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首页> 外文期刊>Canadian Journal of Physiology and Pharmacology >Therapy of paretic arm in hemiplegic subjects augmented with a neural prosthesis: A cross-over study.
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Therapy of paretic arm in hemiplegic subjects augmented with a neural prosthesis: A cross-over study.

机译：偏瘫患者的臂突治疗增加了神经假体：一项交叉研究。

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There are indications that both intensive exercise and electrical stimulation have a beneficial effect on arm function in post-stroke hemiplegic patients. We recommend the use of Functional Electrical Therapy (FET), which combines electrical stimulation of the paretic arm and intensive voluntary movement of the arm to exercise daily functions. FET was applied 30 min daily for 3 weeks. Forty-one acute hemiplegics volunteered in the 18-months single blinded cross-over study (CoS). Nineteen patients (Group A) participated in FET during their acute hemiplegia, and 22 patients (Group B) participated in FET during their chronic phase of hemiplegia. Group B patients were controls during FET in acute hemiplegia, and Group A patients were controls during the FET in chronic hemiplegia. Thirty-two patients completed the study. The outcomes of the Upper Extremity Function Test (UEFT) were used to assess the ability of patients to functionally use objects, as were the Drawing Test (DT) (used to assesse the coordination of the arm), the Modified Ashworth Scale, the range of movement, and the questionnaire estimating the patients' satisfaction with the usage of the paretic arm. Patients who participated in the FET during the acute phase of hemiplegia (Group A) reached functionality of the paretic arm, on average, in less than 6 weeks, and maintained this near-normal use of the arm and hand throughout the follow-up. The gains in all outcome scores were significantly larger in Group A after FET and at all follow-ups compared with the scores before the treatment. The gains in patients who participated in the FET in the chronic phase of hemiplegia (Group B) were measurable, yet not significant. The speed of recovery was larger during the period of the FET compared with the follow-up period. The gains in Group A were significantly larger compared with the gains in Group B. The FET greatly promotes the recovery of the paretic arm if applied during the acute phase of post-stroke hemiplegia.
机译：有迹象表明，剧烈运动和电刺激均对中风后偏瘫患者的手臂功能有有益作用。我们建议使用功能性电疗法（FET），该功能结合了对模拟臂的电刺激和强烈的自愿运动来行使其日常功能。每天30分钟施加FET，持续3周。在为期18个月的单盲交叉研究（CoS）中，共有41名急性偏瘫患者自愿参加。 19例（A组）急性偏瘫患者参加了FET，22例（B组）慢性偏瘫患者参加了FET。 B组患者为急性偏瘫的FET对照，A组患者为慢性偏瘫的FET对照。三十二名患者完成了研究。上肢功能测试（UEFT）的结果用于评估患者功能性使用物体的能力，绘图测试（DT）（用于评估手臂的协调性），改良的Ashworth量表，范围运动和问卷调查，以评估患者对使用模拟臂的满意度。在偏瘫急性期（A组）中参加FET的患者平均不到6周即可达到顶臂的功能，并在整个随访过程中保持接近正常的手臂和手部使用。与治疗前的评分相比，A组在FET后及所有随访中所有结局评分的获益明显更大。在偏瘫慢性期（B组）中参加FET的患者的获益是可测量的，但并不显着。与后续期间相比，FET期间的恢复速度更大。与B组相比，A组的收益明显更大。如果在卒中后偏瘫的急性期使用FET，FET会极大地促进臂突的恢复。

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