Clinical Effect of Functional Electrical Stimulation in Treatment of Spinal Cord Injury and Its Effect on Life Quality
ZHANG Zhen-jie
Jiaxing Second Hospital Rehabilitation department, Jiaxing (314000), China
Abstract:
Objective To explore the effect of functional electrical stimulation on spinal cord injury and its impact on quality of life. Methods Totally 80 patients with spinal cord injury were randomly divided into two groups by drawing lots. The control group received routine treatment, while the research group received electrical stimulation therapy on the basis of the control group. The muscle strength of tibialis anterior muscle, maximum walking speed of 10 m, quality of life and functional independent measure (FIM) of walking ability were compared between the two groups. Results After treatment, the proportions of trans-anterior muscle strength Ⅳ＋ – Ⅴ –、Ⅲ＋ – Ⅳ –、Ⅱ＋ – Ⅲ – were 45.0%, 45.0% and 15.0% compared with 20.0%, 35.0% and 45.0% in the control group (P<0.05); before treatment, there was no significant difference between the two groups (P>0.05); after treatment, the maximum walking speed of 10 m in the study group was (33.18±7.42) and (46.03±9.03) m/min, respectively, one week and three weeks after treatment. The scores of emotional, social, role and cognitive function of the two groups before treatment were not significantly different (P>0.05). After treatment, the scores of emotional, social, role and cognitive function of the study group were (85.2±12.3), (88.4±7.8), (82.8±8.2) and (81.8±6.5), significantly higher than those of the control group (66.6±9.5), (71.3±6.5), (68.3±7.8) and (69.5±5.7). Before treatment, there was no significant difference in FIM walking ability score between the two groups (P>0.05). After treatment for one week and three weeks, the walking ability scores of the study group were (3.96±0.72) and (6.06±0.53), and the walking up and down stairs scores were (2.78±0.24) and (4.04±0.83), which were better than those of the control group after treatment for one week and three weeks. The walking ability scores of the control group were (3.41±0.79) and (4.13±0.48). The staircase scores were (2.14±1.31) and (2.98±0.79), with significant difference (P<0.05). Conclusion Functional electrical stimulation can not only improve walking speed and tibialis anterior muscle strength, but also improve the quality of life of patients with spinal cord injury.
