| Titre : | Functional Electrical Stimulation–Assisted Active Cycling—Therapeutic Effects in Patients With Hemiparesis From 7 Days to 6 Months After Stroke: A Randomized Controlled Pilot Study (2015) |
| Auteurs : | Petra Bauer ; Carmen Krewer ; Stefan Golaszewski |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/2, 2015) |
| Article en page(s) : | p. 188-196 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Electrotherapie ; Rééducation et réadaptation |
| Mots-clés: | Electric stimulation therapy ; Ergometry ; Ergométrie ; Stroke ; Walking ; Marche à pied |
| Résumé : |
Objective To determine whether functional electrical stimulation (FES)-assisted active cycling is more effective than active cycling without FES concerning walking and balance. Specifically, walking ability was classified as to the amount of personal assistance needed to be able to walk and balance was evaluated for static and dynamic balance tasks. Design Monocentric, randomized, single-blinded, controlled trial. Setting Neurologic rehabilitation hospital. Participants Patients with severe hemiparesis due to stroke (N=40). Interventions Twenty minutes of active leg cycling with or without FES applied to the paretic vastus medialis and rectus femoris of quadriceps and to the biceps femoris and semitendinosus muscles, 3 times/wk for 4 weeks. Main Outcome Measures Functional ambulation classification (FAC) and performance-oriented mobility assessment (POMA) were the primary outcome measures. The leg subscale of the motricity index (MI) and the modified Ashworth scale were the secondary outcome measures. Evaluation was done before and after the intervention period and after an additional 2 weeks. Results After the intervention, the FAC, POMA, and the MI (P<.016 for both intervention groups improved significantly. the fac of control group increased by a median category and that fes categories. change in poma was points respectively. mann-whitney u test between-group comparisons revealed these gains were significantly better z="−2.58;" p=".013;" r="−.42)" because missing data slightly decreased effect sizes during follow-up phase differences did not reach statistically significant values. mi leg subscale showed improvements groups. however there no between at any time. changes observed on modified ashworth scale.> Conclusions FES-assisted active cycling seems to be a promising intervention during rehabilitation in patients with stroke. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314011587 |
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