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Updated: Aug 6, 2026

Paradigms of Lower Extremity Electrical Stimulation Training After Spinal Cord Injury
Published on: February 1, 2018
The Efficacy of Neuromuscular Electrical Stimulation in Assisting Rehabilitation for Patients with Ankle Joint
Ying Zhou1,2, Xiuxiu Shi1,2, Haiyan Sun1,2
1Department of Rehabilitation, Senior Department of Orthopedics, the Fourth Medical Center of PLA General Hospital, Beijing, China.
Objective:
The aim of this study is to systematically evaluate and summarize the evidence related to NMES-assisted rehabilitation of patients with ankle injuries.
Design:
A systematic search of eight Chinese and English databases was conducted to identify randomized controlled trials investigating NMES-assisted rehabilitation for ankle injuries. Studies were screened and relevant information extracted from included publications. Meta-analysis was performed using statistical software RevMan 5.3 and STATA 17.0.
Results:
A total of 7010 articles were retrieved from the literature, and 23 studies were finally included. Meta-analysis showed that the NMES group had the best results in terms of CAIT, VAS, AOFOS, clinical efficacy, area of motion ellipse, valgus relative peak moment value, dorsiflexion relative peak moment value, plantarflexion relative peak moment value, step speed, step length, single-support phase and double-support phase; for the total stability index, the improvement was not significantly different from that of the control group. The meta-analysis results revealed no significant evidence of publication bias.
Conclusion:
The results of this review suggest that NMES may have some potential role in assisting rehabilitation of ankle injuries, and that a longer course of NMES may have better efficacy.
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