Article

OBJECTIVE: To investigate the effect of functional electrical stimulation (FES)
in improving activity and to investigate whether FES is more effective than
training alone. DATA SOURCES: Cochrane Central Register of Controlled Trials,
Ovid Medline, EBSCO Cumulative Index to Nursing and Allied Health Literature,
Ovid EMBASE, Physiotherapy Evidence Database (PEDro), and Occupational Therapy
Systematic Evaluation of Effectiveness. STUDY SELECTION: Randomized and
controlled trials up to June 22, 2014, were included following predetermined
search and selection criteria. DATA EXTRACTION: Data extraction occurred by 2
people independently using a predetermined data collection form. Methodologic
quality was assessed by 2 reviewers using the PEDro methodologic rating scale.
Meta-analysis was conducted separately for the 2 research objectives. DATA
SYNTHESIS: Eighteen trials (19 comparisons) were eligible for inclusion in the
review. FES had a moderate effect on activity (standardized mean difference
[SMD], .40; 95% confidence interval [CI], .09-.72) compared with no or placebo
intervention. FES had a moderate effect on activity (SMD, .56; 95% CI, .29-.92)
compared with training alone. When subgroup analyses were performed, FES had a
large effect on upper-limb activity (SMD, 0.69; 95% CI, 0.33-1.05) and a small
effect on walking speed (mean difference, .08m/s; 95% CI, .02-.15) compared with
control groups. CONCLUSIONS: FES appears to moderately improve activity compared
with both no intervention and training alone. These findings suggest that FES
should be used in stroke rehabilitation to improve the ability to perform
activities.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS