Medicina, Vol. 58 No. 4, 2022.
Izvorni znanstveni članak
Functional Electrical Stimulation for home use in patients after stroke
Nika Goljar Kregar
; University Rehabilitation Institute, Ljubljana, Slovenia
Nataša Bizovičar ; University of Ljubljana, Faculty of Medicine, Department for Physical and Rehabilitation Medicine, Ljubljana, Slovenia
Marko Rudolf ; University Rehabilitation Institute, Ljubljana, Slovenia
Maja Batinič ; University Rehabilitation Institute, Ljubljana, Slovenia
Puni tekst: engleski pdf 1.526 Kb
APA 6th Edition
Goljar Kregar, N., Bizovičar, N., Rudolf, M. i Batinič, M. (2022). Functional Electrical Stimulation for home use in patients after stroke. Medicina Fluminensis, 58 (4), 399-405. https://doi.org/10.21860/medflum2022_284697
MLA 8th Edition
Goljar Kregar, Nika, et al. "Functional Electrical Stimulation for home use in patients after stroke." Medicina Fluminensis, vol. 58, br. 4, 2022, str. 399-405. https://doi.org/10.21860/medflum2022_284697. Citirano 28.03.2023.
Chicago 17th Edition
Goljar Kregar, Nika, Nataša Bizovičar, Marko Rudolf i Maja Batinič. "Functional Electrical Stimulation for home use in patients after stroke." Medicina Fluminensis 58, br. 4 (2022): 399-405. https://doi.org/10.21860/medflum2022_284697
Goljar Kregar, N., et al. (2022). 'Functional Electrical Stimulation for home use in patients after stroke', Medicina Fluminensis, 58(4), str. 399-405. https://doi.org/10.21860/medflum2022_284697
Goljar Kregar N, Bizovičar N, Rudolf M, Batinič M. Functional Electrical Stimulation for home use in patients after stroke. Medicina Fluminensis [Internet]. 2022 [pristupljeno 28.03.2023.];58(4):399-405. https://doi.org/10.21860/medflum2022_284697
N. Goljar Kregar, N. Bizovičar, M. Rudolf i M. Batinič, "Functional Electrical Stimulation for home use in patients after stroke", Medicina Fluminensis, vol.58, br. 4, str. 399-405, 2022. [Online]. https://doi.org/10.21860/medflum2022_284697
Aim: The aim of this pragmatic observational study was to identify for which purposes Functional electrical stimulation (FES) has been prescribed in University Rehabilitation Institute of Republic of Slovenia – Soča (URI-Soča) for long term treatment at home and whether prescribing practice has been changed over time in the last 10 years. Methods: A pragmatic cohort retrospective study included 373 stroke patients that performed inpatient rehabilitation at the Department for rehabilitation of patients after stroke URI-Soča between January 2010 and December 2019, and used FES at home after discharge. Results: FES was most often prescribed to patients with mild disability and severely affected upper extremity after stroke. Half of the patients used FES on the paretic upper extremity, 46.9% on the hemiparetic upper and lower extremity and only minority (2.9%) on the affected lower extremity alone. The upper limb stimulation predominated almost in the whole observational period. 22.3% of the patients used FES for more than 1 year, on average 3.5 years. A combination of FES and botulinum toxin therapies was used as a spasticity treatment of affected upper extremity in almost one third of patients (29.8%). In a group that used FES for more than one year, botulinum toxin therapies were statistically significantly more frequent (P<0.001). Conclusions: Almost one-third of patients included in this study got FES for home use to manage spasticity. More than a half of those who used FES at home for years used combination of botulinum toxin and FES therapies which suggests they felt effectiveness of combined treatment approach.
Botulinum Toxins, Type A, electric stimulation, stroke rehabilitation, home environment
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