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The Effects of Balance Training with Functional Electrical Stimulation on Balance and Gait in patients with chronic stroke

Physical Therapy Rehabilitation Science 2021년 10권 1호 p.55 ~ 63
김은지, 민가윤, 송창호,
소속 상세정보
김은지 ( Kim Eun-Ji ) - Sahmyook University Graduate School Department of Physical Therapy
민가윤 ( Min Ka-Yoon ) - Sahmyook University Graduate School Department of Physical Therapy
송창호 ( Song Chang-Ho ) - Sahmyook University Graduate School Department of Physical Therapy

Abstract


Objective: The purpose of this study was to examine the effects of balance training with Functional Electrical Stimulation (FES) on balance and gait in patients with chronic stroke.

Design: A cross over design

Methods: Nine patients with stroke were recruited into this study. They were measuring their balance ability and gait ability. The intervention "A" included 4 weeks of balance training with Functional Electrical Stimulation (FES) for 40 m/d, 3 d/wk. Intervention "B" included 4 weeks of balance training with placebo Functional Electrical Stimulation (FES) for 40 m/d, 3 d/wk. Of the 9 patients who completed the study, 5 were randomly assigned to" group A-B", and 4 to group B-A. The crossover occurred after 4 weeks.

Results: Following are the specific results of balance training with Functional Electrical Stimulation (FES) on patients with chronic stroke. First, patients who received treatment A showed improvement compared with patients who received treatment B in static balance. There were significant decreases in anterioposterior, mediolateral postural sway extension and velocity moment (p<0.05) with their eyes opened and closed conditions. Second, they had significantly improved in dynamic balance (p<0.05). Lastly, there were also improvement in their gait velocity and cadence (p<0.05).

Conclusions: These findings suggest that, the Functional Electrical Stimulation (FES) combined with balance training more effectively improves the balance and gait ability, I'm convinced that it could be actively used in clinics added to the conventional physical therapy in the future.

키워드

Electrical stimulation; Stroke; Postural balance; Gait

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