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Journal of the Korean Academy of Rehabilitation Medicine 2009;33(3):265-270.
The Effect of Neuromuscular Electrical Stimulation on Trunk Control in Hemiparetic Stroke Patients.
Kim, Yong Mi , Chun, Min Ho , Kang, Si Hyun , Ahn, Wang Hun
1Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Korea. mhchun@amc.seoul.kr
2Chung-Ang University College of Medicine, Korea.
편마비 뇌졸중 환자에서 체간근 전기 자극이 체간 균형 향상에 미치는 영향
김용미, 전민호, 강시현1, 안왕훈
울산대학교 의과대학 서울아산병원 재활의학교실, 1중앙대학교 의과대학 재활의학교실
Abstract
Objective
To determine the effectiveness of electrical stimulation over the trunk in improving trunk control during early stroke rehabilitation.
Method
Thirty-two acute and subacute hemiparetic stroke patients were enrolled in this study. All patients were randomly assigned to one of two groups, control group or electrical stimulation (ES) group. Both groups received the same physical therapy for 3 weeks. ES group received additional electrical stimulation over the posterior back muscles for 30 minutes a day, 5 days per week for 3 weeks. Outcome measurements included Korean version of Berg balance scale (K-BBS), total score of postural assessment scale for stroke patients (PASS), trunk control subscale of postural assessment scale for stroke patients (PASS-TC), trunk control test (TCT), Korean version of modified Barthel index (K-MBI), and motricity index (MI). These measurements were checked before and after treatment.
Results
There were no significant differences in the baseline characteristics and initial values between two groups. Following 3 weeks therapy, the changes of TCT and PASS-TC scores in the ES group were significantly higher than those of the control group (p<0.05). The changes of K-BBS, PASS, and K-MBI scores in the ES group tend to be higher than those in the control group. However the differences were not statistically significant. The changes of PASS-TC and TCT scores were significantly correlated with the changes of BBS and K-MBI scores at discharge.
Conclusion
This study suggests that electrical stimulation over the trunk may be a beneficial therapeutic technique in improving trunk control in acute and subacute hemiparetic stroke patients. (J Korean Acad Rehab Med 2009; 33: 265-270)
Key Words: Electrical stimulation, Trunk, Hemiplegia, Balance


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