The effect of posture control combined with functional electrical stimulation on foot drop gait stability and walking ability in stroke hemiplegia
Objective To investigate the effects of posture control combined with functional electrical stimulation on gait stability and walking ability in patients with post-stroke foot drop.Method Ninety patients with post-stroke foot drop admitted to Yuhuan People's Hospital in Zhejiang Province from January 2022 to August 2023 were selected and randomly divided into a conventional group and an electrical stimulation group,with 45 cases in each group,using a random number table method.The routine group was given routine symptomatic treatment,including neuromuscular electrical stimulation,acupuncture and moxibustion and comprehensive training of affected limbs;The electrical stimulation group received posture control combined with functional electrical stimulation therapy,which first evaluated gait and posture,identified key areas that needed improvement,and then provided static and dynamic posture training.The training time was extended from 5-10 minutes per session to 20-30 minutes within 8 weeks;On this basis,a functional electrical stimulation therapy device is used to provide electrical stimulation therapy to the motor points of the biceps femoris,tibialis anterior muscle,gastrocne-mius muscle,and quadriceps femoris muscle in the hemiplegic lower limb area,30 minutes per session,once a day;In addi-tion,fix the trunk,knee joints,ankle joints and other parts on the limb intelligent feedback training system instrument for training,20 minutes per session,once a day.Two groups received treatment for 6 days per week for 8 weeks.Compare the lower limb motor function(FMA score),foot drop gait stability indicators(step frequency,stride length,step width,foot devi-ation angle),walking ability(FAC score),daily living ability(MBI score),and quality of life(GQOL-74 score)between two groups.Results After treatment,the FMA score,step frequency,stride length,FAC score,MBI score,and GQOL-74 scores of the lower limbs in the electrical stimulation group were higher than those in the conventional group,while the step width and foot deviation angle were lower than those in the conventional group(P＜0.05 or P＜0.01).Conclusion The combination of posture control and functional electrical stimulation can improve gait stability,promote walking ability recovery,improve low-er limb motor function,and enhance daily living ability and quality of life in stroke patients with foot drop.
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