Effects of functional electrical stimulation combined with mirror therapy on lower limb function,balance function and serum irisin level in stroke patients with hemiplegia
WU Lina1 XU Gui1 YU Xiujie2
1.Department of Rehabilitation Medicine,Foresea Life Insurance Nanning Hospital,Guangxi Zhuang Autonomous Region,Nanning 530200,China;
2.Department of Rehabilitation Medicine,Dalian Viteo International Hospital,Liaoning Provance,Dalian 116620,China
Abstract：Objective To investigate the effects of functional electrical stimulation (FES)combined with mirror therapy on lower limb function,balance function and serum irisin level in stroke patients with hemiplegia.Methods A total of 84 stroke patients with hemiplegia admitted to Foresea Life Insurance Nanning Hospital from January 2022 to June 2023 were selected as the research objects.They were divided into control group (42 cases)and FES group (42 cases)by random number table method.On the basis of routine rehabilitation,the control group was given mirror therapy,and the FES group was given FES combined with mirror therapy.Both groups were intervened for 4 weeks.The lower limb motor function (Fugl-Meyer assessment lower limb part[FMA-L]),balance function (berg balance scale [BBS]),walking ability (10 m walking time test[10MWT],functional walking ability classification [FAC]),daily living ability ([modified Barthel index MBI]) and serum irisin levels were compared between the two groups before and after treatment.Results After 4 weeks of treatment,the FMA score,BBS score and MBI score of the lower limbs in the FES group were higher than those in the control group,and the 10MWT and FAC were better than those in the control group,the differences were statistically significant(P＜0.05).After 4 weeks of treatment,the serum irisin level in the FES group was higher than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion FES combined with mirror therapy can better improve lower limb function and balance function,increase serum irisin level and promote walking ability of patients.
Madhoun HY，Tan B，Feng Y，et al.Task-based mirror therapy enhances the upper limb motor function in subacute stroke patients:a randomized control trial[J].Eur J Phys Rehabil Med，2020，56（3）：265-271.
[4]
Atkins KD，Bickel CS.Effects of functional electrical stimulation on muscle health after spinal cord injury[J].Curr Opin Pharmacol，2021，60：226-231.
[5]
Kang N，Lee RD，Lee JH，et al.Functional Balance and Postural Control Improvements in Patients With Stroke After Noninvasive Brain Stimulation: A Meta-analysis[J].Arch Phys Med Rehabil，2020，101（1）：141-153.
Wu F，Meng Z，Yang K，et al.Effects of ankle-foot orthoses on gait parameters in post-stroke patients with different Brunnstorm stages of the lower limb：a single-center crossover trial[J].Eur J Med Res.2024，29（1）：235.
[8]
Huang CY，Lin GH，Huang YJ，et al.Improving the utility of the Brunnstrom recovery stages in patients with stroke：Validation and quantification[J].Medicine（Baltimore），2016，95（31）：e4508.
Andrenelli E，Ippoliti E，Coccia M，et al.Features and predictors of activity limitations and participation restriction 2 years after intensive rehabilitation following first-ever stroke[J].Eur J Phys Rehabil Med，2015，51（5）：575-585.
Chen Q，Shen W，Sun H，et al.Effects of mirror therapy on motor aphasia after acute cerebral infarction: A randomized controlled trial[J].Neuro Rehabilitation，2021，49（1）：103-117.
[14]
Broderick P，Horgan F，Blake C，et al.Mirror therapy and treadmill training for a patient with chronic stroke: A case report[J].Physiother Theory Pract，2019，35（5）：478-488.
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