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首页> 外文期刊>American Journal of Physical Medicine and Rehabilitation >Contralaterally controlled neuromuscular electrical stimulation for recovery of ankle dorsiflexion: A pilot randomized controlled trial in patients with chronic post-stroke hemiplegia
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Contralaterally controlled neuromuscular electrical stimulation for recovery of ankle dorsiflexion: A pilot randomized controlled trial in patients with chronic post-stroke hemiplegia

机译：对侧控制性神经肌肉电刺激恢复踝背屈：慢性卒中后偏瘫患者的一项随机对照试验

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Objective: The aim of this study was to compare the effects of contralaterally controlled neuromuscular electrical stimulation (CCNMES) vs. cyclic neuromuscular electrical stimulation (NMES) on lower extremity impairment, functional ambulation, and gait characteristics. Design: Twenty-six survivors of stroke with chronic (≥6 mos) foot drop during ambulation were randomly assigned to 6 wks of CCNMES or cyclic NMES. Both groups had ten sessions per week of self-administered home application of either CCNMES or cyclic NMES plus two sessions per week of gait training with a physical therapist. Primary outcomes included lower extremity Fugl-Meyer score, modified Emory Functional Ambulation Profile, and gait velocity. Assessments were made at pretreatment and posttreatment and at 1 and 3 mos after treatment. Results: There were no significant differences between the groups in the outcome trajectories for any of the measures.With data from both groups pooled, there were significant but modest and sustained improvements in the Fugl-Meyer score and the modified Emory Functional Ambulation Profile but not in gait velocity. Conclusions: The results support the hypothesis that gait training combined with either CCNMES or cyclic NMES reduces lower extremity impairment and functional ambulation but do not support the hypothesis that CCNMES is more effective than cyclic NMES in patients with chronic post-stroke hemiplegia.
机译：目的：本研究的目的是比较对侧控制性神经肌肉电刺激（CCNMES）与循环神经肌肉电刺激（NMES）对下肢功能障碍，功能性步态和步态特征的影响。设计：26名中风的幸存者在行走过程中慢性（≥6mos）脚下降，被随机分配至6周的CCNMES或循环性NMES。两组均每周进行十次CCNMES或循环NMES自我管理的家庭应用，外加每周两次与物理治疗师进行的步态训练。主要结局包括下肢Fugl-Meyer评分，改良的Emory功能行走曲线和步态速度。在治疗前和治疗后以及治疗后1和3个月进行评估。结果：两种方法的结果轨迹在两组之间均无显着差异。将两组数据汇总后，Fugl-Meyer评分和改良的Emory功能性走动曲线有明显但持续的改善，但没有步态速度结论：该结果支持以下假设：步态训练与CCNMES或循环NMES联合使用可降低下肢功能障碍和功能性走动，但不支持CCNMES在慢性卒中后偏瘫患者中比循环NMES更有效的假设。

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