 BOSNlAN lOUlNAl Ol BASlC MlDlCAl SCllNClS 2009, 9 (1).

+9-33
&
Abstract
Cerebrovascular accident is a tocal neurological deficiencv occurring suddenlv and lasting tor
more than .| hours. Te purpose ot our vork is to determine the role ot the tunctional elec-
trical simulation (llS) in the rehabilitation ot patients vith hemiparesis, vhich occurred as a
consequence ot a cerebrovascular accident. Tis studv includes the analvsis ot tvo groups ot |o
patients vith hemiparesis (.o patients vith deep hemiparesis and .o patients vith light hemi-
paresis), a control group vhich vas onlv treated vith kinesiotherapv and a tested group vhich
vas treated vith kinesiotherapv and tunctional electrical stimulation. Both groups ot patients
vere analvzed in respect to their sex and age. Additional analvsis ot the valking tunction vas
completed in accordance vith the Bl and lAP index. Te analvsis ot the basic demographical
data demonstrated that there is no significant difference betveen the control and tested group.
Te patients ot both groups are equal in respect ot age and sex. Atter | veeks ot rehabilitation
ot patients vith deep and light hemiparesis there vere no statisticallv significant differences
betveen the groups atter evaluation bv the Bl index. Hovever, a statisticallv significant differ-
ence vas noted betveen the groups bv the lAP index among patients vith deep hemiparesis.
Atter 8 veeks ot rehabilitation the group ot patients vho vere treated vith kinesiotherapv and
tunctional electrical stimulation shoved better statisticallv significant results ot rehabilitation in
respect to the control group vith both the Bl index and the lAP index (po,oo+).
ln conclusion, ve can state that the patients in rehabilitation atter a cerebrovascular accident
require rehabilitation longer than | veeks. Walking rehabilitation atter stroke is taster and more
successtul it ve used tunctional electrical stimulation, in combination vith kinesiotherapv, in
patients vith disabled extremities.
llY WOlDS. rehabilitation, kinesiotherapv, tunctional electrical stimulation.
EFFECTS OF FUNCTIONAL
ELECTRICAL STIMULATION
IN REHABILITATION WITH
HEMIPARESIS PATIENTS
Edina Tanović*
lnstitute tor Phvsiotherapv and lehabilitation, Universitv ot Sara|evo Clinics Centre,
Bolnička .·, ¬+ooo Sara|evo, Bosnia and Herzegovina
Corresponding author
 BOSNlAN lOUlNAl Ol BASlC MlDlCAl SCllNClS 2009, 9 (1). 30-33
lDlNA TANOVlĆ. llllCTS Ol lUNCTlONAl lllCTllCAl STlMUlATlON lN llHABlllTATlON WlTH HlMlPAllSlS PATllNTS
Introduction
Cerebrovascular accident is a tocal neurological de-
ticiencv occurring suddenlv and lasting tor more
than .| hours. A stroke denotes an acute or sub-
acute appearance ot svmptoms caused bv local-
ized disturbance ot arterial brain circulation (+, .).
Among its consequences are hemiplegia or hemipa-
resis, speech impairment, svalloving impairment,
tacial nerve changes, sensitivitv changes, sphinc-
ter control changes, and psvchological changes (:).
CNS regeneration and restructuring process is
believed to occur through the branching ot den-
drite tibres ot nerve brain cells, vhich occurs
in a period ot tvo vears atter the CVl ( |,·,6,¬).
lt is considered that rehabilitation atter the CVl in-
tluences the stimulation ot the penubra zone cells.
ln highlv developed countries, this phase is car-
ried out in the so-called “stroke units” (8,o). This is
the tirst rehabilitation phase, vhich includes pa-
tient care, tunctional training and kinesiotherapv.
Te second rehabilitation phase or late rehabilitation is
carried out in rehabilitation institutions. Te medical
rehabilitation program contains a series ot procedures
including the tolloving. patient care, tunctional train-
ing, kinesiotherapv, electrotherapv, thermotherapv, care
tor the patient’s psvchological state, and vork therapv.
Work therapv is a transitional bridge tovards the third
rehabilitation phase, vhich involves the patient’s re-
integration into his social, tamilv, and (it rehabilitated
tunctions permit) vorking environment. This phase
ot rehabilitation is carried out in the patient’s home
and the role ot the tamilv in this phase is vital (+o).
Te main issue is hov to accelerate the rehabilitation
process atter the appearance ot hemiparesis, vhich oc-
curs as a consequence ot stroke. lor this purpose, it is
important to determine vhether the use ot tunctional
electrical stimulation (llS), in combination vith other
rehabilitation methods, can help accelerate the tunc-
tional rehabilitation ot a disabled extremitv. Adequate
rehabilitation is ot paramount importance tor the pa-
tient, tamilv, healthcare and societv in general. lt the
rehabilitation period is reduced, the patient spends
tever davs in the hospital, undergoes tever proce-
dures, vhich as a result means smaller tunds invested
in the patient’s recoverv. With taster rehabilitation, the
patient is reintegrated sooner and can activelv par-
ticipate in societv and be economicallv productive.
The aim ot our studv is to determine the role ot
tunctional electrical stimulation in the rehabilita-
tion ot patients vith hemiparesis atter a stroke.
Patients and Methods
As a research sample, the author completed a compara-
tive studv vith tvo groups ot patients, vhich vere treat-
ed vith different therapeutic procedures. One group
consisted ot patients vho vere treated vith kinesiother-
apv and no other procedure. Tis vas the control group.
Te second group consisted ot patients that vere treated
vith kinesiotherapv and tunctional electrical stimulation.
Tis vas the tested group. Both groups vere equal in
respect to age and sex. lurthermore, both groups vere
analvzed bv the time vhich passed betveen the stroke
and the start ot the rehabilitation process, as vell as bv
the time vhich passed vhen the rehabilitation process
at the lnstitute tor Phvsiotherapv and lehabilitation ot
the Universitv ot Sara|evo Clinics Centre vas completed.
Study inclusion criteria
This research studv included patients vith a hemi-
paresis that occurred as a consequence ot a stroke.
All patients vere over +8 vears ot age and had been
diagnosed as stroke patients. lurthermore, all ot
the patients have participated in rehabilitation
at the lnstitute tor Phvsiotherapv and lehabilita-
tion ot the Universitv ot Sara|evo Clinics Centre.
Study exclusion criteria
This studv does not include patients vho have hemi-
paresis due to other reasons, are not conscious or are
disoriented in time and space, have cardiovascular
disease, are in inadequate phvsical state, have dam-
aged skin at the application region, have no muscle
elasticitv, experience strong spasms, have other ex-
tremitv detormities, are not villing to cooperate
or participate, or have experienced the occurrence
ot hemiparesis over three months betore the studv.
Research methods
ln this studv ve have decided to use the electro-stim-
ulation device developed at the ložet Stetan lnstitute
in l|ubl|ana, Model +oo Microtes Personal lit. Tvo
groups ot |o patients in rehabilitation vere tormed.
Both groups consisted ot tvo sub-groups. .o patients
vith deep hemiparesis and .o patients vith light hemi-
paresis. Te control group includes the patients vho
vere onlv treated vith kinesiotherapv. The tested
group is composed ot patients that vere treated vith
kinesiotherapv and tunctional electrical simulation ot
the disabled extermitv. Te llS method vas applied
five times per veek, each treatment lasting +· minutes.
Both groups vere analvzed in respect to age and sex.
 BOSNlAN lOUlNAl Ol BASlC MlDlCAl SCllNClS 2009, 9 (1). 31-33
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Additional analvsis ot the condition and valk tunc-
tion ot the disabled extremitv vas done according to
the Bl index (++), as vell as to the lAP index (+., +:).
Te patients’ conditions vere observed | and 8 veeks
atter the stroke. Te results vere analvzed according
to the above listed criteria and vere then compared.
All ot the patients vere therapeuticallv treated bv the
same team and on the same location. Patients treat-
ed vith llS received treatment bv the same device
and in the same manner, under identical conditions.
Statistical analysis
Te Students T-Test vas used tor statistical analvsis. Te
significance level is po,o·. Te research vas completed
as a randomized, prospective, clinical comparative studv.
Results
lesults are given in tables. Te main demographical data is
graphicallv presented tor both groups ot studied patients.
TABll 1. General demographic data tor both studv groups
TABll +. lesults ot rehabilitation bv lAP index atter + veeks tor
deep hemiparesis
TABll 6. lesults ot rehabilitation bv Bl index atter + veeks tor light
hemiparesis
TABll 8. lesults ot rehabilitation bv Bl index atter + veeks tor light
hemiparesis
TABll 3. lesults ot rehabilitation bv Bl index atter 8 veeks tor deep
hemiparesis
TABll 3. lesults ot rehabilitation bv lAP index atter 8 veeks tor
deep hemiparesis
TABll ¨. lesults ot rehabilitation bv Bl index atter 8 veeks tor light
hemiparesis
TABll 2. lesults ot rehabilitation bv Bl index atter + veeks tor deep
hemiparesis
men vomen total
interval vears 3¨-¨9 20-82 20-82
N 22 18 +0
X 61,+¨¨ 63,161 62,260
S 8,332 12,323 10,+9¨
S
X
0,803 1,299 0,¨+2
Median 62 66 6+,3
Mann-Whitnev
lank Sum test
p 0,012
Control group
(n20)
Tested group
(n20)
Total (n+0)
interval 12-1¨ 8-16 8-1¨
X 1+,230 13,630 13,930
S 1,9¨0 2,+98 2,2+1
S
X
0,++1 0,339 0,33+
Median 13 1+ 1+
Mann-Whitnev
lank Sum test
p0,30¨
Control group
(n20)
Tested group
(n20)
Total
(n+0)
interval 3-8 3-10 3-10
X 6,¨00 8,100 ¨,+00
S 1,302 1,232 1,++6
S
X
0,291 0,280 0,229
Median 6,3 8 8
Mann-Whitnev
lank Sum test
p0,00+
Control group
(n20)
Tested group
(n20)
Total
(n+0)
interval 8-1+ 8-1+ 8-1+
X 10,100 10,230 10,1¨3
S 1,80+ 2,291 2,03¨
S
X
0,+03 0,312 0,322
Median 10 10 10
Mann-Whitnev
lank Sum test
p0,933
Control group
(n20)
Tested group
(n20)
Total
(n+0)
interval +-10 3-12 +-12
X ¨,200 8,230 ¨,¨23
S 1,609 1,860 1,¨9¨
S
X
0,360 0,+16 0,28+
Median 8 8 8
Mann-Whitnev
lank Sum test
p0,10¨
Control group
(n20)
Tested group
(n20)
Total
(n+0)
interval 8-1+ 3-12 3-1+
X 10,¨30 8,+30 9,600
S 1,682 1,820 2,083
S
X
0,3¨6 0,+0¨ 0,330
Median 10 8 10
Mann-Whitnev
lank Sum test
p0,001
Control group
(n20)
Tested group
(n20)
Total
(n+0)
interval 8-12 8-13 8-13
X 9,200 11,100 10,130
S 1,361 1,232 1,610
S
X
0,30+ 0,280 0,233
Median 9 12 10
Mann-Whitnev
lank Sum test
p0,001
Control group
(n20)
Tested group
(n20)
Total (n+0)
interval 2-6 2-6 2-6
X +,200 +,300 +,230
S 1,2+0 1,+18 1,316
S
X
0,2¨¨ 0,31¨ 0,208
Median +,3 + +
Mann-Whitnev
lank Sum test
p0,860
 BOSNlAN lOUlNAl Ol BASlC MlDlCAl SCllNClS 2009, 9 (1). 32-33
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Discussion
Tabl e + shovs the anal vzed data vhi ch re-
ters to sex and age tor both group ot par-
t i ci pant s ( t he cont rol and experi ment al ) .
The analvsis ot the basic demographical data dem-
onstrated that there is no signiticant ditterence be-
tveen the control and tested group. Both groups
are equal in respect to the age and sex ot the patients.
Our previous vork (+|) had shovn similar results.
Atter analvzing the valk tunction rehabilitation results tor
deep hemiparesis atter | veeks according to the Bl index,
there is no statisticallv significant difference betveen the
control and tested group. Tis data is shovn in Table ..
Upon analvsis ot Table :, similar results can be observed.
Bl index analvsis ot the valk tunction rehabilitation tor
deep hemiparesis atter 8 veeks tor both groups clearlv
shovs that the group ot patients vho vere treated
vith llS have the same results as the control group.
Table | displavs the results ot valk tunction rehabili-
tation tor deep hemiparesis atter | veeks ot rehabili-
tation tor both the control group vhich vas treated
solelv vith kinesiotherapv and the tested group vhich
vas treated vith kinesiotherapv and llS. The valk
tunction results vere measured bv the lAP index.
Upon analvsis ot the valk tunction rehabilitation re-
sults atter | veeks according to the lAP index, ve can
conclude that there is no statisticallv signiticant dit-
terence in the valk tunction rehabilitation betveen
the control and tested group tor deep hemiparesis.
Atter 8 veeks ot rehabilitation ot both groups ot patients
vith deep hemiparesis, according to the lAP index, ve
can notice that the tested group ot patients vhich vas
treated vith llS has statisticallv significant better re-
sults in the valk tunction rehabilitation (control group
interval 8-+|, tested group interval ·-+.). Tese results
are displaved in Table ·. Table 6 shovs the valk tunc-
tion rehabilitation results bv the Bl index tor the group
vith light hemiparesis atter | veeks ot rehabilitation.
Tere is no statisticallv significant difference betveen
the tested group and the control group. The results
are similar to those ot the group not treated vith llS
(control group interval ·-8, tested group interval ·-+o).
Bl index analvsis ot valk tunction rehabilitation tor light
hemiparesis atter 8 veeks tor both groups clearlv shovs
that the group ot patients vho vere treated vith llS has
statisticallv significantlv better results (p o,oo+). Tat
shovs better results ot the rehabilitation, vhich is shovn
in Table ¬. Analvsis ot valk tunction rehabilitation atter
| veeks tor both groups ot patients vith light hemipa-
resis, according to the lAP index, shovs us that there
is no statisticallv significant difference in tavour ot the
group vhich vas treated vith llS (interval tor the con-
trol group is 8-+|, tor tested group 8-+|, and p is equal to
o,o:·). Tis can be observed in Table 8. Hovever, Table
o displavs ditterent data vhich shovs valk tunction
rehabilitation results atter 8 veeks bv the lAP index.
lt can be observed that the tested group ot pa-
tients vhich vas treated vith llS has statisti-
callv signiticant better results tor valk tunction
rehabilitation atter 8 veeks ot rehabilitation tor
light hemiparesis according to the lAP index.
Te analvsis ot valk tunction rehabilitation, according to
the Bl and lAP indexes, brings us to the conclusion that
atter | veeks ot rehabilitation there vere no statisticallv
significant differences betveen the tvo studied groups ot
patients (+|). Our studv shovs the same results tor deep
and light hemiparesis. Hovever, atter 8 veeks there is a
noticeable, statisticallv significant difference in the reha-
bilitation results, bv both the Bl and lAP index, in tavour
ot the group vhich vas treated vith kinesiotherapv and
tunctional electrical simulation (+|). lt is our opinion
that the patients in rehabilitation atter a cerebrovascular
accident require a rehabilitation vhich is longer than |
veeks. Te other vorks had the same results (+·,+6,+¬).
The above listed results bring us to the conclu-
sion that ve can obtain better results ot valk
tunction rehabilitation vith the tested group,
vhich vas treated vith kinesiotherapv and llS.
TABll 9. lesults ot rehabilitation bv lAP index atter 8 veeks tor
light hemiparesis
Control group
(n20)
Tested group
(n20)
Total
(n+0)
lnterval 6-12 +-10 +-12
X ¨,600 3,830 6,¨23
S 1,336 1,399 1,¨83
S
X
0,3+3 0,33¨ 0,282
Median 8 6 6
Mann-Whitnev
lank Sum test
p0,002
 BOSNlAN lOUlNAl Ol BASlC MlDlCAl SCllNClS 2009, 9 (1). 33-33
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Conclusion
We can conclude that patients in rehabilitation atter a cerebrovascular accident require rehabilitation longer than |
veeks. Walking rehabilitation atter stroke is taster and more successtul vith tunctional electrical stimulation, in combi-
nation vith kinesiotherapv, in patients vith disabled extremities.
List of Abbreviations
CNS - central nervous svstem
CVl - cerebrovascular insult
Bl lndex - Barthel lndex- is a test vhich evaluates evervdav lite activitv
lAP lndex - lehabilitation Activitv Profile- is a test vhich evaluates evervdav lite activitv
llS - lunctional llectrical Stimulation- is a nerve stimulation procedure
T-Test - Te Students T-Test is a test tor statistical analvsis ot data

which includes patient care. Study inclusion criteria This research study included patients with a hemiparesis that occurred as a consequence of a stroke. CNS regeneration and restructuring process is believed to occur through the branching of dendrite fibres of nerve brain cells. Both groups consisted of two sub-groups:  patients with deep hemiparesis and  patients with light hemiparesis. the patient is reintegrated sooner and can actively participate in society and be economically productive. One group consisted of patients who were treated with kinesiotherapy and no other procedure. Patients and Methods As a research sample. which occurs in a period of two years after the CVI ( . 9 (1): 50-53  . in combination with other rehabilitation methods. it is important to determine whether the use of functional electrical stimulation (FES). A stroke denotes an acute or subacute appearance of symptoms caused by localized disturbance of arterial brain circulation (. Furthermore. Model  Microfes Personal Kit. have cardiovascular disease. This was the control group. The medical rehabilitation program contains a series of procedures including the following: patient care. both groups were analyzed by the time which passed between the stroke and the start of the rehabilitation process. and (if rehabilitated functions permit) working environment. family. all of the patients have participated in rehabilitation at the Institute for Physiotherapy and Rehabilitation of the University of Sarajevo Clinics Centre. BOSNIAN JOURNAL OF BASIC MEDICAL SCIENCES 2009. have damaged skin at the application region. All patients were over  years of age and had been diagnosed as stroke patients. If the rehabilitation period is reduced. Furthermore. It is considered that rehabilitation after the CVI influences the stimulation of the penubra zone cells. This was the tested group. With faster rehabilitation. and psychological changes (). swallowing impairment.. The tested group is composed of patients that were treated with kinesiotherapy and functional electrical simulation of the disabled extermity. Two groups of  patients in rehabilitation were formed. ). electrotherapy. The control group includes the patients who were only treated with kinesiotherapy. undergoes fewer procedures.). as well as by the time which passed when the rehabilitation process at the Institute for Physiotherapy and Rehabilitation of the University of Sarajevo Clinics Centre was completed. This is the first rehabilitation phase. have no muscle elasticity. The FES method was applied five times per week. and work therapy. are not willing to cooperate or participate. thermotherapy. Among its consequences are hemiplegia or hemiparesis. which were treated with different therapeutic procedures. The aim of our study is to determine the role of functional electrical stimulation in the rehabilitation of patients with hemiparesis after a stroke. In highly developed countries. which involves the patient’s reintegration into his social. experience strong spasms. Work therapy is a transitional bridge towards the third rehabilitation phase. which as a result means smaller funds invested in the patient’s recovery.. have other extremity deformities.EDINA TANOVIĆ: EFFECTS OF FUNCTIONAL ELECTRICAL STIMULATION IN REHABILITATION WITH HEMIPARESIS PATIENTS Introduction Cerebrovascular accident is a focal neurological deficiency occurring suddenly and lasting for more than  hours. this phase is carried out in the so-called “stroke units” (. sphincter control changes. family. For this purpose. each treatment lasting  minutes. Both groups were analyzed in respect to age and sex. The second rehabilitation phase or late rehabilitation is carried out in rehabilitation institutions. sensitivity changes. Study exclusion criteria This study does not include patients who have hemiparesis due to other reasons. Adequate rehabilitation is of paramount importance for the patient. The second group consisted of patients that were treated with kinesiotherapy and functional electrical stimulation.). facial nerve changes. care for the patient’s psychological state. which occurs as a consequence of stroke. speech impairment. Research methods In this study we have decided to use the electro-stimulation device developed at the Jožef Stefan Institute in Ljubljana. This phase of rehabilitation is carried out in the patient’s home and the role of the family in this phase is vital (). can help accelerate the functional rehabilitation of a disabled extremity. functional training and kinesiotherapy. kinesiotherapy. functional training. the patient spends fewer days in the hospital. are not conscious or are disoriented in time and space. the author completed a comparative study with two groups of patients. Both groups were equal in respect to age and sex. The main issue is how to accelerate the rehabilitation process after the appearance of hemiparesis. or have experienced the occurrence of hemiparesis over three months before the study. are in inadequate physical state. healthcare and society in general.

Results of rehabilitation by BI index after 4 weeks for deep hemiparesis Control group (n=20) 12-17 14.100 1.EDINA TANOVIĆ: EFFECTS OF FUNCTIONAL ELECTRICAL STIMULATION IN REHABILITATION WITH HEMIPARESIS PATIENTS Additional analysis of the condition and walk function of the disabled extremity was done according to the BI index ().037 0. ).208 4 p=0. interval years N X S SX Median Mann-Whitney Rank Sum test interval X S SX Median Mann-Whitney Rank Sum test Control group (n=20) 2-6 4. General demographic data for both study groups TABLE 2.001 interval X S SX Median Mann-Whitney Rank Sum test p=0.280 12 Total (n=40) 8-13 10.507 TABLE 3.299 66 total 20-82 40 62.200 1. The patients’ conditions were observed  and  weeks after the stroke. The significance level is p<.322 10 interval X S SX Median Mann-Whitney Rank Sum test p<0. under identical conditions.284 8 Total (n=40) 8-17 13.250 1.477 8. Results of rehabilitation by RAP index after 4 weeks for deep hemiparesis Control group (n=20) 5-8 6.100 1. The main demographical data is graphically presented for both groups of studied patients.610 0.291 0.175 2. Results of rehabilitation by BI index after 8 weeks for deep hemiparesis Control group (n=20) 8-14 10.416 8 Total (n=40) 4-12 7. Patients treated with FES received treatment by the same device and in the same manner.316 0.250 1.229 8 interval X S SX Median Mann-Whitney Rank Sum test p<0.376 10 Tested group (n=20) 5-12 8.650 2.5 Tested group (n=20) 5-10 8.498 0.970 0.317 4 Total (n=40) 2-6 4.354 14 p=0. The research was completed as a randomized. Results of rehabilitation by RAP index after 8 weeks for deep hemiparesis Control group (n=20) 8-12 9.407 8 Total (n=40) 5-14 9.441 15 Tested group (n=20) 8-16 13.252 0. Results of rehabilitation by BI index after 4 weeks for light hemiparesis  .302 0. Results of rehabilitation by BI index after 8 weeks for light hemiparesis BOSNIAN JOURNAL OF BASIC MEDICAL SCIENCES 2009.250 1.497 0.797 0.700 1. clinical comparative study.004 TABLE 5.161 12.559 14 interval X S SX Median Mann-Whitney Rank Sum test Control group (n=20) 4-10 7. as well as to the RAP index (.291 6.950 2.280 8 Total (n=40) 5-10 7.400 1.361 0.240 0.012 women 20-82 18 63.512 10 Total (n=40) 8-14 10.609 0.304 9 Tested group (n=20) 8-13 11.100 1. Results of rehabilitation by BI index after 4 weeks for light hemiparesis Control group (n=20) 8-14 10.001 interval X S SX Median Mann-Whitney Rank Sum test p=0.107 interval X S SX Median Mann-Whitney Rank Sum test p=0.742 64.805 62 p = 0. The results were analyzed according to the above listed criteria and were then compared.804 0.260 10. prospective.150 1.600 2.682 0.300 1.935 TABLE 7.403 10 Tested group (n=20) 8-14 10. 9 (1): 51-53 TABLE 8.860 TABLE 1.241 0.360 8 Tested group (n=20) 5-12 8.277 4.820 0.252 0.725 1.523 1.250 2.200 1.860 0.418 0..255 10 TABLE 6.750 1. Results Results are given in tables.450 1. All of the patients were therapeutically treated by the same team and on the same location.200 1.5 Statistical analysis The Students T-Test was used for statistical analysis.5 Tested group (n=20) 2-6 4. men 37-79 22 61.085 0.446 0.332 0.330 10 TABLE 4.

tested group interval -). It can be observed that the tested group of patients which was treated with FES has statistically significant better results for walk function rehabilitation after  weeks of rehabilitation for light hemiparesis according to the RAP index. Our previous work () had shown similar results. However. Table  displays the results of walk function rehabilitation for deep hemiparesis after  weeks of rehabilitation for both the control group which was treated solely with kinesiotherapy and the tested group which was treated with kinesiotherapy and FES.850 1.  BOSNIAN JOURNAL OF BASIC MEDICAL SCIENCES 2009. Table  displays different data which shows walk function rehabilitation results after  weeks by the RAP index.599 0. which is shown in Table . shows us that there is no statistically significant difference in favour of the group which was treated with FES (interval for the control group is -. After  weeks of rehabilitation of both groups of patients with deep hemiparesis.725 1. However. That shows better results of the rehabilitation. there is no statistically significant difference between the control and tested group. by both the BI and RAP index. This data is shown in Table . 9 (1): 52-53 . Analysis of walk function rehabilitation after  weeks for both groups of patients with light hemiparesis.). and p is equal to .536 0. Table  shows the walk function rehabilitation results by the BI index for the group with light hemiparesis after  weeks of rehabilitation. The above listed results bring us to the conclusion that we can obtain better results of walk function rehabilitation with the tested group. brings us to the conclusion that after  weeks of rehabilitation there were no statistically significant differences between the two studied groups of patients (). These results are displayed in Table .282 6 p<0. in favour of the group which was treated with kinesiotherapy and functional electrical simulation ().EDINA TANOVIĆ: EFFECTS OF FUNCTIONAL ELECTRICAL STIMULATION IN REHABILITATION WITH HEMIPARESIS PATIENTS Interval X S SX Median Mann-Whitney Rank Sum test Control group (n=20) 6-12 7. Both groups are equal in respect to the age and sex of the patients. After analyzing the walk function rehabilitation results for deep hemiparesis after  weeks according to the BI index. according to the RAP index.. The results are similar to those of the group not treated with FES (control group interval -. BI index analysis of the walk function rehabilitation for deep hemiparesis after  weeks for both groups clearly shows that the group of patients who were treated with FES have the same results as the control group. after  weeks there is a noticeable.). according to the BI and RAP indexes.002 TABLE 9. tested group interval -). Our study shows the same results for deep and light hemiparesis.357 6 Total (n=40) 4-12 6.783 0. There is no statistically significant difference between the tested group and the control group. The walk function results were measured by the RAP index. Upon analysis of the walk function rehabilitation results after  weeks according to the RAP index. It is our opinion that the patients in rehabilitation after a cerebrovascular accident require a rehabilitation which is longer than  weeks. we can conclude that there is no statistically significant difference in the walk function rehabilitation between the control and tested group for deep hemiparesis. This can be observed in Table . for tested group -. we can notice that the tested group of patients which was treated with FES has statistically significant better re- sults in the walk function rehabilitation (control group interval -.600 1. The analysis of the basic demographical data demonstrated that there is no significant difference between the control and tested group. The other works had the same results (. Results of rehabilitation by RAP index after 8 weeks for light hemiparesis Discussion Table  shows the analyzed data which refers to sex and age for both group of participants (the control and experimental). BI index analysis of walk function rehabilitation for light hemiparesis after  weeks for both groups clearly shows that the group of patients who were treated with FES has statistically significantly better results (p < .). similar results can be observed. according to the RAP index. The analysis of walk function rehabilitation. statistically significant difference in the rehabilitation results.343 8 Tested group (n=20) 4-10 5. Upon analysis of Table . which was treated with kinesiotherapy and FES.

.S. J. : -.W.Žerjevič V.  (): -.. Majkić M. in combination with kinesiotherapy.B. Arh. Gutirrez P. Wilson D. Rehabil. Ferrucci L. Sarajevo: Svjetlost. Arch of Phys Med and Rehabil .. : -. The American Academy of Neurology : - () () () () () () () () () Hrabak. Poeck K. at all.B.A. () Tanović E.. : -. Arch. Šerić V. Evaluacija vrijednosti funkcionalne električne stimulacije u rehabilitaciji hoda kod pacijenata sa motornom lezijom nakon cerebrivaskularnog inzulta. BOSNIAN JOURNAL OF BASIC MEDICAL SCIENCES 2009. Therapeutic effectiveness of electric stimulation of the upper-Limb postroke using implanted microstimulators. Acute and subacute rehabilitation for stroke: A comparison. . () Volpe B. Rehabilitation of stroke patients. A postrehabilitation follow-up study. . Epidemiologija moždanog udara.is a nerve stimulation procedure The Students T-Test is a test for statistical analysis of data References () Kantardžić DŽ.. Phys. Med. Falchini M. Barthel D. : -.. () Dunsky A. : -. Bjelovar: Prosvjeta. Marcovitz E. Diels C. .B. : -. Medicus . Hogan N... Nakayama H. Saunders Company.is a test which evaluates everyday life activity Rehabilitation Activity Profile.  (): - Keith R.. Med.M. : -. Walking rehabilitation after stroke is faster and more successful with functional electrical stimulation..  (): -. McVocar L.EDINA TANOVIĆ: EFFECTS OF FUNCTIONAL ELECTRICAL STIMULATION IN REHABILITATION WITH HEMIPARESIS PATIENTS Conclusion We can conclude that patients in rehabilitation after a cerebrovascular accident require rehabilitation longer than  weeks. : -. Edelstein L. Rehabil. Physical medicine and rehabilitation. () Liu J. . Rehabil. Guralnik J. Kralj V. at all. Maryneland State. Med. Deutsch J. Burridge J. Kumar R.. Silobrčić-Radić M. R Recovery of functional status after stroke. Medicus . List of Abbreviations CNS CVI BI Index RAP Index FES T-Test central nervous system cerebrovascular insult Barthel Index. .S. in patients with disabled extremities. (): -.. A novel approach to stroke rehabilitation. Drutz C. Phys. Olsen T. Cosesedai G. Med.. Arch. () Dubravica M. et al. Priručnik iz neurologije.. Magistarski rad. Med. Neurologija. Jorgensen H. Rehabil.. Sarajevo  () Tanović E. Randall L. (): -.. Levy S. Bertini C. Dickstein R.I. Phys.. Functional evaluation: The Barthel Index.. Gait Training and functional electric stimulation with hemiplegic patients. Demarin V. Philadelphia: W. Home based motor imagery training for gait rehabilitation of peoople with chronic poststroke hemiparesis. () Turk R. Phys. Bandinelli S. Mahoney F. :-.. Klinička kineziterapija. Zagreb: Školska knjiga. Krebs H. Lamponi M. Raashou H. I sur.H. Use of the sixminute walk test postroke: is there a practice effect.T.is a test which evaluates everyday life activity Functional Electrical Stimulation.. Davis R. 9 (1): 53-53  . Med. Klinička neurologija. Recovery of walking function in stroke patients: The Copenhagen stroke study.O. Zagreb: Inmedia.I. Arch. Stroke : : -. . Arch.. Aisen M..

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