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首页> 外文期刊>Artificial Organs >Functional Electrical Stimulation Therapy for Grasping in Traumatic Incomplete Spinal Cord Injury: Randomized Control Trial
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Functional Electrical Stimulation Therapy for Grasping in Traumatic Incomplete Spinal Cord Injury: Randomized Control Trial

机译：创伤性不完全性脊髓损伤的功能性电刺激疗法：随机对照试验

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The purpose of this single-site randomized control trial was to assess the short-term and long-term efficacy of functional electrical stimulation (FES) therapy over conventional occupational therapy in improving voluntary hand function in incomplete C4-C7 spinal cord injury individuals. All 22 participants recruited in this randomized control trial received treatment for both the left and right upper extremities. Every participant, irrespective of group allocation, received one dose (60?min per day, 5 days per week for the duration of 8 weeks) of conventional occupational therapy for hand function. Of the 22 participants, 12 individuals received an additional dose of conventional occupational therapy, while the remaining 10 participants received a dose of FES hand therapy. The primary outcome measure was Functional Independence Measure (FIM) self-care subscore. The secondary outcome measures were Spinal Cord Independence Measure (SCIM) self-care subscore and Toronto Rehabilitation Institute Hand Function Test (TRI-HFT). The participants who received FES therapy showed significantly greater improvements in hand function at discharge, and were able to maintain their gains at long-term follow-up as assessed using FIM self-care subscore, SCIM self-care subscore, and TRI-HFT. The FES therapy effectively increased independence and thereby improved quality of life of individuals with tetraplegia when compared with conventional occupational therapy.?
机译：这项单点随机对照试验的目的是评估功能性电刺激（FES）治疗优于常规职业治疗在改善不完全C4-C7脊髓损伤患者中自发手部功能方面的短期和长期疗效。在这项随机对照试验中招募的所有22名参与者均接受了左，右上肢的治疗。每个参与者，不论组别如何分配，都接受一剂（每天60？min，每周5天，共8周，持续8周）用于手功能的常规职业治疗。在22名参与者中，有12个人接受了额外剂量的常规职业治疗，而其余10名参与者接受了FES手部治疗。主要结局指标是功能独立性指标（FIM）自我护理评分。次要结果指标是脊髓独立性指标（SCIM）自我护理评分和多伦多康复研究所手功能测验（TRI-HFT）。接受FES治疗的参与者在出院时手部功能显着改善，并且通过FIM自我护理评分，SCIM自我护理评分和TRI-HFT评估，能够在长期随访中维持其获益。与传统的职业疗法相比，FES疗法有效地增加了独立性，从而改善了四肢瘫痪患者的生活质量。

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