Comparative Analysis Of Clinical Efficacy Of Contralateral Controlled Functional Electrical Stimulation And Functional Electrical Stimulation In The Treatment Of Hemiplegia Patients With Foot Drop

Objective:To compare the clinical efficacy of contralateral controlled functional electrical stimulation and functional electrical stimulation in the treatment of hemiplegia patients with foot drop.Method:Forty patients who met the criteria were included in the study.Two groups were randomly divided into two groups,CCFES group and FES group with 20 patients in each group.Patients in both groups were given basic drug therapy and rehabilitation therapy.Basic drug therapy included neurotrophic therapy and other treatments to control primary diseases such as hypertension and diabetes.Acupuncture and hemiplegic limb comprehensive training were carried out by the same experienced physician and therapist,the same treatment program.On this basis,the CCFES group received contralateral control functional electrical stimulation,and the FES group received functional electrical stimulation.Ankle dorsiflexion active range of motion(AROM),lower limb fugl-meyer assessment scale(FMA)and freehand muscle strength(MMT)were used to assess the functional status of the patients before and after treatment for 4 weeks.Results:1.There was no statistically significant difference between CCFES group and FES group in gender,age,onset time,hemiplegic side,number of patients with hypertension,number of patients with diabetes,number of patients with coronary heart disease and other general conditions(P>0.1).2.CCFES with FES group two groups of patients before treatment AROM [(7.10±4.32)°and(6.35 ± 4.97)°],FMA score [(18.75±-2.94)and(17.75±2.94)] and MMT score level[(1.90±0.31)and(1.85 ± 0.37)for level] there was no statistically significant difference(P > 0.05);3.CCFES group after treatment,patients with ankle back AROM [(13.70±4.26)°],FMA score [(25.60±2.46)] and MMT score level [(2.20 ± 0.52)] was significantly increased,the difference was statistically significant(t value respectively 8.947,12.816,2.349,P <0.05);4.The FES group after treatment,patients with ankle back AROM [(10.65±5.13)°],FMA score [(22.80±2.80)] and MMT score level [(2.05 ± 0.22)] was significantly increased,the difference was statistically significant(t value respectively-5.754,9.798,5.129,P < 0.05);5.The AROM,and FMA scores of patients in CCFES group were significantly improved after treatment compared with those in FES group,with statistically significant differences(t values were-2.190 and-2.424,all P <0.05).Conclusion:1.Contralateral controlled functional electrical stimulation and functional electrical stimulation combined with comprehensive rehabilitation treatment can effectively improve foot drop after stroke;2.Contralateral controlled functional electrical stimulation was superior to the simple functional electrical stimulation in improving ankle range of motion and lower limb fugl-meyer score of patients.3.Contralateral controlled functional electrical stimulation was not significantly superior to functional electrical stimulation in improving patients' free hand muscle strength.