• 제목/요약/키워드: functional electrical stimulation

검색결과 228건 처리시간 0.032초

The effects of functional electrical stimulation applied to the gluteus medius and tibialis anterior on stair climbing ability in persons with stroke

  • Jung, Jewon;Chung, Yijung
    • Physical Therapy Rehabilitation Science
    • /
    • 제7권3호
    • /
    • pp.134-138
    • /
    • 2018
  • Objective: The aim of this research was to investigate the effects of functional electrical stimulation (FES) applied to the gluteus medius (Gm) and tibialis anterior (TA) during stair climbing in persons with stroke compared to FES applied to the TA only during stair climbing, and during stair climbing without FES in persons with stroke. Design: Cross-sectional study. Methods: Twenty subjects with stroke participated in this study. Subjects were included if: 1) they were diagnosed as stroke at least 6 months before; 2) had Mini Mental State Examination- Korean score of 24 or higher; 3) were able to climb a flight of 10 stairs independently (with or without walking aid). The patients walked 10 stairs 3 times with FES applied to the Gm and TA, only TA, or no FES. There was a 1-minute rest period between each bout. The assessments were made using the Timed Up & Down Test and the Wii Balance Board. Results: Stair climbing with FES applied to the Gm and TA was significantly faster than stair climbing with FES applied to the TA only and without FES (p<0.05). Stair climbing with FES applied to the Gm and TA exhibited significantly greater sway velocity than stair climbing without FES (p<0.05). However, maximal sway distances were not significantly different between groups. Conclusions: Stair climbing with FES applied to the Gm and TA can be an important component of a rehabilitation program for improving stair climbing ability in persons with stroke.

근육의 힘이 신체 각 부분의 가속도에 미치는 영향 (Muscle-Induced Accelerations of Body Segments)

  • 강곤
    • 대한기계학회논문집
    • /
    • 제15권6호
    • /
    • pp.1967-1974
    • /
    • 1991
  • 본 연구에서는 근육수축에 의해 발생되는 각 신체부분의 각가속도의 방향이 다음 두가지 요소의 변화에 따라 어떻게 달라지는가를 중점적으로 살펴보기로 한다` (1) 신체매개변수(body-segmental parameter): 길이, 무게 등, (2) 신체 각 부분의 위치. 이러한 상관관계를 더욱 명확히 이해함으로써, 주어진 운동(given task)을 FES 에 의해 수행하고자 할 때 전기적으로 자극되어야 할 근육을 사전에 선택할 수 있을 것이다.

Evaluation of transcutaneous electrical nerve stimulation as an adjunct therapy in trigeminal neuralgia - a randomized double-blind placebo-controlled clinical study

  • Bisla, Suman;Gupta, Ambika;Agarwal, Shalini;Singh, Harneet;Sehrawat, Ankita;Singh, Aarti
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • 제21권6호
    • /
    • pp.565-574
    • /
    • 2021
  • Background: Trigeminal neuralgia (TN) is a severe form of pain that affects the daily activities of a patient. Transcutaneous electrical nerve stimulation (TENS) therapy is an emerging option for the treatment of acute and chronic pain. The aim of this study was to evaluate the effect of TENS therapy as an adjunct to drug therapy for the treatment of TN. Methods: A total of 52 patients diagnosed with TN according to the International Classification of Headache Disorders (version 3) were included. Each patient was randomized to either the TENS or placebo TENS groups. Intervention was given in continuous mode and 100-Hz frequency for 20 mins biweekly for 6 weeks. Parameters were measured at baseline, TENS completion and 3 months, 6 months, and 1 year of follow up. The parameters observed were mean carbamazepine dose, mean visual analog scale (VAS) score, mean present pain intensity (PPI) score, and functional outcome. Non-parametric analyses, one-way ANOVA and the Kruskal-Wallis test were applied for intragroup comparisons, while the Mann-Whitney U test and independent t-test were used for intergroup comparisons of variables. The chi-square test was applied to analyze categorical data. Results: Compared to the placebo TENS group, the mean dose of carbamazepine in the TENS group was significantly reduced at TENS completion, as well as at 6 months and 1 year follow up. Changes in mean VAS score, mean PPI score, and functional outcome did not show significant differences between the groups (P>0.05). Conclusion: TENS therapy does not lead to any changes in pain levels but it may reduce the mean dose of carbamazepine when used as an adjunct treatment in patients with TN.

넙다리네갈래근의 신경근전기자극치료가 무릎관절 전치환술 환자의 균형에 미치는 영향 (The Effects of Neuromuscular Electrical Stimulation of the Quadriceps Femoris on the Balance in Patients with Total Knee Arthroplasty)

  • 조훈;임상철;김경
    • 대한통합의학회지
    • /
    • 제11권2호
    • /
    • pp.159-168
    • /
    • 2023
  • Purpose : This study aimed to investigate how neuromuscular electrical stimulation (NMES) affects the balance ability of patients who have undergone total knee arthroplasty owing to osteoarthritis. Methods : Thirty patients who had undergone total knee arthroplasty were randomized to an experimental group (n=15) and a control group (n=15). The experimental group received conventional physical therapy for 50 minutes and NMES treatment for 30 minutes, whereas the control group received conventional physical therapy for 50 minutes and active range of motion (AROM) exercises for 30 minutes. Within-group and between-group changes in static and dynamic balance ability before and after the 4-week intervention were analyzed. Results : In the within-group comparison, sway velocity in the center of gravity and total distance were significantly improved in both the experimental and control groups (p<.05), with no significant differences between the groups (p>.05). In the within-group comparison, both the experimental and control groups showed significant improvement in the functional reach test and movement velosity (p<.05). In the between-group comparison, the experimental group showed a significantly better improvement than the control group in the functional reach test (p<.05), but there was no significant difference in the movement velosity test (p>.05). Conclusion : In this study, NMES improved the static and dynamic balance in patients who had undergone total knee arthroplasty. Compared with AROM exercises, there was a greater effect on dynamic balance partially; however, the overall effect was similar. Therefore, NMES may be one option among various interventions to improve the balance ability in patients who have undergone total knee arthroplasty. In particular, this method may be effective when it is difficult to apply balance training for patients with total knee arthroplasty in a clinical setting.

V40 마이크로프로세서를 이용한 마비기능복원용 전기자국장치의 개발 (A Functional Electrical Stimulation System Employing a V40 Microprocessor for Paralyzed Extremities)

  • 임영철;류영재;김이곤;조경영;박철수
    • 대한전기학회논문지
    • /
    • 제43권4호
    • /
    • pp.679-686
    • /
    • 1994
  • This paper describes an improved FES system to restorp paralyzed extremities in spinal-cord-injured patients. By using time-division method in the proposed FES system, we can reduce the size and weight of system despite of increasing channels. We designed a DC-DC converter to adapt the condition of each patient. We could reduce the cost by using easily available apparatus like an IBM-PC for the stimulus-pattern-creating system and standardized parts for the protable FES system.

기능적 표면 전기자극에 의해 유발되는 등척성 근력강화현상의 기초적 특성 (Fundamental Characteristics of Isometric Muscle Force Potentiation induced by Surface Stimulation in FES)

  • 엄광문
    • 대한의용생체공학회:의공학회지
    • /
    • 제22권2호
    • /
    • pp.151-156
    • /
    • 2001
  • 기능적 전기자극(FES)에 의한 사지운동의 효과적인 제어를 위해서는, 전기자극을 입력으로 하여 근력 및 운동을 정확히 출력하는 근골격모델이 요망된다. 이 연구에서는 FES에 의한 근력 및 운동을 보다 정확히 예측할 수 있는 모델을 작성하기 위하여, 기존의 근육모델에서는 포함되지 않았던 근력의 점진적 강화현상에 대한 기초적 성질을 조사하는 것을 목적으로 한다. 구체적으로는, 일정강도의 표면자극에 대한 근력의 강화현상이 주파수, 자극이력, 근육길이에 어떻게 의존하는지를 조사하였다. 실험결과로부터, 자극의 주파수가 높을수록 초기근력에 대한 자극중의 근력의 증가도는 작아지고 근력의 피크에 도달하는 시간이 짧아지는 것을 알 수 있었다. 선행 자극에 의해 근육의 내부적인 강화상태가 포화되면 근력은 추가적인 자극에 대해서도 더 이상 증가하지 않았다. 자극시의 근육의 길이는 근력강화에 큰 영향을 미쳤으며, 근육의 길이가 짧을수록 증가도가 컸다. 장래에는 이러한 결과를 토대로 한 새로운 근력강화의 모델이 요망된다.

  • PDF

Effects of Interferential Current Treatment on Pain, Functional Ability, and Health-Related Quality of Life in Chronic Stroke Patients with Lumbago; A Randomized Controlled Study

  • Jung, Kyoung-Sim;In, Tae-Sung
    • 대한물리의학회지
    • /
    • 제15권1호
    • /
    • pp.25-32
    • /
    • 2020
  • PURPOSE: This study examined the efficacy of an interferential current (IFC) treatment on the improvement of pain, disability, and quality of life in stroke patients with lumbago. METHODS: A double-blind, randomized clinical trial was conducted on 40 stroke patients with lumbago. The patients were allocated randomly into two groups: the IFC treatment group (n= 20) and the placebo treatment group (n= 20). The IFC group received 30 minutes of IFC treatment on the lumbar region, while the placebo group received IFC treatment but without real electrical stimulation. The intervention was administered five days a week for four weeks. The primary outcomes of pain intensity were measured using a visual analogue scale. The secondary measurements included the Barthel Index, Oswestry Disability Index (ODI), and health-related quality of life (HRQoL). RESULTS: The measurements were conducted before and after the two-week intervention period. Compared to the placebo treatment group, the IFC treatment group showed significantly greater improvement in the pain intensity (p<.05), ODI (p<.05), and SF-36 (p<.05) at the end of the intervention. No significant differences in the Barthel Index were found between the two groups. CONCLUSION: These findings show that an IFC treatment can improve pain, functional ability, and quality of life, highlighting the benefits of somatosensory stimulation from IFC in stroke patients with lumbago.