| Objective: To investigate the effects of contralaterally controlled functional electrical stimulation (CCFES) based on bilateral training theory on hemiplegic shoulder function. Methods: From June 2018 to December 2019, 44 patients with hemiplegia after stroke were divided into neuromuscular electrical stimulation (NMES) group (22 cases) and CCFES group (22 cases) according to the random number table. Patients in both groups all received conventional neurological treatment and rehabilitation treatment. The NMES group received conventional NMES therapy, while patients in the CCFES group received CCFES based on bilateral training theory. Before and after 4 weeks of the treatment, sEMG, shoulder active range of motion (AROM) and upper extremities motor function test of Fugl-Meyer movement assessment (U-FMA) were used to evaluate the shoulder function of patients. Results: After treatment, the number of shoulder pain and subluxation in CCFES group significantly decreased as compared with that before treatment (P<0.05). AEMG, shoulder AROM and U-FMA scores in both groups were significantly higher than those before treatment (P<0.05), and those in the CCFES group was superior to the NMES group (P<0.05). Conclusion: CCFES based on bilateral training theory can be used to prevent and treat hemiplegic shoulder joint pain and subluxation after stroke, improve the function of shoulder and upper limb, and is superior to conventional NMES. |
