CAJ | 학술논문

目的：研究功能性电刺激(FES)对早期脑卒中偏瘫患者步行功能的影响。方法采用随机数字表法将41例脑卒中偏瘫患者随机分成治疗组(n=21)和对照组(n=20)。两组采用常规康复训练方法及减重平板训练，治疗组在此基础上给予FES。共8周。治疗前后采用综合痉挛量表(CSS)、功能性步行分级(FAC)、Berg平衡量表(BBS)对两组患者进行评定。结果治疗前两组CSS评分、FAC分级及BBS评分组间差异均无显著性差异(P>0.05)。治疗后，两组上述指标均较治疗前显著改善(P<0.001)，治疗组改善优于对照组(P<0.05)。结论 FES能促进早期脑卒中偏瘫患者步行功能的恢复。
목적：연구공능성전자격(FES)대조기뇌졸중편탄환자보행공능적영향。방법채용수궤수자표법장41례뇌졸중편탄환자수궤분성치료조(n=21)화대조조(n=20)。량조채용상규강복훈련방법급감중평판훈련，치료조재차기출상급여FES。공8주。치료전후채용종합경련량표(CSS)、공능성보행분급(FAC)、Berg평형량표(BBS)대량조환자진행평정。결과치료전량조CSS평분、FAC분급급BBS평분조간차이균무현저성차이(P>0.05)。치료후，량조상술지표균교치료전현저개선(P<0.001)，치료조개선우우대조조(P<0.05)。결론 FES능촉진조기뇌졸중편탄환자보행공능적회복。
Objective To explore the effect of functional electrical stimulation (FES) on hemiplegic gait of acute stroke patients. Meth-ods 41 stroke patients were randomly divided into treatment group (n=21) and control group (n=20). All the patients received conventional rehabilitation and body weight supported treadmill training, and the treatment group received FES in addition. The patients were evaluated with the Composite Spasticity Scale (CSS), the Berg Balance Scale (BBS) and the Functional Ambulation Category (FAC) before and 8 weeks after intervention. Results There was no significant difference in all the assessment between two groups before intervention (P>0.05). The scores of CSS, FAC and BBS improved in both groups 8 weeks after intervention (P<0.001), and improved more in the treatment group than in the control group (P<0.05). Conclusion FES could further improve ambulation of stroke patients.