Abstract
Effects of functional electrical stimulation combined with fast gait training on walking performance in hemiplegic stroke patients
  
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EN KeyWords: functional electrical stimulation  gait training  hemiplegia  function
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作者单位
杨婷 南京医科大学附属南京医院康复医学科南京 210006 
林强 南京医科大学附属南京医院康复医学科南京 210006 
程凯 南京医科大学附属南京医院康复医学科南京 210006 
杨倩 南京医科大学附属南京医院康复医学科南京 210006 
谢增艳 南京医科大学附属南京医院康复医学科南京 210006 
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EN Abstract:
  Objective: To explore the effects of functional electrical stimulation (FES) combined with fast gait training on community walking and energy cost of hemiplegic stroke patients during sequelae stage. Methods: Thirty hemiplegic stroke patients with foot drop were divided into two groups randomly. Both two groups were given routine medical treatment and rehabilitation training. FES (two electrodes were respectively placed on peroneal nerve and the tibialis anterior muscle) combined with fast gait training was given to the treatment group while control group received conventional weight support treadmill fast gait training only. Both two groups were treated twice per day and 5 days per week for 4 weeks. The distances of 6 min walking test (6MWT) and physiological consumption index (PCI) were assessed before and after treatment. Results: After 4-week treatment, both two groups showed significant improvements in 6MWT and PCI (P<0.05). There was no significant difference in 6MWT between two groups, but PCI was significantly decreased in the treatment group after treatment (P<0.05). Conclusions: FES combined with fast gait training and conventional weight support treadmill fast gait training can both improve community walking ability and decrease energy consumption in hemiplegic stroke patients during sequelae stage while FES combined with fast gait training has distinct advantage on energy consumption.
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