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KMID : 0895820040140020085
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Journal of Oriental Rehabilitation Medicine
2004 Volume.14 No. 2 p.85 ~ p.95
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The Effectiveness of Exercising Unaffected Upper Extremity in Operating Electroacupunture after Stroke
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Youn You-Suk
Lee Jong-Soo
Chung Seok-Hee
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Abstract
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Objective: The muscle pattern excercise(MPE) is freqeuntly usde to enhance stroke rehabilitation. and the electroacupunture(EA) is also used to facililitate stroke rehabilitation. Although many studies have indicated that each MPE and EA might improve the motor and functional recovery, there is no study about using MPE and EA simultaneously for effective treating for stroke rehabilitation especially lower extremity function. So we compare the effect between electroacupuncture on affected lower extremity and simultaneously elbow exercise on unaffected upper extremity and only electroacupuncture on affected lower extremity.
Methods: 53 stroke patients with hemiplegic stroke were randomized into two groups. 28 patients were treated by electroacupuncture on affected lower extremity and simultaneously elbow exercise on unaffected upper extremity. The other 25 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 elbow exercise was elbow flexion and extension. Outcome were assessed by weight difference of both leg, Fugl-Meyer score, Medical research council scale, modified Ashworth sclae, modified Barthel index and NIH.
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, Fugl-Meyer score, Motor Power, modified Barthel index.
Conclusion:These results support that electroacupuncture on affected lower extremity and simultaneously unaffected elbow exercise is more effective than only electroacupuncture on affected lower extremity for Stroke rehabilitation.
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KEYWORD
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Muscle exercise pattern, Stroke rehabilitation, Electroacupunture
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