Randomized controlled trial to evaluate the effect of surface neuromuscular electrical stimulation to the shoulder after acute stroke.
نویسندگان
چکیده
BACKGROUND AND PURPOSE Surface neuromuscular electrical stimulation (sNMES) after stroke aims to improve upper limb function and reduce shoulder pain, but current evidence of effectiveness is inconclusive. We have undertaken a randomized controlled trial to evaluate sNMES to the shoulder after acute stroke. METHODS One hundred seventy-six patients, within 10 days of stroke onset, were randomized to receive sNMES or placebo in addition to stroke unit care. The primary outcome measure was upper limb function measured by the Action Research Arm Test (ARAT) 3 months after stroke. Secondary outcome measures included other measures of upper limb function, upper limb impairment, pain, disability, and global health status. Outcome assessments were blinded. RESULTS There was no difference in arm function between groups in terms of the primary outcome measure. The median ARAT at 3 months was 50 in the intervention group and 55.5 in the control group (P=0.068). Significant differences were seen at 3 months in favor of the control group for other measures of arm function and impairment: grasp and gross movement subsections of the ARAT, Frenchay Arm Test, and the arm subsection of the Motricity Index. Secondary analysis suggested that these differences were most marked in subjects with severe initial upper limb weakness. CONCLUSIONS A 4-week program of sNMES to the shoulder after acute stroke does not improve functional outcome and may worsen arm function in severely impaired stroke patients. "Routine" use of sNMES to the proximal affected upper limb after acute stroke cannot be recommended.
منابع مشابه
The effect of Transcranial direct current stimulation (tDCS) on the lower limb function with & without Step exercise in chronic stroke patients: a randomized control clinical trial
Introduction: The aim of this study was to investigate the effect of one-session transcranial direct current stimulation (tDCS) of cerebral cortex with and without step practice on foot function in patients with chronic stroke. Materials and Methods: It was an interventional and clinical trial study. Forty patients with chronic stroke were randomly assigned into four groups, Sham tDCS, tDCS, t...
متن کاملEffects 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 stimulation group (n=15), which received 12 hours of neuromuscular electrical stimulation and conv...
متن کاملComparing the Effect of Functional Electrical Stimulation and Functional Exercise Therapy on the Treatment of Ischemic Stroke: A Randomized Clinical Trial
Background and Objectives: Stroke is considered as the third common cause of disability and mortality in the world. Therefore, it is important to find a new treatment for increasing the rehabilitation of disability after stroke. The aim of this study was comparing the effect of functional electrical stimulation (FES) and functional exercise therapy (FET) on the treatment of ischemic stroke (IS)...
متن کاملThe Effect of Repetitive Transcranial Magnetic Stimulation on Postural Stability After Acute Stroke: A Clinical Trial
Introduction: Balance impairment is a common problem and a major cause of motor disability after stroke. Therefore, this study aimed to investigate whether low-frequency repetitive Transcranial Magnetic Stimulation (rTMS) improves the postural balance problems in stroke patients. Methods: This randomized double blind clinical trial with 12 weeks follow-up was conducted on stroke patients. Trea...
متن کاملThe Effect of Static Magnet Therapy on Pain-Free Shoulder Passive Range of Motion in Patients with Shoulder Subluxation after Stroke: A Randomized Clinical Trial
Introduction: One of the stroke complications is hemiplegia, which can cause subluxation of the shoulder joint and reduce the passive range of motion of the affected shoulder, resulting in limited movement. This study aimed to evaluate the effect of static magnet therapy on pain-free shoulder passive range of motion in patients with shoulder subluxation after stroke. Methods: This clinical tri...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Stroke
دوره 37 12 شماره
صفحات -
تاریخ انتشار 2006