| Curative effectiveness of intermittent pneumatic compression combined with neuromuscular electrical stimulation on hand swelling in acute stroke patients |
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| DOI： |
| EN KeyWords: Pneumatic compression Neuromuscular electrical stimulation Stroke Hand edema |
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| EN Abstract: |
| Objective: To observe the clinical effect of intermittent pneumatic compression (IPC) combined with neuromuscular electrical stimulation (NMES) on hand swelling in acute stroke patients. Methods: Eighty acute stroke patients with hand swelling in intensive care unit were equally divided into control group, IPC group, NMES group and combination group. Four groups were given conventional treatment and rehabilitation training. The IPC group was additionally given IPC treatment. The NMES group was given NMES treatment. The combination group was given IPC and NMES treatment. Efficacy was evaluated by measuring volume and metacarpophalangeal joint rang of movement (MP) before and 1 and 2 weeks after treatment.Results: The hand swelling in IPC and combination groups was significantly alleviated as compared with control group, especially combination group achieved the best results after 1 week. The hand swelling in IPC group continued to decrease in 2 weeks, but the effect in combination group was significantly improved as compared with IPC group after 2 weeks. The improvement of hand swelling in NMES group was less than in control group. The hand swelling in IPC group and combination group was improved more significantly than in NMES group. The ROM in IPC group and combination group was significantly increased in 2 weeks. The effect of combination group was the best. The ROM had no significant improvement in NMES group. Conclusion: IPC combined with NMES can obviously alleviate hand swelling and improve the ROM of acute stroke patients with hand swelling as compared with IPC and NMES alone. |
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