ผลทันทีจากการกระตุ้นการกระดกข้อเท้าด้วยไฟฟ้าต่อการเดินในผู้ป่วยอัมพาตครึ่งซีกระยะเรื้อรัง
ผลทันทีจากการกระตุ้นการกระดกข้อเท้าด้วยไฟฟ้าต่อการเดินในผู้ป่วยอัมพาตครึ่งซีกระยะเรื้อรัง
คำสำคัญ:
ankle dorsiflexor electrical stimulation, gait speed, step length, chronic hemiplegia, strokeบทคัดย่อ
Objectives: To determine the immediate effects of ankle dorsiflexor electrical stimulation (ADES) on gait speed, step length, physiological cost index (PCI) and degree of ankle dorsiflexion at heel strike (DADH) in stroke patient with chronic hemiplegia and foot drop.
Study design: Quasi-experimental research cross over design
Setting: Mae Fah Luang University, Chaing Rai, Thailand
Subjects: Fourteen stroke patients with chronic hemiplegia and foot drop were recruited.
Methods: Participants were randomly assigned into two groups. Condition A firstly received ADES followed by non-ADES with two days interval whereas condition B was tested vis versa. During the ADES, an active electrode was placed on skin over common peroneal nerve and a dispersive electrode on vastus medialis muscle of an affected leg. During the 10 meter walk test (10 MWT), gait parameters and heart rate was measured for calculation of PCI. Gait was video-recorded and DADH was measured with the Kinovia program. All measurements were recorded during ADES and non-ADES. For statistical analysis and comparison between the two conditions, paired t-test and Wilcoxon signed rank were used.
Results: Comparison between the ADES and the non-ADES, median (IQR) of gait speed was 0.43 (0.89) and 0.39 (0.78) m/s, mean (SD) of step length was 50.28 (2.13) and 45.00 (2.00) cm, of PCI was 0.94 (0.86) and 3.51 (2.34) beat/m and of DADH was 122.57 (12.79) and 130.14 (12.02) degrees, respectively. These showed significant difference (p<0.05) in gait speed, step length, DADH and PCI between these conditions.
Conclusion: In chronic hemiplegic patients, ankle dorsiflexor electrical stimulation could immediately increase gait speed, step length, degree of ankle dorsiflexion at heel strike and decrease physiological cost index.
เอกสารอ้างอิง
1. Bowen P. Early identification, rapid response and effective treatment of acute stroke: utilizing teleneurology to ensure optimal clinical outcomes. MEDSURG Nursing. 25;4:241-3.
2. Strategy and Planning Division Ministry of Public Health. Statistical Thailand 2017. [Internet]. [cited 2018 May 18]. Available from: http://bps.moph.go.th/new_bps/sites/default/files/health%20stratistic%202560.pdf.
3. National statistical office ministry of international and communication technology. The 2012 disability survey. [Internet]. [cited 2018 May 18]. Available from: https://www.m-society.go.th/article_attach/11453/15770.pdf.
4. Demaille-Wlodyka S, Donze C, Givron P, Gallien P. Self care programs and multiple sclerosis: physical therapeutics treatment. Ann Phys Rehabil Med. 54:109-28.
5. Tan Z, Liu H, Yan T, Jin D, He X, Zheng X, et al. The effectiveness of functional electrical stimulation based on a normal gait pattern on subjects with early stroke: a randomized controlled trial. Biomed Res Int. 2014;2014:545408. doi: 10.1155/2014/545408. Epub 2014 Jul 10.
6. Chung Y, Kim J, Cha Y, Hwang S. Therapeutic effect of functional electrical stimulationtriggered gait training corresponding gait cycle for stroke. Gait Posture. 2014;40:471-5.
7. Cho M, Kim J, Chung Y, Hwang S. Treadmill gait training combined with functional electrical stimulation on hip abductor and ankle dorsiflexor muscles for chronic hemiparesis. Gait Posture. 2015;42:73-8.
8. Chayaratanasin P, Vongpipatana S,Chira-Adisai W. Comparison of gait pattern during walking with and without functional electrical stimulation “DearndeeTM” in stroke patients with foot drop: a pilot study. J Thai Rehabil Med. 2015;25:53-9.
9. Bosch P, Harris J, Wing K. Clinical management review: review of therapeutic electrical stimulation for dorsiflexion assist and orthotic substitution from the American congress of rehabilitation medicine stroke movement interventions subcommittee. Arch Phys Med Rehabil. 2014;95:390-6.
10. Embrey D, Holtz S, Alon G, Brandsma B, McCoy S. Functional electrical stimulation to dorsiflexors and plantar flexors during gait to improve walking in adults with chronic hemiplegia. Arch Phys Med Rehabil. 2010;91:687-96.
11. Springer S, Vatine J, Wolf A, Laufer Y. The effects of dual-channel functional electrical stimulation on stance phase sagittal kinematics in patients with hemiparesis. J Electromyogr Kinesiol. 2012;23:476-82.
12. Beyaert C, Vasa R, Frykberg G. Gait post-stroke: pathophysiology and rehabilitation strategies. Neurophysiol Clin. 2015;45:335-55.
13. Roby-Brami A, Fuchs S, Mokhtari M. Reaching and grasping strategies in hemiparetic patients. Motor Control. 1997;1:72-91.
14. Stein DG. Brain injury and theories of recovery. In: Goldstein LB, editor. Restorative neurology: advances in pharmacotherapy for recovery after stroke. Amonk, NY: Futura Publishing; 1988.
15. Sabut SK, Lenka P, Kumar R, Mahadevappa M. Effect of functional electrical stimulation on the effort and walking speed, surface electromyography activity, and metabolic responses in stroke subjects. J Electromyogr Kinesiol. 2010;20:1170-7.
16. Dobkin BH. Short-distance walking speed and timed walking distance: redundant measures for clinical trials. Neurology. 2006;66:584-6.
17. McCrimmon CM, King CE, Wang PT, Cramer SC, Nenadic Z, Do AH. Brain-controlled functional electrical stimulation therapy for gait rehabilitation after stroke: a safety study. J Neuroeng Rehabil. 2015;12:57.
18. van der Linden ML, Hooper JE, Cowan P, Weller BB, Mercer TH. Habitual functional electrical stimulation therapy improves gait kinematics and walking performance, but not patient-reported functional outcomes of people with multiple sclerosis who present with foot drop. PLoS One. 2014;9(8): e103368. doi: 10.1371/journal.pone.0103368.
19. Collins DF. Central contributions to contractions evoked by tetanic neuromuscular electrical stimulation. Exerc Sport Sci Rev. 2007;35:102–9.
20. Chae J. Neuromuscular electrical stimulation for motor relearning in hemiparesis. Phys Med Rehabil Clin N Am. 2003;S93–109.
21. Sabut S, Sikdar C, Kumar R, Mahadevappa M. Functional electrical stimulation of dorsiflexor muscle: effects on dorsiflexor strength, plantarflexor spasticity, and motor recovery in stroke patients. NeuroRehabilitation. 2011;29:393-400.
22. Burridge JH, McLellen DL. Relation between abnormal patterns of muscle activation and response to common peroneal nerve stimulation in hemiplegia. J Neurol Neurosurg Psychiatry. 2000;63:353-61.
23. Thomas SS, Moore C, Kelp-Lenane C, Norris C. Simulated gait patterns: the resulting effects on gait parameters, dynamic electromyography, joint moments and physiological cost index. Gait Posture. 1996;4:100-7.
24. Fredrickson E, Ruff RL, Daly JJ. Physiological Cost Index as a Proxy Measure for the Oxygen Cost of Gait in Stroke Patients. Neurorehabil Neural Repair. 2007; 21:429-34.
25. Burridge J, Taylor P, Hagan S, Swain I. Experience of clinical use of the Odstock dropped foot stimulator. Artif Organs. 1997;21:254-60.
26. Burridge JH, Taylor PN, Hagan SA, Wood DE, Swain ID. The effects of common peroneal stimulation on the effort and speedof walking: a randomized controlled trial with chronic hemiplegic patients. Clin Rehabil. 1997;11:201-210.
27. Taylor PN, Burridge JH, Dunkerley AL, Wood DE, Norton JA, Singleton C. et al. Clinical use of the Odstock dropped foot stimulator: its effect on the speed andeffort of walking. Arch Phys Med Rehabil. 1999;80:1577-83.
28. Sabut SK, Sikda C, Mondal R, Kumar R, Mahadevappa M. Restoration of gait and motor recovery by functional electrical stimulation therapy in persons with stroke. Disabil Rehabil. 2010;32:1594-603.
29. Mosely A, Wales A, Herbert R, Schurr K, Moore S. Observation and analysis of hemiplegic gait: stance phase. Aust J Physiother. 1993;39:259-67.
30. Moore S, Schurr K,Wales A, Moseley A, Herbert R. Observation and analysis of hemiplegic gait: swing phase. Aust J Physiother. 1993;39:271-8.
31. Kerrigan DC, Karvosky ME, Riley PO. Spastic paretic stiff legged gait: joint kinetics. Am J Phys Med Rehabil. 2001;80:244-9.
32. Potempa K, Lopez M, Braun LT, Szidon JP, Fogg L, Tincknell T. Physiological outcomes of aerobic exercise training in hemiparetic stroke patients. Stroke. 1995;26:101-5.
33. Winchester P, Carollo JJ, Habasevich R. Physiologic costs of reciprocal gait in FES assisted walking. Paraplegia. 1994;32:680-6.
34. Nene AV. Physiological cost index of walking in able-bodied adolescents and adults. Clin Rehabil. 1993;7:319-26.
35. Mossberg KA. Reliability of a timed walk test in persons with acquired brain injury. Am JPhys Med Rehabil. 2003;82:385-90.
36. Kumnoonsup S, Buntragulpoontawee M, Kovindha A. Effectiveness of functional electrical stimulator (FES-Dearndee™) on physiological cost index in subacute stroke patients with foot drop: a pilot study. J Thai Rehabil Med. 2015;25:87-94.
2. Strategy and Planning Division Ministry of Public Health. Statistical Thailand 2017. [Internet]. [cited 2018 May 18]. Available from: http://bps.moph.go.th/new_bps/sites/default/files/health%20stratistic%202560.pdf.
3. National statistical office ministry of international and communication technology. The 2012 disability survey. [Internet]. [cited 2018 May 18]. Available from: https://www.m-society.go.th/article_attach/11453/15770.pdf.
4. Demaille-Wlodyka S, Donze C, Givron P, Gallien P. Self care programs and multiple sclerosis: physical therapeutics treatment. Ann Phys Rehabil Med. 54:109-28.
5. Tan Z, Liu H, Yan T, Jin D, He X, Zheng X, et al. The effectiveness of functional electrical stimulation based on a normal gait pattern on subjects with early stroke: a randomized controlled trial. Biomed Res Int. 2014;2014:545408. doi: 10.1155/2014/545408. Epub 2014 Jul 10.
6. Chung Y, Kim J, Cha Y, Hwang S. Therapeutic effect of functional electrical stimulationtriggered gait training corresponding gait cycle for stroke. Gait Posture. 2014;40:471-5.
7. Cho M, Kim J, Chung Y, Hwang S. Treadmill gait training combined with functional electrical stimulation on hip abductor and ankle dorsiflexor muscles for chronic hemiparesis. Gait Posture. 2015;42:73-8.
8. Chayaratanasin P, Vongpipatana S,Chira-Adisai W. Comparison of gait pattern during walking with and without functional electrical stimulation “DearndeeTM” in stroke patients with foot drop: a pilot study. J Thai Rehabil Med. 2015;25:53-9.
9. Bosch P, Harris J, Wing K. Clinical management review: review of therapeutic electrical stimulation for dorsiflexion assist and orthotic substitution from the American congress of rehabilitation medicine stroke movement interventions subcommittee. Arch Phys Med Rehabil. 2014;95:390-6.
10. Embrey D, Holtz S, Alon G, Brandsma B, McCoy S. Functional electrical stimulation to dorsiflexors and plantar flexors during gait to improve walking in adults with chronic hemiplegia. Arch Phys Med Rehabil. 2010;91:687-96.
11. Springer S, Vatine J, Wolf A, Laufer Y. The effects of dual-channel functional electrical stimulation on stance phase sagittal kinematics in patients with hemiparesis. J Electromyogr Kinesiol. 2012;23:476-82.
12. Beyaert C, Vasa R, Frykberg G. Gait post-stroke: pathophysiology and rehabilitation strategies. Neurophysiol Clin. 2015;45:335-55.
13. Roby-Brami A, Fuchs S, Mokhtari M. Reaching and grasping strategies in hemiparetic patients. Motor Control. 1997;1:72-91.
14. Stein DG. Brain injury and theories of recovery. In: Goldstein LB, editor. Restorative neurology: advances in pharmacotherapy for recovery after stroke. Amonk, NY: Futura Publishing; 1988.
15. Sabut SK, Lenka P, Kumar R, Mahadevappa M. Effect of functional electrical stimulation on the effort and walking speed, surface electromyography activity, and metabolic responses in stroke subjects. J Electromyogr Kinesiol. 2010;20:1170-7.
16. Dobkin BH. Short-distance walking speed and timed walking distance: redundant measures for clinical trials. Neurology. 2006;66:584-6.
17. McCrimmon CM, King CE, Wang PT, Cramer SC, Nenadic Z, Do AH. Brain-controlled functional electrical stimulation therapy for gait rehabilitation after stroke: a safety study. J Neuroeng Rehabil. 2015;12:57.
18. van der Linden ML, Hooper JE, Cowan P, Weller BB, Mercer TH. Habitual functional electrical stimulation therapy improves gait kinematics and walking performance, but not patient-reported functional outcomes of people with multiple sclerosis who present with foot drop. PLoS One. 2014;9(8): e103368. doi: 10.1371/journal.pone.0103368.
19. Collins DF. Central contributions to contractions evoked by tetanic neuromuscular electrical stimulation. Exerc Sport Sci Rev. 2007;35:102–9.
20. Chae J. Neuromuscular electrical stimulation for motor relearning in hemiparesis. Phys Med Rehabil Clin N Am. 2003;S93–109.
21. Sabut S, Sikdar C, Kumar R, Mahadevappa M. Functional electrical stimulation of dorsiflexor muscle: effects on dorsiflexor strength, plantarflexor spasticity, and motor recovery in stroke patients. NeuroRehabilitation. 2011;29:393-400.
22. Burridge JH, McLellen DL. Relation between abnormal patterns of muscle activation and response to common peroneal nerve stimulation in hemiplegia. J Neurol Neurosurg Psychiatry. 2000;63:353-61.
23. Thomas SS, Moore C, Kelp-Lenane C, Norris C. Simulated gait patterns: the resulting effects on gait parameters, dynamic electromyography, joint moments and physiological cost index. Gait Posture. 1996;4:100-7.
24. Fredrickson E, Ruff RL, Daly JJ. Physiological Cost Index as a Proxy Measure for the Oxygen Cost of Gait in Stroke Patients. Neurorehabil Neural Repair. 2007; 21:429-34.
25. Burridge J, Taylor P, Hagan S, Swain I. Experience of clinical use of the Odstock dropped foot stimulator. Artif Organs. 1997;21:254-60.
26. Burridge JH, Taylor PN, Hagan SA, Wood DE, Swain ID. The effects of common peroneal stimulation on the effort and speedof walking: a randomized controlled trial with chronic hemiplegic patients. Clin Rehabil. 1997;11:201-210.
27. Taylor PN, Burridge JH, Dunkerley AL, Wood DE, Norton JA, Singleton C. et al. Clinical use of the Odstock dropped foot stimulator: its effect on the speed andeffort of walking. Arch Phys Med Rehabil. 1999;80:1577-83.
28. Sabut SK, Sikda C, Mondal R, Kumar R, Mahadevappa M. Restoration of gait and motor recovery by functional electrical stimulation therapy in persons with stroke. Disabil Rehabil. 2010;32:1594-603.
29. Mosely A, Wales A, Herbert R, Schurr K, Moore S. Observation and analysis of hemiplegic gait: stance phase. Aust J Physiother. 1993;39:259-67.
30. Moore S, Schurr K,Wales A, Moseley A, Herbert R. Observation and analysis of hemiplegic gait: swing phase. Aust J Physiother. 1993;39:271-8.
31. Kerrigan DC, Karvosky ME, Riley PO. Spastic paretic stiff legged gait: joint kinetics. Am J Phys Med Rehabil. 2001;80:244-9.
32. Potempa K, Lopez M, Braun LT, Szidon JP, Fogg L, Tincknell T. Physiological outcomes of aerobic exercise training in hemiparetic stroke patients. Stroke. 1995;26:101-5.
33. Winchester P, Carollo JJ, Habasevich R. Physiologic costs of reciprocal gait in FES assisted walking. Paraplegia. 1994;32:680-6.
34. Nene AV. Physiological cost index of walking in able-bodied adolescents and adults. Clin Rehabil. 1993;7:319-26.
35. Mossberg KA. Reliability of a timed walk test in persons with acquired brain injury. Am JPhys Med Rehabil. 2003;82:385-90.
36. Kumnoonsup S, Buntragulpoontawee M, Kovindha A. Effectiveness of functional electrical stimulator (FES-Dearndee™) on physiological cost index in subacute stroke patients with foot drop: a pilot study. J Thai Rehabil Med. 2015;25:87-94.
ดาวน์โหลด
เผยแพร่แล้ว
2018-12-26
รูปแบบการอ้างอิง
1.
สว่างใจธรรม ก, โครงกาบ ณ, หาญเจริญกุล เ, วิมลรัตน์ อ, จำพรึก ก. ผลทันทีจากการกระตุ้นการกระดกข้อเท้าด้วยไฟฟ้าต่อการเดินในผู้ป่วยอัมพาตครึ่งซีกระยะเรื้อรัง: ผลทันทีจากการกระตุ้นการกระดกข้อเท้าด้วยไฟฟ้าต่อการเดินในผู้ป่วยอัมพาตครึ่งซีกระยะเรื้อรัง. ASEAN J Rehabil Med [อินเทอร์เน็ต]. 26 ธันวาคม 2018 [อ้างถึง 8 พฤศจิกายน 2026];28(3):94-100. Available at: https://he01.tci-thaijo.org/index.php/aseanjrm/article/view/128356
ฉบับ
ประเภทบทความ
Original Article
