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KMID : 0895820040140010077
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Journal of Oriental Rehabilitation Medicine
2004 Volume.14 No. 1 p.77 ~ p.90
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The E ffec tiveness o f E lectroacupuncture S tim ulateously M u sc le P a tte rn E x ercise fo r G ait R e h ab ilita tion a fte r S tro ke
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Youn You-Suk
Kim Sung-Su
Lee Jong-Soo
Sim Woo-Jin
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Abstract
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Objectives: Not only but also the muscle pattern excercise(MPE) is freqeuntly used to enhance gait rehabilitation after stroke. Although many studies have indicated that each EA and MPE might improve the gait and functional recovery, there is no study about using EA and MPE stimulateously for effectively treating for gait rehabilitation and funtional recovery after stroke. So we compare the effectiveness between electroacupuncture on affected lower extremity and stimulateously muscle pattern exercise on unaffected upper extremity and only electroacupuncture on affected lower extremity.
Methods: 33 stroke patients with hemiplegic stroke were randomized into two groups. 18 patients were treated by electroacupuncture on affected lower extremity and stimulateously muscle pattern exercise on unaffected upper extremity. The other 15 patients were treated by only electroacupuncture on affected lower extremity. The study was applicated a day for 20 days. The frequency of stimulation was 2Hz and intensity was set at a level sufficient to include muscle contraction. The muscle pattern exercise was elbow extension. Outcome were assessed by weight difference of both leg, modified Barthel index and temporal distant gait analysis, for example gait velocity, cadence, stride length, steps length, based of support.
Results: By the end of treatment, the sample group showed significantly more improvement than the control group in the section of weight difference of both leg, cadence, stride length, steps length.
Conclusions: These results support that electroacupuncture on affected lower extremity and stimulateously muscle pattern exercise is more effective than only electroacupuncture on affected lower extremity for gait rehabilitation.
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KEYWORD
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Gait rehabilitation, Electroacupunture, Muscle pattern exercise
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