學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
Effects
of combining robot-assisted therapy with neuromuscular electrical stimulation
on motor impairment, motor and daily function, and quality of life in
patients with chronic stroke: A double-blinded randomized controlled trial |
作者 |
Lee, Y-Y., Lin,
K-C., Cheng, H-J., Wu, C-Y.*, Hsieh, Y-W., & Chen, C-K. |
期刊名稱 |
Journal of NeuroEngineering and Rehabilitation(SCIE-Indexed) |
發表日期 |
2016 |
著作性質 |
原著 |
語文 |
英文 |
關鍵字 |
stroke, robot-assisted therapy, electrical
stimulation, rehabilitation |
摘要 |
Background: Robot-assisted therapy (RT) is a
widely used intervention approach to enhance motor recovery in patients after
stroke, but its effects on functional improvement remained uncertain.
Neuromuscular electrical stimulation (NMES) is one potential adjuvant
intervention approach to RT that could directly activate the stimulated
muscles and improve functional use of the paretic hand. Methods: This was a
randomized, double-blind, sham-controlled study. Thirty-nine individuals with
chronic stroke were randomly assigned to the RT combined with NMES (RT+ES) or
to RT with sham stimulation (RT+Sham) groups. The participants completed the
intervention 90 to 100 minutes/day, 5 days/week for 4 weeks. The outcome
measures included the upper extremity Fugl-Meyer Assessment (UE-FMA),
modified Ashworth scale (MAS), Wolf Motor Function Test (WMFT), Motor
Activity Log (MAL), and Stroke Impact Scale 3.0 (SIS). All outcome measures
were assessed before and after intervention, and the UE-FMA, MAL, and SIS
were reassessed at 3 months of follow-up. Results: Compared with the RT+Sham
group, the RT+ES group demonstrated greater improvements in wrist flexor MAS
score, WMFT quality of movement, and the hand function domain of the SIS. For
other outcome measures, both groups improved significantly after the
interventions, but no group differences were found. Conclusion: RT+ES induced
significant benefits in reducing wrist flexor spasticity and in hand movement
quality in patients with chronic stroke. |