Abstract
Influence of functional electrical stimulation combined with standing digital occupational therapy training on the upper limb motor function of patients with stroke hemiplegia
  
DOI:10.3870/zgkf.2026.07.003
EN KeyWords: stroke  hemiplegia  functional electrical stimulation  occupational therapy
Fund Project:2023年承德市科技计划自筹经费项目(202301A017)
作者单位
王小辉 承德市中心医院康复医学科,河北承德067000 
谢添 承德市中心医院康复医学科,河北承德067000 
郑志佳 承德市中心医院康复医学科,河北承德067000 
祝佳琪 承德市中心医院康复医学科,河北承德067000 
申润峰 承德市中心医院康复医学科,河北承德067000 
韦海燕 承德市中心医院康复医学科,河北承德067000 
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EN Abstract:
  Objective: To explore the influence of functional electrical stimulation (FES) combined with standing digital occupational therapy (OT) training on stroke hemiplegia. Methods: From February 2023 to February 2025, 118 patients with stroke hemiplegia were selected and divided into the control group and the combined group by the random number table method. All the enrolled patients received the conventional treatment plan, and on this basis, the control group was treated with FES therapy, while the combined group was treated with FES and standing digital OT training. After 8 weeks of intervention, the upper limb motor function and exercise completion volume, shoulder joint range of motion, neurological function, upper limb muscle electromyography values, daily activity ability and quality of life were compared between the two groups. Results: After 8 weeks of intervention, the scores of upper limb Fugl-Meyer assessment (FMA-UE), the angles of flexion, abduction, internal rotation, external rotation, the stroke-specific quality of life scale (SS-QOL) scores, Wolf motor function test (WMFT) scores, surface electromyography values of the upper trapezius muscle bundle, anterior deltoid muscle bundle, and modified Barthel index (MBI) of the two groups were significantly higher than those before treatment, and those in the combined group were higher than those in the control group (all P<0.05). The National Institutes of Health Stroke Scale (NIHSS) scores of the two groups after treatment were significantly lower than those before treatment, and those in the combined group were lower than those in the control group (P<0.05). Conclusion: The combined intervention of FES and standing digital OT training for patients with stroke hemiplegia can effectively enhance the upper limb motor function, alleviate shoulder joint motor disorders, ameliorate the patients’ living activity ability, and achieve a relatively ideal effect in improving the quality of life.
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