OBJECTIVE: To investigate the effects of a short-term electrical stimulation in conjunction with neurodevelopmental exercises on sensory and functional recovery of hemiparetic upper limb in acute stroke patients. DESIGN: Controlled clinical trial with alternate allocation. SETTING:Acute inpatient medical care setting of a university hospital. SUBJECTS:Thirty-six acute stroke patients (18 TENS group; 18 control group) who experienced their first stroke were studied. INTERVENTION: Both groups received 1 h/day neurodevelopmental exercises in accordance with Bobath for 10 days. In addition to exercises the TENS group received electrical stimulation of the wrist and finger extensors for 1 h. MAIN OUTCOME MEASURES: Kinaesthesia and position sense tests, a hand function test and a hand movement scale were performed before and after treatment. RESULTS: Both groups showed considerable improvement in kinaesthesia sense and position sense after treatment. Comparison of the two groups after treatment revealed that this difference was not significant (P> 0.05). Both groups showed improvement in hand movement scores (P< 0.05), whereas hand function improved only in the TENS group (P< 0.05). CONCLUSION: The results of this study indicated that additional stimulation of the hand and fingers leads to an improved sensorimotor outcome immediately after the intervention.
RCT Entities:
OBJECTIVE: To investigate the effects of a short-term electrical stimulation in conjunction with neurodevelopmental exercises on sensory and functional recovery of hemiparetic upper limb in acute strokepatients. DESIGN: Controlled clinical trial with alternate allocation. SETTING: Acute inpatient medical care setting of a university hospital. SUBJECTS: Thirty-six acute strokepatients (18 TENS group; 18 control group) who experienced their first stroke were studied. INTERVENTION: Both groups received 1 h/day neurodevelopmental exercises in accordance with Bobath for 10 days. In addition to exercises the TENS group received electrical stimulation of the wrist and finger extensors for 1 h. MAIN OUTCOME MEASURES: Kinaesthesia and position sense tests, a hand function test and a hand movement scale were performed before and after treatment. RESULTS: Both groups showed considerable improvement in kinaesthesia sense and position sense after treatment. Comparison of the two groups after treatment revealed that this difference was not significant (P> 0.05). Both groups showed improvement in hand movement scores (P< 0.05), whereas hand function improved only in the TENS group (P< 0.05). CONCLUSION: The results of this study indicated that additional stimulation of the hand and fingers leads to an improved sensorimotor outcome immediately after the intervention.
Authors: Ela Bhatt; Ashima Nagpal; Kristine H Greer; Tiffany K Grunewald; Jennifer L Steele; Jeff W Wiemiller; Scott M Lewis; James R Carey Journal: Exp Brain Res Date: 2007-06-12 Impact factor: 1.972
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: Ryanne J M Lemmens; Annick A A Timmermans; Yvonne J M Janssen-Potten; Rob J E M Smeets; Henk A M Seelen Journal: BMC Neurol Date: 2012-04-12 Impact factor: 2.474