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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >A Randomized Controlled Study: Effectiveness of Functional Electrical Stimulation on Wrist and Finger Flexor Spasticity in Hemiplegia
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A Randomized Controlled Study: Effectiveness of Functional Electrical Stimulation on Wrist and Finger Flexor Spasticity in Hemiplegia

机译：随机对照研究：功能电刺激对偏瘫术后手指弯曲性的有效性

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摘要

Aim: The objective of this study was to investigate the effectiveness of functional electrical stimulation (FES) applied to the wrist and finger extensors for wrist flexor spasticity in hemiplegic patients. Methods: Thirty stroke patients treated as inpatients were included in the study. Patients were randomly divided into study and control groups. FES was applied to the study group. Wrist range of movement, the Modified Ashworth Scale (MAS), Rivermead Motor Assessment (RMA), Brunnstrom (BS) hand neurophysiological staging, Barthel Index (BI), and Upper Extremity Function Test (UEFT) are outcome measures. Results: There was no significant difference regarding range of motion (ROM) and BI values on admission between the groups. A significant difference was found in favor of the study group for these values at discharge. In the assessment within groups, there was no significant difference between admission and discharge RMA, BS hand, and UEFT scores in the control group, but there was a significant difference between the admission and discharge values for these parameters in the study group. Both groups showed improvement in MAS values on internal assessment. Conclusion: It was determined that FES application is an effective method to reduce spasticity and to improve ROM, motor, and functional outcomes in hemiplegic wrist flexor spasticity.
机译：目的：本研究的目的是探讨应用于血齿抑制患者手腕屈肌痉挛的手腕和手指伸肌的功能电刺激（FES）的有效性。方法：在研究中纳入治疗本体治疗的30例中风患者。患者随机分为研究和对照组。 FES应用于研究组。腕部运动范围，改良的Ashworth秤（MAS），Rivermead电机评估（RMA），Brunnstrom（BS）手神经生理学分期，Barthel指数（BI）和上肢功能测试（Ueft）是结果措施。结果：在组之间的入学范围内没有显着的差异差异（ROM）和BI值。发现有利于在放电时这些值的研究组的显着差异。在组内的评估中，录取和排放RMA，BS手和对照组的Ueft评分之间没有显着差异，但在研究组中的这些参数的入场和排放值之间存在显着差异。这两组都显示出对内部评估的MAS值的改善。结论：确定FES应用是减少痉挛性的有效方法，并改善偏瘫腕部屈肌痉挛中的ROM，电动机和功能结果。

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