Izvorni znanstveni članak

https://doi.org/10.21860/medflum2022_284697

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

Sažetak

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.

Ključne riječi

Botulinum Toxins, Type A; electric stimulation; stroke rehabilitation; home environment

Hrčak ID:

284697

URI

https://hrcak.srce.hr/284697

Datum izdavanja:

1.12.2022.

Podaci na drugim jezicima: hrvatski

Posjeta: 594 *