Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study

koyuncu, gönül; TÜRK, Dilek; ŞAŞMAZ, Fatma Münevver; Ersoz, Murat; AKYÜZ, Müfit; KARAKUŞ, DİLEK

Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study

Dilek KARAKUŞ, (Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)

Murat ERSÖZ, (Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)

Gönül KOYUNCU, (Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)

Dilek TÜRK, (Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)

Fatma Münevver ŞAŞMAZ, (Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)

Müfit AKYÜZ (Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

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Yıl: 2013 Cilt: 59 Sayı: 2 Sayfa Aralığı: 97 - 102 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study

Öz:

Amaç: Subakut/ kronik inmelilerde fonksiyonel elektrik stimülasyonunun el bileği fonksiyonları ve spastisitesine etkisini araştırmak. Gereç ve Yöntem: Randomize, kontrollü, prospektif çalışma. Yaş ortalaması 58,9±12,3 yıl, ortalama inme süresi 100±62 gün olan 28 hasta, rastgele fonksiyonel elektrik stimülasyonu veya kontrol grubuna alındı. Kontrol grubunda bulunan hastalara (n=14) standart rehabilitasyon programı, diğer grup hastalara (n=14) standart rehabilitasyon programına ek olarak el bileği ve parmak ekstansörlerine fonksiyonel elektrik stimülasyon uygulandı. Üst ekstremite fonksiyonları Motricity indeksi, spatisite Ashworth skalası ile tedavi öncesi ve 2 hafta sonrası değerlendirildi. El bileği fleksiyon ve ekstansiyonunda pasif direnç izokinetik dinamometre ile90 ve 120 derece/sn açısal hızlarda ölçüldü. Bulgular: Total üst ekstremite Motricity indeks skoru tedavi öncesi gruplar arasında benzerdi (p=0,142). Grup içi Motricity indeks analizlerinde, total Motricity indeks skoru fonksiyonel elektrik stimülasyonu grubunda düzelme gösterirken (n=14) (p=0,027), diğer parametrelerde anlamlı düzelme görülmedi (p>0,05). Fonksiyonel elektrik stimülasyon grubunda araştırılan diğer parametrelerde de düzelme görülmedi (p>0,05). Sonuç: İnme sonrası gelişen hemiplejide standart rehabilitasyon programına eklenen fonksiyonel elektrik stimülasyon üst ekstremite motor fonksiyonlarını olumlu yönde etkilemektedir. Türk Fiz T p Rehab Derg 2013;59:97-102. 60,

Anahtar Kelime:

Konular: Rehabilitasyon

İnmede fonksiyonel elektrik stimülasyonunun el bileği fonksiyonları ve spastisiteye etkisi: randomize kontrollü bir çalışma

Öz:

Objective: To investigate the effect of functional electrical stimulation on wrist function and spasticity in individuals with subacute/chronic stroke. Materials and Methods: Randomized, controlled and prospective study. Twenty-eight patients with a mean age of 58.9±12.3 years and with a mean stroke duration of 100±62 days were randomly assigned to a functional electrical stimulation group or a control group. A standard rehabilitation program was applied to control group (n=14), and a standard rehabilitation program plus functional electrical stimulation of wrist and finger extensors were applied to the other group (n=14). Upper limb function was assessed by the Motricity index and spasticity was assessed by the Ashworth scale at the beginning and two weeks after the treatment. Resistance to passive wrist flexion and extension at 60, 90 and 120 degrees/sec velocities were measured by using an isokinetic dynamometer. Results: Total upper extremity Motricity index scores were not different between the groups at the beginning (p=0.142). Intragroup analyses of the Motricity index showed that there was a statistically significant improvement in total Motricity index score in functional electrical stimulation group (n=14) (p=0.027), however, other studied parameters did not improve significantly (p>0.05). None of the studied parameters statistically significantly improved in the standard rehabilitation group (n=14) (p>0.05). Conclusion: Adding functional electrical stimulation to standard rehabilitation program has a positive improving effect on the upper limb motor function in patients with post-stroke hemiplegia. Turk J Phys Med Rehab 2013;59:97-102.

Anahtar Kelime:

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KARAKUŞ D, Ersoz M, koyuncu g, TÜRK D, ŞAŞMAZ F, AKYÜZ M (2013). Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study. , 97 - 102.
Chicago	KARAKUŞ DİLEK,Ersoz Murat,koyuncu gönül,TÜRK Dilek,ŞAŞMAZ Fatma Münevver,AKYÜZ Müfit Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study. (2013): 97 - 102.
MLA	KARAKUŞ DİLEK,Ersoz Murat,koyuncu gönül,TÜRK Dilek,ŞAŞMAZ Fatma Münevver,AKYÜZ Müfit Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study. , 2013, ss.97 - 102.
AMA	KARAKUŞ D,Ersoz M,koyuncu g,TÜRK D,ŞAŞMAZ F,AKYÜZ M Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study. . 2013; 97 - 102.
Vancouver	KARAKUŞ D,Ersoz M,koyuncu g,TÜRK D,ŞAŞMAZ F,AKYÜZ M Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study. . 2013; 97 - 102.
IEEE	KARAKUŞ D,Ersoz M,koyuncu g,TÜRK D,ŞAŞMAZ F,AKYÜZ M "Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study." , ss.97 - 102, 2013.
ISNAD	KARAKUŞ, DİLEK vd. "Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study". (2013), 97-102.

APA	KARAKUŞ D, Ersoz M, koyuncu g, TÜRK D, ŞAŞMAZ F, AKYÜZ M (2013). Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 59(2), 97 - 102.
Chicago	KARAKUŞ DİLEK,Ersoz Murat,koyuncu gönül,TÜRK Dilek,ŞAŞMAZ Fatma Münevver,AKYÜZ Müfit Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 59, no.2 (2013): 97 - 102.
MLA	KARAKUŞ DİLEK,Ersoz Murat,koyuncu gönül,TÜRK Dilek,ŞAŞMAZ Fatma Münevver,AKYÜZ Müfit Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.59, no.2, 2013, ss.97 - 102.
AMA	KARAKUŞ D,Ersoz M,koyuncu g,TÜRK D,ŞAŞMAZ F,AKYÜZ M Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2013; 59(2): 97 - 102.
Vancouver	KARAKUŞ D,Ersoz M,koyuncu g,TÜRK D,ŞAŞMAZ F,AKYÜZ M Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2013; 59(2): 97 - 102.
IEEE	KARAKUŞ D,Ersoz M,koyuncu g,TÜRK D,ŞAŞMAZ F,AKYÜZ M "Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 59, ss.97 - 102, 2013.
ISNAD	KARAKUŞ, DİLEK vd. "Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 59/2 (2013), 97-102.