The effects of functional electric stimulation and upper limb cycle training on upper limb motor function and daily living activities post-stroke
10.3760/cma.j.issn.0254-1424.2022.08.003
- VernacularTitle:功能性电刺激手摇车训练对早期脑卒中患者上肢功能恢复的影响
- Author:
Sheng XU
1
;
Yan ZHANG
;
Lulu LI
;
Haibo BIAN
;
Chuan GUO
;
Shilei BAO
;
Tong WANG
Author Information
1. 常州市德安医院康复中心，常州 213000
- Keywords:
Stroke;
Functional electrical stimulation;
Upper limbs;
Cycle training;
Upper limb motor function;
Activities of daily living;
MOTOmed
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(8):685-689
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of combining functional electric stimulation (FES) with upper limb cycle training in rehabilitating upper limb motor function and ability in the activities of daily living after a stroke.Methods:Sixty hemiplegic stroke survivors were randomly divided into an experimental group and a control group. In addition to conventional rehabilitation therapy, the experimental group underwent 20 minutes of MOTOmed upper limb cycle training every day while receiving FES. The control group received only the 20 minutes of cycle training. Before and after 4 weeks, Brunnstrom staging was used to quantify hand and upper extremity functioning. The Fulg-Meyer assessment upper extremity scale (FMA-UE) and the modified Barthel index (MBI) were also used before the training and after 1, 2, 3 and 4 weeks of the treatments.Results:After 4 weeks of treatment, significant differences were observed in the average BS scores of both groups compared with before the intervention. The average hand and upper limb stages of the experimental group were significantly better than the control group′s averages. Significant improvement was also observed in the average FMA-UE and MBI scores of both groups after only one week, with significantly greater improvement in the experimental group.Conclusions:Supplementing upper limb cycle training with FES can significantly improve the upper limb motor function and ability in the activities of daily living of stroke survivors. It is more effective than the MOTOmed exercise alone.
