Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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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

기능적 전기자극을 적용한 트레드밀 보행훈련에 통합한 경피신경 전기자극이 뇌졸중환자의 경직도 균형, 보행 능력에 미치는 영향

  • Lee, Mun-Su (Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University) ;
  • Lee, Myung-Mo (Department of Physical Therapy, Daejeon University)
  • 이문수 (대전대학교 물리치료학과 보건의료대학원) ;
  • 이명모 (대전대학교 물리치료학과)
  • Received : 2019.11.18
  • Accepted : 2019.12.26
  • Published : 2020.05.31
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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 electricalstimulation (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.

Keywords

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