Effect of Contralaterally Controlled Functional Electrical Stimulation of Upper Limb Motor Function in Patients with Hemiplegia / 中国医科大学学报

ABSTRACT

Objective To investigate the effect of contralateral controlled functional electrical stimulation (CCFES) on the upper limb motor function in patients with acute and subacute hemiplegia.Methods Forty-eight patients with cerebral apoplexy were randomly divided into control,neuromuscular electrical stimulation (NMES) experiment,and CCFES experiment groups,with 24 patients in each group.The two groups received routine drug treatment and rehabilitation training.For 4 weeks (6 days/week),all the patients were assessed before and after treatment by using the Fugl-Meyer locomotor rating scale (FMA),Wolf motor function test (WMFT),wrist extension active joint activity evaluation (WEAROM),and modified Barthel index (MBI).Results were statistically analyzed,and curative effects were compared.Results Before treatment,no significant differences in FMA,WMFT,WEAROM,and MBI scores were found between the two groups.At the fourth week after the intervention,the FMA,WMFT,WEAROM,and MBI scores were all significantly increased (P ＜ 0.05).The FMA,WMFT,and WEAROM scores were all higher in the treatment group than in the control group,and the differences between the two groups were significant (P ＜ 0.05).Conclusion CCFES can effectively improve the upper limb motor function in patients with acute and subacute stroke.