Effects of a 12-hour neuromuscular electrical stimulation treatment program on the recovery of upper extremity function in sub-acute stroke patients: a randomized controlled pilot trial
[Purpose] This study investigated the effects of a 12-hour neuromuscular electrical stimulation program in the evening hours on upper extremity function in sub-acute stroke patients. [Subjects and Methods] Forty-five subjects were randomized to one of three groups: 12-hour neuromuscular electrical s...
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Published in | Journal of Physical Therapy Science Vol. 27; no. 7; pp. 2327 - 2331 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Japan
The Society of Physical Therapy Science
2015
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Subjects | |
Online Access | Get full text |
ISSN | 0915-5287 2187-5626 |
DOI | 10.1589/jpts.27.2327 |
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Abstract | [Purpose] This study investigated the effects of a 12-hour neuromuscular electrical stimulation program in the evening hours on upper extremity function in sub-acute stroke patients. [Subjects and Methods] Forty-five subjects were randomized to one of three groups: 12-hour neuromuscular electrical stimulation group (n=15), which received 12 hours of neuromuscular electrical stimulation and conventional rehabilitation for the affected upper extremity; neuromuscular electrical stimulation group (n=15), which received 30 min of neuromuscular electrical stimulation and conventional rehabilitation; and control group (n=15), which received conventional rehabilitation only. The Fugl-Meyer assessment, Action Research Arm Test, and modified Ashworth scale were used to evaluate the effects before and after intervention, and 4 weeks later. [Results] The improvement in the distal (wrist-hand) components of the Fugl-Meyer assessment and Action Research Arm Test in the 12-hour neuromuscular electrical stimulation group was more significant than that in the neuromuscular electrical stimulation group. No significant difference was found between the two groups in the proximal component (shoulder-elbow) of the Fugl-Meyer assessment. [Conclusion] The 12-hour neuromuscular electrical stimulation group achieved better improvement in upper extremity motor function, especially in the wrist-hand function. This alternative therapeutic approach is easily applicable and can be used in stroke patients during rest or sleep. |
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AbstractList | [Purpose] This study investigated the effects of a 12-hour neuromuscular electrical stimulation program in the evening hours on upper extremity function in sub-acute stroke patients. [Subjects and Methods] Forty-five subjects were randomized to one of three groups: 12-hour neuromuscular electrical stimulation group (n=15), which received 12 hours of neuromuscular electrical stimulation and conventional rehabilitation for the affected upper extremity; neuromuscular electrical stimulation group (n=15), which received 30 min of neuromuscular electrical stimulation and conventional rehabilitation; and control group (n=15), which received conventional rehabilitation only. The Fugl-Meyer assessment, Action Research Arm Test, and modified Ashworth scale were used to evaluate the effects before and after intervention, and 4 weeks later. [Results] The improvement in the distal (wrist-hand) components of the Fugl-Meyer assessment and Action Research Arm Test in the 12-hour neuromuscular electrical stimulation group was more significant than that in the neuromuscular electrical stimulation group. No significant difference was found between the two groups in the proximal component (shoulder-elbow) of the Fugl-Meyer assessment. [Conclusion] The 12-hour neuromuscular electrical stimulation group achieved better improvement in upper extremity motor function, especially in the wrist-hand function. This alternative therapeutic approach is easily applicable and can be used in stroke patients during rest or sleep. [Purpose] This study investigated the effects of a 12-hour neuromuscular electrical stimulation program in the evening hours on upper extremity function in sub-acute stroke patients. [Subjects and Methods] Forty-five subjects were randomized to one of three groups: 12-hour neuromuscular electrical stimulation group (n=15), which received 12 hours of neuromuscular electrical stimulation and conventional rehabilitation for the affected upper extremity; neuromuscular electrical stimulation group (n=15), which received 30 min of neuromuscular electrical stimulation and conventional rehabilitation; and control group (n=15), which received conventional rehabilitation only. The Fugl-Meyer assessment, Action Research Arm Test, and modified Ashworth scale were used to evaluate the effects before and after intervention, and 4 weeks later. [Results] The improvement in the distal (wrist-hand) components of the Fugl-Meyer assessment and Action Research Arm Test in the 12-hour neuromuscular electrical stimulation group was more significant than that in the neuromuscular electrical stimulation group. No significant difference was found between the two groups in the proximal component (shoulder-elbow) of the Fugl-Meyer assessment. [Conclusion] The 12-hour neuromuscular electrical stimulation group achieved better improvement in upper extremity motor function, especially in the wrist-hand function. This alternative therapeutic approach is easily applicable and can be used in stroke patients during rest or sleep.[Purpose] This study investigated the effects of a 12-hour neuromuscular electrical stimulation program in the evening hours on upper extremity function in sub-acute stroke patients. [Subjects and Methods] Forty-five subjects were randomized to one of three groups: 12-hour neuromuscular electrical stimulation group (n=15), which received 12 hours of neuromuscular electrical stimulation and conventional rehabilitation for the affected upper extremity; neuromuscular electrical stimulation group (n=15), which received 30 min of neuromuscular electrical stimulation and conventional rehabilitation; and control group (n=15), which received conventional rehabilitation only. The Fugl-Meyer assessment, Action Research Arm Test, and modified Ashworth scale were used to evaluate the effects before and after intervention, and 4 weeks later. [Results] The improvement in the distal (wrist-hand) components of the Fugl-Meyer assessment and Action Research Arm Test in the 12-hour neuromuscular electrical stimulation group was more significant than that in the neuromuscular electrical stimulation group. No significant difference was found between the two groups in the proximal component (shoulder-elbow) of the Fugl-Meyer assessment. [Conclusion] The 12-hour neuromuscular electrical stimulation group achieved better improvement in upper extremity motor function, especially in the wrist-hand function. This alternative therapeutic approach is easily applicable and can be used in stroke patients during rest or sleep. [Purpose] This study investigated the effects of a 12-hour neuromuscular electrical stimulation program in the evening hours on upper extremity function in sub-acute stroke patients. [Subjects and Methods] Forty-five subjects were randomized to one of three groups: 12-hour neuromuscular electrical stimulation group (n=15), which received 12 hours of neuromuscular electrical stimulation and conventional rehabilitation for the affected upper extremity; neuromuscular electrical stimulation group (n=15), which received 30 min of neuromuscular electrical stimulation and conventional rehabilitation; and control group (n=15), which received conventional rehabilitation only. The Fugl-Meyer assessment, Action Research Arm Test, and modified Ashworth scale were used to evaluate the effects before and after intervention, and 4 weeks later. [Results] The improvement in the distal (wrist-hand) components of the Fugl-Meyer assessment and Action Research Arm Test in the 12-hour neuromuscular electrical stimulation group was more significant than that in the neuromuscular electrical stimulation group. No significant difference was found between the two groups in the proximal component (shoulder-elbow) of the Fugl-Meyer assessment. [Conclusion] The 12-hour neuromuscular electrical stimulation group achieved better improvement in upper extremity motor function, especially in the wrist-hand function. This alternative therapeutic approach is easily applicable and can be used in stroke patients during rest or sleep. [Abstract.] [Purpose] This study investigated the effects of a 12-hour neuromuscular electrical stimulation program in the evening hours on upper extremity function in sub-acute stroke patients. [Subjects and Methods] Forty-five subjects were randomized to one of three groups: 12-hour neuromuscular electrical stimulation group (n=15), which received 12 hours of neuromuscular electrical stimulation and conventional rehabilitation for the affected upper extremity; neuromuscular electrical stimulation group (n=15), which received 30 min of neuromuscular electrical stimulation and conventional rehabilitation; and control group (n=15), which received conventional rehabilitation only. The Fugl-Meyer assessment, Action Research Arm Test, and modified Ashworth scale were used to evaluate the effects before and after intervention, and 4 weeks later. [Results] The improvement in the distal (wrist-hand) components of the Fugl-Meyer assessment and Action Research Arm Test in the 12-hour neuromuscular electrical stimulation group was more significant than that in the neuromuscular electrical stimulation group. No significant difference was found between the two groups in the proximal component (shoulder-elbow) of the Fugl-Meyer assessment. [Conclusion] The 12-hour neuromuscular electrical stimulation group achieved better improvement in upper extremity motor function, especially in the wrist-hand function. This alternative therapeutic approach is easily applicable and can be used in stroke patients during rest or sleep. |
Author | Huang, Lai-Gang Wang, Dao-Qing Zhang, Qi Zeng, Fan-Shuo Sun, Qiang-San Cui, Bao-Juan Liu, Ben-Ling Sun, Min Qiu, Jian-Qing |
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Cites_doi | 10.1310/6Q5Q-69PU-NLQ9-AVMR 10.1097/MRR.0b013e328360e541 10.1177/1545968314565510 10.1016/S0028-3908(00)00003-4 10.1177/0269215512464502 10.3109/02699052.2013.860472 10.1097/PHM.0000000000000056 10.3109/09638288.2011.593679 10.3928/01477447-20130222-20 10.1191/0269215502cr543oa 10.1016/S1474-4422(07)70294-6 10.1589/jpts.25.1097 10.1589/jpts.24.77 10.2340/16501977-0807 10.1080/16501970410024190 10.1152/jn.1996.75.5.2144 10.1161/STROKEAHA.109.574160 10.2340/16501977-0941 |
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References | 18) Noma T, Matsumoto S, Shimodozono M, et al.: Novel neuromuscular electrical stimulation system for the upper limbs in chronic stroke patients: a feasibility study. Am J Phys Med Rehabil, 2014, 93: 503–510. 8) de Kroon JR, Ijzerman MJ, Chae J, et al.: Relation between stimulation characteristics and clinical outcome in studies using electrical stimulation to improve motor control of the upper extremity in stroke. J Rehabil Med, 2005, 37: 65–74. 13) Nudo RJ, Milliken GW: Reorganization of movement representations in primary motor cortex following focal ischemic infarcts in adult squirrel monkeys. J Neurophysiol, 1996, 75: 2144–2149. 11) Peurala SH, Pitkänen K, Sivenius J, et al.: Cutaneous electrical stimulation may enhance sensorimotor recovery in chronic stroke. Clin Rehabil, 2002, 16: 709–716. 16) Lin Z, Yan T: Long-term effectiveness of neuromuscular electrical stimulation for promoting motor recovery of the upper extremity after stroke. J Rehabil Med, 2011, 43: 506–510. 5) Kim JH, Lee LK, Lee JU, et al.: A pilot study on the effect of functional electrical stimulation of stroke patients in a sitting position on balance and activities of daily living. J Phys Ther Sci, 2013, 25: 1097–1101. 12) Schuhfried O, Crevenna R, Fialka-Moser V, et al.: Non-invasive neuromuscular electrical stimulation in patients with central nervous system lesions: an educational review. J Rehabil Med, 2012, 44: 99–105. 2) Duncan PW, Lai SM, Keighley J: Defining post-stroke recovery: implications for design and interpretation of drug trials. Neuropharmacology, 2000, 39: 835–841. 7) Levine M, McElroy K, Stakich V, et al.: Comparing conventional physical therapy rehabilitation with neuromuscular electrical stimulation after TKA. Orthopedics, 2013, 36: e319–e324. 1) Boyaci A, Topuz O, Alkan H, et al.: Comparison of the effectiveness of active and passive neuromuscular electrical stimulation of hemiplegic upper extremities: a randomized, controlled trial. Int J Rehabil Res, 2013, 36: 315–322. 17) Sahin N, Ugurlu H, Albayrak I: The efficacy of electrical stimulation in reducing the post-stroke spasticity: a randomized controlled study. Disabil Rehabil, 2012, 34: 151–156. 15) Hu XL, Tong RK, Ho NS, et al.: Wrist rehabilitation assisted by an electromyography-driven neuromuscular electrical stimulation robot after stroke. Neurorehabil Neural Repair, 2014. 14) Wolf SL, Winstein CJ, Miller JP, et al.: Retention of upper limb function in stroke survivors who have received constraint-induced movement therapy: the EXCITE randomised trial. Lancet Neurol, 2008, 7: 33–40. 3) Aoyagi Y, Tsubahara A: Therapeutic orthosis and electrical stimulation for upper extremity hemiplegia after stroke: a review of effectiveness based on evidence. Top Stroke Rehabil, 2004, 11: 9–15. 4) Malhotra S, Rosewilliam S, Hermens H, et al.: A randomized controlled trial of surface neuromuscular electrical stimulation applied early after acute stroke: effects on wrist pain, spasticity and contractures. Clin Rehabil, 2013, 27: 579–590. 10) Shimodozono M, Noma T, Matsumoto S, et al.: Repetitive facilitative exercise under continuous electrical stimulation for severe arm impairment after sub-acute stroke: a randomized controlled pilot study. Brain Inj, 2014, 28: 203–210. 6) Kim MY, Kim JH, Lee JU, et al.: The effects of functional electrical stimulation on balance of stroke patients in the standing posture. J Phys Ther Sci, 2012, 24: 77–81. 9) Hsu SS, Hu MH, Wang YH, et al.: Dose-response relation between neuromuscular electrical stimulation and upper-extremity function in patients with stroke. Stroke, 2010, 41: 821–824. 11 12 13 14 15 16 17 18 1 2 3 4 5 6 7 8 9 10 23464951 - Orthopedics. 2013 Mar;36(3):e319-24 24259923 - J Phys Ther Sci. 2013 Sep;25(9):1097-101 15788340 - J Rehabil Med. 2005 Mar;37(2):65-74 24508928 - Am J Phys Med Rehabil. 2014 Jun;93(6):503-10 20203321 - Stroke. 2010 Apr;41(4):821-4 22334346 - J Rehabil Med. 2012 Feb;44(2):99-105 10699448 - Neuropharmacology. 2000 Mar 3;39(5):835-41 25549656 - Neurorehabil Neural Repair. 2015 Sep;29(8):767-76 18077218 - Lancet Neurol. 2008 Jan;7(1):33-40 23579106 - Int J Rehabil Res. 2013 Dec;36(4):315-22 24304090 - Brain Inj. 2014;28(2):203-10 8734610 - J Neurophysiol. 1996 May;75(5):2144-9 15480949 - Top Stroke Rehabil. 2004 Summer;11(3):9-15 23129814 - Clin Rehabil. 2013 Jul;27(7):579-90 21533330 - J Rehabil Med. 2011 May;43(6):506-10 21999668 - Disabil Rehabil. 2012;34(2):151-6 12428819 - Clin Rehabil. 2002 Nov;16(7):709-16 |
References_xml | – reference: 6) Kim MY, Kim JH, Lee JU, et al.: The effects of functional electrical stimulation on balance of stroke patients in the standing posture. J Phys Ther Sci, 2012, 24: 77–81. – reference: 18) Noma T, Matsumoto S, Shimodozono M, et al.: Novel neuromuscular electrical stimulation system for the upper limbs in chronic stroke patients: a feasibility study. Am J Phys Med Rehabil, 2014, 93: 503–510. – reference: 10) Shimodozono M, Noma T, Matsumoto S, et al.: Repetitive facilitative exercise under continuous electrical stimulation for severe arm impairment after sub-acute stroke: a randomized controlled pilot study. Brain Inj, 2014, 28: 203–210. – reference: 4) Malhotra S, Rosewilliam S, Hermens H, et al.: A randomized controlled trial of surface neuromuscular electrical stimulation applied early after acute stroke: effects on wrist pain, spasticity and contractures. Clin Rehabil, 2013, 27: 579–590. – reference: 2) Duncan PW, Lai SM, Keighley J: Defining post-stroke recovery: implications for design and interpretation of drug trials. Neuropharmacology, 2000, 39: 835–841. – reference: 12) Schuhfried O, Crevenna R, Fialka-Moser V, et al.: Non-invasive neuromuscular electrical stimulation in patients with central nervous system lesions: an educational review. J Rehabil Med, 2012, 44: 99–105. – reference: 1) Boyaci A, Topuz O, Alkan H, et al.: Comparison of the effectiveness of active and passive neuromuscular electrical stimulation of hemiplegic upper extremities: a randomized, controlled trial. Int J Rehabil Res, 2013, 36: 315–322. – reference: 3) Aoyagi Y, Tsubahara A: Therapeutic orthosis and electrical stimulation for upper extremity hemiplegia after stroke: a review of effectiveness based on evidence. Top Stroke Rehabil, 2004, 11: 9–15. – reference: 5) Kim JH, Lee LK, Lee JU, et al.: A pilot study on the effect of functional electrical stimulation of stroke patients in a sitting position on balance and activities of daily living. J Phys Ther Sci, 2013, 25: 1097–1101. – reference: 11) Peurala SH, Pitkänen K, Sivenius J, et al.: Cutaneous electrical stimulation may enhance sensorimotor recovery in chronic stroke. Clin Rehabil, 2002, 16: 709–716. – reference: 13) Nudo RJ, Milliken GW: Reorganization of movement representations in primary motor cortex following focal ischemic infarcts in adult squirrel monkeys. J Neurophysiol, 1996, 75: 2144–2149. – reference: 17) Sahin N, Ugurlu H, Albayrak I: The efficacy of electrical stimulation in reducing the post-stroke spasticity: a randomized controlled study. Disabil Rehabil, 2012, 34: 151–156. – reference: 14) Wolf SL, Winstein CJ, Miller JP, et al.: Retention of upper limb function in stroke survivors who have received constraint-induced movement therapy: the EXCITE randomised trial. Lancet Neurol, 2008, 7: 33–40. – reference: 15) Hu XL, Tong RK, Ho NS, et al.: Wrist rehabilitation assisted by an electromyography-driven neuromuscular electrical stimulation robot after stroke. Neurorehabil Neural Repair, 2014. – reference: 8) de Kroon JR, Ijzerman MJ, Chae J, et al.: Relation between stimulation characteristics and clinical outcome in studies using electrical stimulation to improve motor control of the upper extremity in stroke. J Rehabil Med, 2005, 37: 65–74. – reference: 7) Levine M, McElroy K, Stakich V, et al.: Comparing conventional physical therapy rehabilitation with neuromuscular electrical stimulation after TKA. Orthopedics, 2013, 36: e319–e324. – reference: 16) Lin Z, Yan T: Long-term effectiveness of neuromuscular electrical stimulation for promoting motor recovery of the upper extremity after stroke. J Rehabil Med, 2011, 43: 506–510. – reference: 9) Hsu SS, Hu MH, Wang YH, et al.: Dose-response relation between neuromuscular electrical stimulation and upper-extremity function in patients with stroke. Stroke, 2010, 41: 821–824. – ident: 3 doi: 10.1310/6Q5Q-69PU-NLQ9-AVMR – ident: 1 doi: 10.1097/MRR.0b013e328360e541 – ident: 15 doi: 10.1177/1545968314565510 – ident: 2 doi: 10.1016/S0028-3908(00)00003-4 – ident: 4 doi: 10.1177/0269215512464502 – ident: 10 doi: 10.3109/02699052.2013.860472 – ident: 18 doi: 10.1097/PHM.0000000000000056 – ident: 17 doi: 10.3109/09638288.2011.593679 – ident: 7 doi: 10.3928/01477447-20130222-20 – ident: 11 doi: 10.1191/0269215502cr543oa – ident: 14 doi: 10.1016/S1474-4422(07)70294-6 – ident: 5 doi: 10.1589/jpts.25.1097 – ident: 6 doi: 10.1589/jpts.24.77 – ident: 16 doi: 10.2340/16501977-0807 – ident: 8 doi: 10.1080/16501970410024190 – ident: 13 doi: 10.1152/jn.1996.75.5.2144 – ident: 9 doi: 10.1161/STROKEAHA.109.574160 – ident: 12 doi: 10.2340/16501977-0941 – reference: 23579106 - Int J Rehabil Res. 2013 Dec;36(4):315-22 – reference: 18077218 - Lancet Neurol. 2008 Jan;7(1):33-40 – reference: 24304090 - Brain Inj. 2014;28(2):203-10 – reference: 23464951 - Orthopedics. 2013 Mar;36(3):e319-24 – reference: 23129814 - Clin Rehabil. 2013 Jul;27(7):579-90 – reference: 10699448 - Neuropharmacology. 2000 Mar 3;39(5):835-41 – reference: 20203321 - Stroke. 2010 Apr;41(4):821-4 – reference: 12428819 - Clin Rehabil. 2002 Nov;16(7):709-16 – reference: 24508928 - Am J Phys Med Rehabil. 2014 Jun;93(6):503-10 – reference: 15480949 - Top Stroke Rehabil. 2004 Summer;11(3):9-15 – reference: 21533330 - J Rehabil Med. 2011 May;43(6):506-10 – reference: 24259923 - J Phys Ther Sci. 2013 Sep;25(9):1097-101 – reference: 22334346 - J Rehabil Med. 2012 Feb;44(2):99-105 – reference: 21999668 - Disabil Rehabil. 2012;34(2):151-6 – reference: 25549656 - Neurorehabil Neural Repair. 2015 Sep;29(8):767-76 – reference: 8734610 - J Neurophysiol. 1996 May;75(5):2144-9 – reference: 15788340 - J Rehabil Med. 2005 Mar;37(2):65-74 |
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Title | Effects of a 12-hour neuromuscular electrical stimulation treatment program on the recovery of upper extremity function in sub-acute stroke patients: a randomized controlled pilot trial |
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ispartofPNX | Journal of Physical Therapy Science, 2015, Vol.27(7), pp.2327-2331 |
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