Effects of Muscle Strength Training and Gait Training Using Integrated Volitional Control Electrical Stimulator (IVES) on Motor Paralysis and Gait Function of Mild Acute Stroke Patients: A Quasi-randomized Controlled Trial

• Published in: Rigaku ryoho kagaku 2020, Vol.35(6), pp.885-891
• Main Authors: HAYASHI, Shota, IGARASHI, Tatsuya, INOUE, Kazuki, OKUMA, Aya, KAWAGUCHI, Ryota, TAKAHASHI, Naoya, USUDA, Shigeru
• Format: Article
• Language: eng ; jpn
• Subjects: 2-minute walking distance; functional electrical stimulation; Gait; Muscle strength; Rehabilitation; Stroke; walking speed
• ISSN: 1341-1667; 2434-2807
• DOI: 10.1589/rika.35.885

[Purpose] To investigate the effectiveness of using Integrated Volitional control Electrical Stimulation (IVES) at improving motor paralysis and gait function of mild acute stroke patients. [Participants and Methods] Twenty-four subjects with first acute stroke were randomly assigned to a normal rehabilitation group (n=13) or a functional electrical stimulation (FES) group (n=11). The FES group received electrical stimulation in addition to the same treatment as the normal rehabilitation group. All subjects were assessed at baseline, at 1 week after treatment, and at discharge, and the results were analyzed using two-way analysis of variance, followed by post hoc tests with the Dunnett test to compare treatment effects between the two groups. [Results] Motor function of the affected ankle dorsiflexion, muscle strength of the affected hip flexion and ankle dorsiflexion, walking speed, and 2-minute walking distance results were significantly better in the FES group than in the normal rehabilitation group at discharge. [Conclusion] The use of IVES in addition to normal rehabilitation improves motor paralysis and gait function in mild acute stroke.