Functional Electrical Stimulation Improves Lower Limb Function in Patients with Stroke Hemiplegia: A Systematic Analysis

Yanjiao Liu ； Wenying Huang ； Yuerong Liu ； Shan Lei

《Frontiers in Economics and Management》 3卷1期 (2022/01) Pp. 230-240

https://doi.org/10.6981/FEM.202201_3(1).0027

摘要

Objective: To evaluate the effect of functional electrical stimulation on lower-limb function in stroke patients with hemiplegia. Methods: Through the computer search PubMed, Cochrane, web of science, CNKI, Wanfang, Weipu and other databases for randomized controlled trials of functional electrical stimulation on improving lower-limb function of stroke patients with hemiplegia. After screening literature, quality evaluation and data extraction, meta-analysis was conducted. Results: A total of 13 randomized controlled trials were conducted in 643 patients. The results of meta-analysis showed that the intervention effect of FES group was better than that of routine group in improving lower-limb motor function [MD=4.78,95%CI (3.27,6.29),P＜0.001], balance function [MD=8.88,95%CI (5.85,11.92),P＜0.001] and activities of daily living [MD=16.74,95%CI (8.48,25.0),P＜0.001] of stroke patients with hemiplegia. Conclusion: FES intervention on the lower-limb of stroke hemiplegic patients on the basis of routine rehabilitation is helpful to further improve the lower extremity motor function, balance function and daily life activity ability of the patients.

關鍵字

Functional Electrical Stimulation ； Stroke ； Hemiplegia ； Lower-Limb ； Meta Analysis

參考文獻

Benlei Xu,Tiebin Yan,Yuanle Yang,Ruiqing Ou,Shuping Huang. Effect of normal-walking-pattern-based functional electrical stimulation on gait of the lower extremity in subjects with ischemic stroke: A self controlled study[J]. NeuroRehabilitation,2016,38(2):163-169.

Zheng Xiuyuan,Chen Danfeng,Yan Tiebin,Jin Dongmei,Zhuang Zhiqiang,Tan Zhimei,Wu Wei. A Randomized Clinical Trial of a Functional Electrical Stimulation Mimic to Gait Promotes Motor Recovery and Brain Remodeling in Acute Stroke.[J]. Behavioural neurology,2018,2018:8923520.

McCrimmon Colin M,King Christine E,Wang Po T,Cramer Steven C,Nenadic Zoran,Do An H. Brain-controlled functional electrical stimulation for lower-limb motor recovery in stroke survivors.[J]. Conference proceedings: ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference, 2014, 2014:1247-50.

You Guoqing,Liang Huiying,Yan Tiebin. Functional electrical stimulation early after stroke improves lower limb motor function and ability in activities of daily living.[J]. NeuroRehabilitation, 2014, 35(3): 381-9.

Suzana Dedijer Dujović,Jovana Malešević,Nebojša Malešević,Aleksandra S. Vidaković,Goran Bijelić, Thierry Keller,Ljubica Konstantinović. Novel multi-pad functional electrical stimulation in stroke patients: A single-blind randomized study[J]. NeuroRehabilitation,2017,41(4):791-800.