The Journal of Korean Physical Therapy

  • 제36권4호
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  • Pages.115-123
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  • 2024
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  • 1229-0475(pISSN)
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  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
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Effect of Functional Electrical Stimulation on Balance and Gait Speed of Stroke Patients: A Systematic Review and Meta-Analysis

  • Hyun Jin Jang (Department of Physical Therapy, Nambu University) ;
  • So Yeong Kim (Department of Physical Therapy, Nambu University) ;
  • Jong Yun Chun (Department of Physical Therapy, Nambu University) ;
  • Gi Bbeum Choi (Department of Physical Therapy, Nambu University) ;
  • Woon Su Cho (Department of Physical Therapy, Nambu University) ;
  • Jae Hyun Lim (Department of Physical Therapy, Nambu University)
  • 투고 : 2024.07.19
  • 심사 : 2024.08.19
  • 발행 : 2024.08.31
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초록

Purpose: This study analyzed the effects of functional electrical stimulation (FES) on the balance and gait speed of stroke patients. Also, the effects were analyzed according to the measurement method and electrical stimulation site. Methods: The selection criteria included randomized controlled trials that measured balance and gait speed using FES in adult stroke patients of any type and excluded studies that had no data, were not in English or Korean, or those for which the full text could not be found. Searches were conducted in PubMed, Cochrane Library, RISS, DBpia, and ScienceON until March 2024, and the risk of bias was assessed using the PEDro scale. The effect size was expressed as the standardized mean difference (SMD) using a random effects model and a 95% confidence interval (CI), and the effect based on the electrical stimulation site was analyzed by subgroup analysis. Results: A total of 577 subjects from 19 studies were included. The results of analyzing the effect of FES showed that it significantly improved Berg Balance Scale (BBS) (SMD=0.42; CI=0.11-0.73; I2=60%) and Timed Up and Go test (TUG) scores (SMD=0.36; CI=0.15-0.57; I2=0%), but not gait speed (SMD=-0.11; CI=-0.46-0.24; I2=37%). In addition, electrical stimulation was found to be more effective when stimulating the ankle than when stimulating various areas, including the ankle. Conclusion: In stroke patients, FES has shown positive effects on balance. Future studies could emphasize interventions combined with FES to achieve better results. Studies conducted with varied stimulation sites are needed to determine the impact of FES on activity levels.

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참고문헌

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