05).Conclusion:CCFES and task-oriented training simultaneously were superior in improving upper limb and hand function in stroke.
万方数据
维普
