기능적 전기자극을 적용한 트레드밀 보행훈련에 통합한 경피신경 전기자극이 뇌졸중환자의 경직도 균형, 보행 능력에 미치는 영향
Effects of Integrating Transcutaneous Electrical Nerve Stimulation into Treadmill Gait Training Applying Functional Electrical Stimulation on Spasticity, Balance and Gait Ability in Stroke Patients: A Randomized Controlled Trial
이문수, 이명모,
소속 상세정보
이문수 ( Lee Mun-Su )
Daejeon University Graduate School of Health and Medicine Department of Physical Therapy
이명모 ( Lee Myung-Mo )
Daejeon University Department of Physical Therapy
Abstract
Purpose: This study examined the effects of integrating transcutaneous electrical nerve stimulation into treadmill gait training by applying functional electrical stimulation on the spasticity, balance, and gait ability of chronic stroke patients.
Methods: Twenty participants were assigned randomly to two groups: the treadmill gait training group with applied functional electrical stimulation (FES) with integrated transcutaneous electrical stimulation (TENS) (experimental group, EG, n = 10) and the treadmill gait training group with FES (control group, CG, n = 10). Both groups received treadmill gait training with FES for 30 minutes a time, four times a week, during five weeks. The experimental group received additional TENS on their L3, L5, and S2 dermatome for 30 minutes before the interventions. The spasticity, balance, and gait ability were evaluated before and after the training to compare the intergroup and intragroup changes.
Results: Both groups showed significant improvements in the static, dynamic balance, and gait ability (p < .05), but did not show any significant changes in the muscle tone. The EG showed significant improvements in the static balance ability and gait cycle compared to the CG (p < .05).
Conclusion: Treadmill gait training combined with FES with integrated TENS is an effective method for improving the static balance and gait cycle. On the other hand, the effects of treadmill gait training with FES on spasticity need to be studied further.
키워드
Functional electrical stimulation; Gait Analysis; Postural balance; Stroke; TENS
원문 및 링크아웃 정보
등재저널 정보