ĐÁNH GIÁ KẾT QUẢ CỦA KÍCH THÍCH ĐIỆN CHỨC NĂNG (FES) PHỐI HỢP HOẠT ĐỘNG TRỊ LIỆU TRONG PHỤC HỒI CHỨC NĂNG CẦM NẮM Ở NGƯỜI BỆNH ĐỘT QUỴ NÃO

Abstract

Objectives: To evaluate the results of functional electrical stimulation (FES) combined with occupational therapy in the Rehabilitation of grip function in stroke patients. Subject and methods: Prospective intervention study, comparing before and after treatment on 89 patients diagnosed with stroke, treated at the Rehabilitation Center - Bach Mai Hospital from August 2023 to August 2024. Patients were treated for 28 days according to the regimen: Occupational therapy 30 minutes/time, 1 time/day; Functional electrical stimulation of the paralyzed finger area with FES machine 30 minutes/time, 1 time/day (off on Saturday and Sunday). Results were evaluated through the following scales: Upper limb motor function (FMAT), Motor Activities Log- Quality of movement scale (MAL-QOM), Action research arm test (ARAT), Hand Movement Scale (HMS), and overall treatment results based on the total converted score of the items. Results: Average age 64.6 ± 10.6 years, of which left hemiplegia accounted for 57.3%. Overall treatment effectiveness: good 68.5%, fair 25.8%, average 5.7%. Upper limb motor function (FMAT) increased the D0-D28 score significantly (p<0.001) with 7.9% good, 68.5% fair, and 23.6% average. Upper limb use level (MAL-QOM) increased significantly (p<0.05), and 65.2% achieved 3 points at D28. Upper limb motor ability (ARAT) improved slowly, the average score increase after treatment was 20.2 ± 9.0 points (p<0.01). Hand movement function (HMS): 3.4% achieved 5 points, 37.1% achieved 4 points, 57.3% achieved 3 points, 2.2% achieved 2 points. Conclusion: FES intervention combined with occupational therapy significantly improves grip ability in post-acute stroke patients.