Objective To observe the effect of repetitive focal muscle stimulation on recovery of upper limb function after stroke.Methods From October, 2016 to February, 2018, 46 stroke patients at early stage were recruited and divided into control group (n=23) and observation group (n=23). Both groups received basic rehabilitation training. The observation group accepted additional repetitive focal muscle stimulation on palms, forearm extensor carpi radialis, biceps brachii and muscles around scapula. The control group received sound stimulation as placebo treatment. The treatment was implemented once a day, five days a week for four weeks totally. The scores of Fugl-Meyer Assessment -Upper Extremities (FMA-UE), the Motricity Index of Upper Extremities (MI-UE) and the Hong Kong version of Functional Test for the Hemiplegic Upper Extremity (FTHUE-HK) were compared before and four weeks after treatment. Results After treatment, the scores of FMA-UE, MI-UE and FTHUE-HK improved in both groups (F>2.577, P<0.05), and were higher in the observation group than in the control group (t>2.153, P<0.05).Conclusion Repetitive focal muscle stimulation could facilitate to recover the function of upper limb in early-stage stroke patients.
[1] Kwakkel G, Kollen BJ, Krebs HI.Effects of robot-assisted therapy on upper limb recovery after stroke: a systematic review[J]. Neurorehabil Neural Repair, 2008, 22(2): 111-121.
[2] 易金花,张颖,官龙,等. 脑卒中患者上肢康复训练系统研究进展[J]. 中国康复, 2013, 28(4): 249-251.
[3] Rasmussen RS, Østergaard A, Kjær P, et al.Stroke rehabilitation at home before and after discharge reduced disability and improved quality of life: a randomised controlled trial[J]. Clin Rehabil, 2016, 30(3): 225-236.
[4] Forner-Cordero A, Steyvers M, Levin O, et al.Changes in corticomotor excitability following prolonged muscle tendon vibration[J]. Behav Brain Res, 2008, 190(1): 41-49.
[5] 中华神经科学会,中华神经外科学会. 各类脑血管疾病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380.
[6] Caliandro P, Celletti C, Padua L, et al.Focal muscle vibration in the treatment of upper limb spasticity: a pilot randomized controlled trial in patients with chronic stroke[J]. Arch Phys Med Rehabil, 2012, 93(9): 1656-1661.
[7] Filippi GM, Brunetti O, Botti FM, et al.Improvement of stance control and muscle performance induced by focal muscle vibration in young-elderly women: a randomized controlled trial[J]. Arch Phys Med Rehabil, 2009, 90(12): 2019-2025.
[8] Gladstone DJ, Danells CJ, Black SE.The Fugl-Meyer assessment of motor recovery after stroke: a critical review of its measurement properties[J]. Neurorehabil Neural Repair, 2002, 16(3): 232-240.
[9] Kong KH, Chua KS, Lee J.Recovery of upper limb dexterity in patients more than 1 year after stroke: frequency, clinical correlates and predictors[J]. NeuroRehabilitation, 2011, 28(2): 105-111.
[10] Fong K, Ng B, Chan D, et al.Development of the Hong Kong version of the functional test for the hemiplegic upper extremity (FTHUE-HK)[J]. Hong Kong J Occup Ther, 2004, 14(1): 21-29.
[11] Cardinale M, Pope MH.The effects of whole body vibration on humans: dangerous or advantageous?[J]. Acta Physiol Hung, 2003, 90(3): 195-206.
[12] Costantino C, Galuppo L, Romiti D.Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial[J]. Eur J Phys Rehabil Med, 2017, 53(1): 32-40.
[13] Casale R, Ring H, Rainoldi A.High frequency vibration conditioning stimulation centrally reduces myoelectrical manifestation of fatigue in healthy subjects[J]. J Electromyogr Kinesiol, 2009, 9(5): 998-1004.
[14] Collins DF, Refshauge K, Todd G, et al.Cutaneous receptors contribute to kinesthesia at the index finger, elbow, and knee[J]. J Neurophysiol, 2005, 94(3): 1699-1706.
[15] Langhorne PF, Coupar F, Pollock A.Motor recovery after stroke: a systematic review[J]. Lancet Neurol, 2009, 8(8): 741-754.
[16] O'Dell MW, Lin CD, Harrison V. Stroke rehabilitation: strategies to enhance motor recovery[J]. Annu Rev Med, 2009, 60: 55-68.
[17] Di Pino G, Pellegrino G, Assenza G, et al.Modulation of brain plasticity in stroke: a novel model for neurorehabilitation[J]. Nat Rev Neurol, 2014, 10(10): 597-608.
[18] Kim SS, Gomez Ramirez M, Thakur PH, et al.Multimodal interactions between proprioceptive and cutaneous signals in primary somatosensory cortex[J]. Neuron, 2015, 86(2): 555-566.
[19] Marconi B, Filippi GM, Koch G, et al.Long-term effects on motor cortical excitability induced by repeated muscle vibration during contraction in healthy subjects[J]. J Neurol Sci, 2008, 275(1-2): 51-59.
[20] Paoloni M, Mangone M, Scettri P, et al.Segmental muscle vibration improves walking in chronic stroke patients with foot drop: a randomized controlled trial[J]. Neurorehabil Neural Repair, 2010, 24(3): 254-262.
[21] Winters C, van Wegen EH, Daffertshofer A, et al. Generalizability of the proportional recovery model for the upper extremity after an ischemic stroke[J]. Neurorehabil Neural Repair, 29(7): 614-622.
[22] 李哲,赵玉敏,郭钢花,等. 全身振动训练对脑卒中患者躯干肌痉挛的影响[J]. 中国康复医学杂志, 2015, 30(8): 798-800.
[23] Aprile I, Di Sipio E, Germanotta M, et al.Muscle focal vibration in healthy subjects: evaluation of the effects on upper limb motor performance measured using a robotic device[J]. Eur J Appl Physiol, 2016, 116(4): 729-737.
[24] Paoloni M, Tavernese E, Fini M, et al.Segmental muscle vibration modifies muscle activation during reaching in chronic stroke: a pilot study[J]. NeuroRehabilitation, 2014, 35(3): 405-414.
[25] Pietrangelo T, Mancinelli R, Toniolo L, et al.Effects of local vibrations on skeletal muscle trophism in elderly people: mechanical, cellular, and molecular events[J]. Int J Mol Med, 2009, 24(4): 503-512.
