OBJECTIVE: To investigate whether cutaneous electrical stimulation has a role in the enhancement of sensorimotor function in chronic stroke. SUBJECTS AND SETTING:Fifty-nine patients with chronic stroke received cutaneous stimulation during their three-week-long inpatient rehabilitation. Thirty-two received active treatment in the paretic hand and eight received no-current placebo treatment in the paretic hand. Nineteen patients receivedactive stimulation of the paretic foot. None received stimulation in both upper and lower limbs. INTERVENTION: Cutaneous stimulation was delivered twice daily via a special glove/sock electrode. MAIN OUTCOME MEASURES: Modified Motor Assessment Scale, 10-metre walking test, paretic limb function, limb skin sensation and somatosensory evoked potentials (SEP) were performed before and after the treatment. RESULTS:Modified Motor Assessment Scale (p < 0.001), 10-metre walking test (p < 0.05), paretic hand function (p < 0.01), upper limb skin sensation (p < 0.01) and SEP normality classification of paretic upper limb (p < 0.01) and paretic lower limb (p < 0.5) improved significantly in the treatment group (n = 51) after three weeks of stimulation. When active hand treatment and placebo hand treatment were compared, a significant improvement in the sensory and motor function was observed only in the actively treated group. CONCLUSIONS: Cutaneous stimulation had positive effects in the motor performance, limb sensation and the configuration of SEP of the paretic limb in chronic stroke patients.
RCT Entities:
OBJECTIVE: To investigate whether cutaneous electrical stimulation has a role in the enhancement of sensorimotor function in chronic stroke. SUBJECTS AND SETTING: Fifty-nine patients with chronic stroke received cutaneous stimulation during their three-week-long inpatient rehabilitation. Thirty-two received active treatment in the paretic hand and eight received no-current placebo treatment in the paretic hand. Nineteen patients received active stimulation of the paretic foot. None received stimulation in both upper and lower limbs. INTERVENTION: Cutaneous stimulation was delivered twice daily via a special glove/sock electrode. MAIN OUTCOME MEASURES: Modified Motor Assessment Scale, 10-metre walking test, paretic limb function, limb skin sensation and somatosensory evoked potentials (SEP) were performed before and after the treatment. RESULTS: Modified Motor Assessment Scale (p < 0.001), 10-metre walking test (p < 0.05), paretic hand function (p < 0.01), upper limb skin sensation (p < 0.01) and SEP normality classification of paretic upper limb (p < 0.01) and paretic lower limb (p < 0.5) improved significantly in the treatment group (n = 51) after three weeks of stimulation. When active hand treatment and placebo hand treatment were compared, a significant improvement in the sensory and motor function was observed only in the actively treated group. CONCLUSIONS: Cutaneous stimulation had positive effects in the motor performance, limb sensation and the configuration of SEP of the paretic limb in chronic strokepatients.
Authors: Jessica L Gaines; Kathleen E Finn; Julia P Slopsema; Lane A Heyboer; Katharine H Polasek Journal: J Comput Neurosci Date: 2018-06-26 Impact factor: 1.621
Authors: Na J Seo; Michelle L Woodbury; Leonardo Bonilha; Viswanathan Ramakrishnan; Steven A Kautz; Ryan J Downey; Blair H S Dellenbach; Abigail W Lauer; Caroline M Roark; Lauren E Landers; Sarah K Phillips; Amanda A Vatinno Journal: Phys Ther Date: 2019-03-01
Authors: Richard D Wilson; Stephen J Page; Michael Delahanty; Jayme S Knutson; Douglas D Gunzler; Lynne R Sheffler; John Chae Journal: Neurorehabil Neural Repair Date: 2016-05-24 Impact factor: 3.919