Rehabilitative effects of electrical stimulation on gait performance in stroke patients: A systematic review with meta-analysis.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY NeuroRehabilitation Pub Date : 2024-01-01 DOI:10.3233/NRE-230360

Sujin Hwang, Chiang-Soon Song

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Abstract

Background: Electrical stimulation techniques are widely utilized for rehabilitation management in individuals with stroke patients.

Objectives: This review aims to summarize the rehabilitative effects of electrical stimulation therapy on gait performance in stroke patients.

Methods: This review included randomized controlled trials (RCT) investigating the therapeutic effects of electrical stimulation in stroke patients throughout five databases. This review qualitatively synthesized 20 studies and quantitatively analyzed 11 RCTs.

Results: Functional electrical stimulation (FES) was the most commonly used electrical stimulation type to improve postural stability and gait performance in stroke patients. The clinical measurement tools commonly used in the three studies to assess the therapeutic effects of FES were Berg balance scale (BBS), 10-meter walk test (10MWT), 6-minute walk test (6mWT), and gait velocity. The BBS score and gait velocity had positive effects in the FES group compared with the control group, but the 10MWT and 6mWT showed the same effects between the two groups. The heterogeneity of BBS scores was also high.

Conclusion: The results of this review suggest that electrical stimulation shows little evidence of postural stability and gait performance in stroke patients, although some electrical stimulations showed positive effects on postural stability and gait performance.

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电刺激对中风患者步态表现的康复作用：系统回顾与荟萃分析。

背景：电刺激技术被广泛用于脑卒中患者的康复治疗：电刺激技术被广泛用于脑卒中患者的康复治疗：本综述旨在总结电刺激疗法对中风患者步态表现的康复效果：本综述包括五个数据库中调查电刺激对中风患者治疗效果的随机对照试验（RCT）。本综述对 20 项研究进行了定性综述，对 11 项随机对照试验进行了定量分析：结果：功能性电刺激（FES）是最常用的改善中风患者姿势稳定性和步态表现的电刺激类型。三项研究中常用于评估 FES 治疗效果的临床测量工具包括伯格平衡量表（BBS）、10 米步行测试（10MWT）、6 分钟步行测试（6mWT）和步速。与对照组相比，FES 组的 BBS 评分和步速具有积极效果，但 10 米步行测试和 6 分钟步行测试在两组之间显示出相同的效果。BBS 评分的异质性也很高：本综述的结果表明，虽然某些电刺激对脑卒中患者的姿势稳定性和步态表现有积极影响，但电刺激对脑卒中患者的姿势稳定性和步态表现几乎没有影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION

CiteScore

3.20

自引率

0.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.