Effect of Additive Application of Repetitive Facilitation Exercise to Conventional Rehabilitation in Hemiplegic Stroke Patients in the Recovery Stage: A Controlled Clinical Trial on Motor Functional Recovery in Hemiplegia and Activities of Daily Living
10.2490/jjrmc.48.709
- VernacularTitle:回復期脳卒中片麻痺患者のリハビリテーションに促通反復療法を取り入れた場合の片麻痺と日常生活活動への効果
- Author:
Toshiro KISA
;
Yasuo SAKAI
;
Toshifumi MITANI
;
Keiji ONO
- Publication Type:Journal Article
- Keywords:
repetitive facilitation exercise;
stroke;
hemiplegia;
facilitation technique;
outcome
- From:The Japanese Journal of Rehabilitation Medicine
2011;48(11):709-716
- CountryJapan
- Language:Japanese
-
Abstract:
Objective : To study the effect of repetitive facilitation exercises (RFE) on motor functional recovery in stroke patients with hemiplegia. Subjects and Methods : Fifty-two stroke patients in the recovery stage were divided randomly to receive RFE (RFE group) or conventional therapy (CT group) for 17 weeks. Motor functional recovery and activities of daily living (ADL) were evaluated using Ueda's motor paresis grading system and functional independence measure (FIM), respectively. ADL evaluations were done blindly. Results : The baseline characteristics of the RFE and CT groups did not significantly differ. After the intervention, the RFE group showed not significantly larger improvements than the CT group in Ueda's grades for the upper limb, hand, and lower limb. But isolated joint movement from synergy was observed more frequently in the RFE group than in the CT group (p<0.05). Furthermore, improvement in FIM in the RFE group was greater than that in the CT group, especially in both the total and motor FIM of subjects who underwent lower limb RFE (p<0.05), and in the subscore for self-care in subjects receiving RFE to their fingers (p=0.075). Conclusion : There is a possibility that RFE might promote the functional recovery of the hemiplegic upper limb, hand, and lower limb to a greater extent than CT.
