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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Gait and Hand Function Enhancement Following Training with a Multi-Segment Hybrid-Orthosis Stimulation System in Stroke Patients
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Gait and Hand Function Enhancement Following Training with a Multi-Segment Hybrid-Orthosis Stimulation System in Stroke Patients

机译：中风患者多节段混合矫形器刺激系统训练后步态和手功能的增强

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The majority of stroke survivors continue to suffer residual functional deficits due to weakness and inadequate motor control of their partice muscles. Non-invasive functional electrical stimulation has been limited to stimulation of only 1-2 muscle groups. The purpose of this study was to test if the use of a multi-segment hybrid orthosis-stimulation system combined with electrically augmented functional training would promote improvement in gait and hand functions of patients with chronic hemiparesis, A control group (n = 9) received individual instructions for specific functional training and self-exercised up to 60 minutes twice daily, The stimulated group (n = 10) received self-administered electrical stimulation training using the NESS~(TM) system. Training time increased to 60 minutes twice daily and comprised of specific functional exercise. Each group trained for 3 months, Upper limb outcome measures included the Box & Block (B & B) and 3 sub-tests of the Jebsen-Taylor (J & T) battery. Gait outcomes included 10-meter walk time, speed, cadence, and number of steps, Post-test-pretest data were analyzed by unpaired t-tests (P = 0.05), The stimulated group improved significantly compared to the control group in B&B (7.9 (+-) 4.5 vs 0.2 (+-) 2,2 more blocks); J&T simulated feeding (12.6 (+-) 14.8 vs 1.2 (+-) 2.09 sec); J&T light object lift (8.2 (+-) 9.7 vs. -0.3 (+-) 2.8 sec); J&T heavy object lift (7.6 (+-) 11.0 vs -0.8 (+-) 1.6 sec); walk time (3.3 (+-) 1,1 sec vs -0.3 (+-) 1.8 sec); walking speed (0.33 (+-) 0.12 vs. -0.01 (+-) 0,1 m/sec); cadence (0,30 (+-) 0.18 vs. -0.02 (+-) 0.14 steps/sec). The number of steps over 10 m decreased 2.7 (+-) 1.4 vs -0.2 (+-) 1.98 steps. We concluded that electrically-dependent functional training with multi-segment hybrid orthosis-stimulation system can improve the studied functional outcomes of chronic stroke survivors.
机译：大多数中风幸存者由于无力和运动不足而继续遭受残存的功能缺陷。非侵入性功能性电刺激仅限于仅刺激1-2个肌肉群。这项研究的目的是测试多段混合矫形器刺激系统与电增强功能训练相结合是否可以促进慢性偏瘫患者的步态和手功能的改善，接受了对照组（n = 9）针对特定功能训练的单独说明，每天两次，最多60分钟进行自我锻炼。受刺激的组（n = 10）使用NESS〜（TM）系统接受了自我管理的电刺激训练。每天两次训练时间增加到60分钟，其中包括特定的功能锻炼。每个小组接受为期3个月的训练，上肢预后评估包括Box＆Block（B＆B）和3次Jebsen-Taylor（J＆T）电池子测试。步态结果包括10米的步行时间，速度，节奏和步数，测试前的数据通过不成对的t检验进行分析（P = 0.05）。与对照组相比，刺激组的B＆B明显改善（ 7.9（+-）4.5和0.2（+-）2,2更多的块）; J＆T模拟进纸（12.6（+/-）14.8 vs 1.2（+/-）2.09秒）; J＆T轻物提升（8.2（+-）9.7与-0.3（+-）2.8秒）; J＆T重物提升（7.6（+-）11.0与-0.8（+-）1.6秒）;步行时间（3.3（+/-）1,1秒vs -0.3（+/-）1.8秒）;步行速度（0.33（+-）0.12和-0.01（+-）0.1 m / sec）;节奏（0,30（+-）0.18与-0.02（+-）0.14步/秒）。 10 m上的步数从2.7（+-）1.98步减少了2.7（+-）1.4。我们得出的结论是，多段混合矫形器刺激系统的电依赖性功能训练可以改善慢性卒中幸存者的功能研究成果。

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