Effects of intelligent power-assisted functional electrical stimulation therapy on ankle joint function in post-stroke subjects / 中华物理医学与康复杂志

Objective To observe the effect of power-assisted functional electrical stimulation (PAFES)therapy on ankle joint function recovery in stroke patients.Methods Ninety hemiplegic stroke patients were randomly and evenly divided into a control group,a PAFES group,and a neuromuscular electrical stimulation (NMES)group.All groups received conventional rehabilitation training.PAFES group adopted PAFES treatment on affected lower extremities and NMES group was given the NMES therapy on the tibialis anterior of the affected lower limbs,in addition to conventional rehabilitation training.The active range of motion (AROM) of ankle dorsiflexion,FuglMeyer motor assessment (FMA),Barthel index (BI) and Ankle flexion and extension movement (AFEM) in 10 seconds were evaluated before the trial and after 4 weeks treatment.Results After treatment,there were significant differences in the AROM of ankle dorsiflexion,FMA,BI and AFEM (P ＜ 0.05) compared with before treatment within each group.The improvement of AROM of ankle dorsiflexion in PAFES group (8.19 ± 3.39) ° and the values in NMES group (8.96 ± 3.68) ° were to a significantly greater extend than control group (3.88 ± 4.10) ° (P ＜0.05) ; the improvement of FMA and BI in PAFES group was also superior to those in NMES group and control group (P ＜ 0.05).Conclusion The intelligent PAFES therapy could help improve AROM of ankle dorsiflexion,the motor function of the affected lower extremity and the ability of the activities of daily living in stroke patients.

Study of the efficacy of closed-loop EMG feedback electric stimulation in rehabilitation of acute stroke survivors / 中国康复理论与实践

@#ObjectiveTo study the efficacy of closed-loop EMG feedback electric stimulation in enhancing extremity functional recovery of acute stroke survivors.Methods120 stroke patients who were within 4 weeks were randomly assigned to experimental group and control group. All patients had received routine rehabilitation training; the patients in experimental group had received an extra therapy-closed-loop EMG feedback electric stimulation. The value of EMG and Fugl-Meyer functional assessment was observed. ResultsThe value of EMG and Fugl-Meyer functional assessment of all patients had notability elevation, and there is a significant difference between these two groups of patients. Conclusions Closed-loop EMG feedback electric stimulation can enhance the motor function of hemiplegia.