| Objective: To investigate the effect of different combinations of contralaterally controlled functional electrical stimulation（CCFES） and task oriented training on hand function in stroke. Methods: A total of 60 subjects with stroke within 1 month treated in our hospital were randomly assigned into synchronous group (30 cases) receiving CCFES and task-oriented training simultaneously, and the desynchronous group (30 cases) receiving task-oriented training sequentially after CCFES treatment. Both groups received 20 min of electrical stimulation/time, and all received routine rehabilitation training, and the treatment program was 5 times per week for 4 weeks. Fugl-Meyer Motor function score (FMA), The Wolf Motor Function Test (WMFT), Surface Electromyography (sEMG) and Barthel Index (BI) were used to evaluate upper limb and wrist motor function and independence of daily living before and after 4 weeks of treatment, respectively. Results: Before treatment, there was no significant difference in upper limb FMA, Wolf, RMS ratio (affected side myoelectric RMS/ unaffected side myoelectric RMS during active dorsal wrist extension) and BI between the two groups. Compared with before treatment, the above evaluation scores in both groups were improved after treatment (P<0.05), and better in synchronous group (P<0.05). Conclusion: CCFES and task-oriented training simultaneously were superior in improving upper limb and hand function in stroke. |
