Effect of Multi-Joint Functional Electrical Stimulation Combined with Conventional Rehabilitation Therapy on Lower Limb Motor Function of Patients with Stroke
ObjectiveTo investigate the effect of multi-joint functional electrical stimulation (FES) combined with conventional rehabilitation therapy on lower limb motor function of patients with stroke.MethodsA total of 35 patients with lower limb motor dysfunction after stroke were admitted to the Departmen...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Editorial Office of Rehabilitation Medicine
2024-08-01
|
| Series: | 康复学报 |
| Subjects: | |
| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.04006 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841536872026734592 |
|---|---|
| author | LIU Jiapeng WANG Weining XU Dongyan WANG Nianhong WU Yi |
| author_facet | LIU Jiapeng WANG Weining XU Dongyan WANG Nianhong WU Yi |
| author_sort | LIU Jiapeng |
| collection | DOAJ |
| description | ObjectiveTo investigate the effect of multi-joint functional electrical stimulation (FES) combined with conventional rehabilitation therapy on lower limb motor function of patients with stroke.MethodsA total of 35 patients with lower limb motor dysfunction after stroke were admitted to the Department of Rehabilitation Medicine in the Huashan Hospital, Fudan University from January to December 2023. The patients were randomly divided into control group and experimental group by SPSS 25.0 statistical software, with 16 and 19 cases in each group, respectively. During the course of the treatment, one case in the control group dropped out due to early discharge, four cases in the experimental group discontinued or dropped out for various reasons, and finally 15 cases were included in each group. The control group received routine rehabilitation treatment and routine walking training. Routine rehabilitation treatment included stretching training, muscle strength training, joint mobility training, motor control training and functional mobility training for transfer, 40 minutes a time, once a day, five times a week for four weeks; routine walking training included pelvic control training, knee joint stability training, balance training, up and down stairs training, 20 minutes a time, once a day, five times a week for four weeks. The experimental group received multi-joint FES treatment in addition to the conventional rehabilitation treatment received in the control group, 20 minutes a time, once a day, five times a week for four weeks. Before treatment, two and four weeks after treatment, Fugl-Meyer assessment lower extremity (FMA-LE) was used to assess lower limb motor function; the JiBuEn three-dimensional gait analysis system was used to assess the walking speed, stride length, double support phase (the stage of the gait cycle in which both feet landed simultaneously), and average knee flexion and extension angles (the average of the maximum knee flexion and extension angles); the modified Barthel index (MBI) was used to assess the activities of daily living.Results(1) FMA-LE and MBI scores: compared with that before treatment, the FMA-LE and MBI scores of both groups increased significantly after two and four weeks of treatment, with statistically significant differences (<italic>P</italic><0.05). Compared with two weeks after treatment, the FMA-LE and MBI scores of both groups increased significantly after four weeks of treatment, with statistically significant differences (<italic>P</italic><0.05). Compared with the control group at the same time, the FMA-LE scores of the experimental group after two and four weeks of treatment and the MBI scores after four weeks of treatment increased significantly, with statistically significant differences (<italic>P</italic><0.05). (2) Gait parameters: compared with that before treatment, the walking speed, stride length, and the average knee flexion and extension angles in the experimental group increased significantly after two and four weeks of treatment, while the double support phase decreased significantly, with statistically significant differences (<italic>P</italic><0.05). Compared with two weeks after treatment, the walking speed, stride length, and the average knee flexion and extension angles in the experimental group increased significantly after four weeks of treatment, while the double support phase decreased significantly, with statistically significant differences (<italic>P</italic><0.05). Compared with the control group at the same time, the walking speed and the average knee flexion and extension angles in the experimental group increased significantly after two weeks of treatment, while the stride length and the average knee flexion and extension angles increased significantly after four weeks of treatment, and the double support phase decreased significantly, with statistically significant differences (<italic>P</italic><0.05).ConclusionMulti-joint FES combined with conventional rehabilitation therapy can effectively improve the lower limb motor function, walking ability and activities of daily living of hemiplegic patients after stroke. |
| format | Article |
| id | doaj-art-f71b73730eb84721976ddc0648f9761d |
| institution | Kabale University |
| issn | 2096-0328 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Editorial Office of Rehabilitation Medicine |
| record_format | Article |
| series | 康复学报 |
| spelling | doaj-art-f71b73730eb84721976ddc0648f9761d2025-01-14T10:09:02ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282024-08-013434935465672365Effect of Multi-Joint Functional Electrical Stimulation Combined with Conventional Rehabilitation Therapy on Lower Limb Motor Function of Patients with StrokeLIU JiapengWANG WeiningXU DongyanWANG NianhongWU YiObjectiveTo investigate the effect of multi-joint functional electrical stimulation (FES) combined with conventional rehabilitation therapy on lower limb motor function of patients with stroke.MethodsA total of 35 patients with lower limb motor dysfunction after stroke were admitted to the Department of Rehabilitation Medicine in the Huashan Hospital, Fudan University from January to December 2023. The patients were randomly divided into control group and experimental group by SPSS 25.0 statistical software, with 16 and 19 cases in each group, respectively. During the course of the treatment, one case in the control group dropped out due to early discharge, four cases in the experimental group discontinued or dropped out for various reasons, and finally 15 cases were included in each group. The control group received routine rehabilitation treatment and routine walking training. Routine rehabilitation treatment included stretching training, muscle strength training, joint mobility training, motor control training and functional mobility training for transfer, 40 minutes a time, once a day, five times a week for four weeks; routine walking training included pelvic control training, knee joint stability training, balance training, up and down stairs training, 20 minutes a time, once a day, five times a week for four weeks. The experimental group received multi-joint FES treatment in addition to the conventional rehabilitation treatment received in the control group, 20 minutes a time, once a day, five times a week for four weeks. Before treatment, two and four weeks after treatment, Fugl-Meyer assessment lower extremity (FMA-LE) was used to assess lower limb motor function; the JiBuEn three-dimensional gait analysis system was used to assess the walking speed, stride length, double support phase (the stage of the gait cycle in which both feet landed simultaneously), and average knee flexion and extension angles (the average of the maximum knee flexion and extension angles); the modified Barthel index (MBI) was used to assess the activities of daily living.Results(1) FMA-LE and MBI scores: compared with that before treatment, the FMA-LE and MBI scores of both groups increased significantly after two and four weeks of treatment, with statistically significant differences (<italic>P</italic><0.05). Compared with two weeks after treatment, the FMA-LE and MBI scores of both groups increased significantly after four weeks of treatment, with statistically significant differences (<italic>P</italic><0.05). Compared with the control group at the same time, the FMA-LE scores of the experimental group after two and four weeks of treatment and the MBI scores after four weeks of treatment increased significantly, with statistically significant differences (<italic>P</italic><0.05). (2) Gait parameters: compared with that before treatment, the walking speed, stride length, and the average knee flexion and extension angles in the experimental group increased significantly after two and four weeks of treatment, while the double support phase decreased significantly, with statistically significant differences (<italic>P</italic><0.05). Compared with two weeks after treatment, the walking speed, stride length, and the average knee flexion and extension angles in the experimental group increased significantly after four weeks of treatment, while the double support phase decreased significantly, with statistically significant differences (<italic>P</italic><0.05). Compared with the control group at the same time, the walking speed and the average knee flexion and extension angles in the experimental group increased significantly after two weeks of treatment, while the stride length and the average knee flexion and extension angles increased significantly after four weeks of treatment, and the double support phase decreased significantly, with statistically significant differences (<italic>P</italic><0.05).ConclusionMulti-joint FES combined with conventional rehabilitation therapy can effectively improve the lower limb motor function, walking ability and activities of daily living of hemiplegic patients after stroke.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.04006strokemulti-joint functional electrical stimulationlower limb motor functionwalking functionactivities of daily living |
| spellingShingle | LIU Jiapeng WANG Weining XU Dongyan WANG Nianhong WU Yi Effect of Multi-Joint Functional Electrical Stimulation Combined with Conventional Rehabilitation Therapy on Lower Limb Motor Function of Patients with Stroke 康复学报 stroke multi-joint functional electrical stimulation lower limb motor function walking function activities of daily living |
| title | Effect of Multi-Joint Functional Electrical Stimulation Combined with Conventional Rehabilitation Therapy on Lower Limb Motor Function of Patients with Stroke |
| title_full | Effect of Multi-Joint Functional Electrical Stimulation Combined with Conventional Rehabilitation Therapy on Lower Limb Motor Function of Patients with Stroke |
| title_fullStr | Effect of Multi-Joint Functional Electrical Stimulation Combined with Conventional Rehabilitation Therapy on Lower Limb Motor Function of Patients with Stroke |
| title_full_unstemmed | Effect of Multi-Joint Functional Electrical Stimulation Combined with Conventional Rehabilitation Therapy on Lower Limb Motor Function of Patients with Stroke |
| title_short | Effect of Multi-Joint Functional Electrical Stimulation Combined with Conventional Rehabilitation Therapy on Lower Limb Motor Function of Patients with Stroke |
| title_sort | effect of multi joint functional electrical stimulation combined with conventional rehabilitation therapy on lower limb motor function of patients with stroke |
| topic | stroke multi-joint functional electrical stimulation lower limb motor function walking function activities of daily living |
| url | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.04006 |
| work_keys_str_mv | AT liujiapeng effectofmultijointfunctionalelectricalstimulationcombinedwithconventionalrehabilitationtherapyonlowerlimbmotorfunctionofpatientswithstroke AT wangweining effectofmultijointfunctionalelectricalstimulationcombinedwithconventionalrehabilitationtherapyonlowerlimbmotorfunctionofpatientswithstroke AT xudongyan effectofmultijointfunctionalelectricalstimulationcombinedwithconventionalrehabilitationtherapyonlowerlimbmotorfunctionofpatientswithstroke AT wangnianhong effectofmultijointfunctionalelectricalstimulationcombinedwithconventionalrehabilitationtherapyonlowerlimbmotorfunctionofpatientswithstroke AT wuyi effectofmultijointfunctionalelectricalstimulationcombinedwithconventionalrehabilitationtherapyonlowerlimbmotorfunctionofpatientswithstroke |