Effect of functional electrical stimulation of interscapular muscles on trunk performance and balance in post-stroke elderly patients

被引:7
作者
Elhamrawy, Mohammed Youssef [1 ]
Bahnasy, Wafik Said [2 ]
Elkady, Sabah Mohamed [3 ]
Said, Mohamed Taha [4 ]
机构
[1] Middle East Univ, Fac Allied Med Sci, Dept Phys Therapy, Amman, Jordan
[2] Tanta Univ, Fac Med, Dept Neurol, Tanta, Egypt
[3] Cairo Univ, Fac Phys Therapy, Dept Basic Sci, Physiotherapy, Cairo, Egypt
[4] Beni Suef Univ, Natl Inst Longev Elderly Sci, Phys Therapy Elderly, Bani Suwayf, Egypt
关键词
Functional electrical stimulation; Stroke; Trunk control; Scapular position; Balance; STROKE PATIENTS; MOBILITY;
D O I
10.1186/s41983-024-00795-y
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Background Disability in the upper limb in post-stroke survivors may have a variety of effects, particularly in the elderly, that require planning therapeutic actions to restore function. Thirty-four patients were randomly assigned to the control group (CON) and the Functional Electrical Stimulation (FES) group. For 12 weeks, the CON group received core stabilization exercises (CSEs). The FES group received (FES) for the interscapular muscles with CSEs for the first six weeks and completed the following six weeks with only CSEs. Patients were assessed at baseline, 6 and 12 weeks post-intervention. The trunk impairment scale (TIS) and the Postural Assessment Scale for Stroke (PASS) were used to assess trunk performance. A palpation meter was used to measure the scapular horizontal position (SP). Balance was assessed by the Berg Balance Scale (BBS), and the Timed Up-and-Go test (TUG). Function was assessed with Barthel Index (BI). Results Both groups improved significantly (P < 0.001 for both groups, d = 1.1-3.7 for control group and d = 1.9-6.1 for FES group) post-treatment (at 6 and 12 weeks) in all outcomes except SP in the control group (P < 0.05 at both times, d = 0.6 at 6 weeks and 0.8 at 12 weeks). Conclusion FES for interscapular muscles may have positive effects on trunk performance, scapular position, balance, and function in stroke patients. Also, additional improvements were observed post-intervention compared to baseline. FES is recommended to be part of the rehabilitation program of elderly post-stroke patients.
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页数:9
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