Effect of an electric stimulation facilitation program on quadriceps motor unit recruitment after stroke
Newsam CJ, Baker LL. Effect of an electric stimulation facilitation program on quadriceps motor unit recruitment after stroke. To compare maximum voluntary isometric torque (MVIT) and motor unit recruitment of the quadriceps after an electric stimulation facilitation program in persons affected by c...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2004-12, Vol.85 (12), p.2040-2045 |
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| creator | Newsam, Craig J. Baker, Lucinda L. |
| description | Newsam CJ, Baker LL. Effect of an electric stimulation facilitation program on quadriceps motor unit recruitment after stroke.
To compare maximum voluntary isometric torque (MVIT) and motor unit recruitment of the quadriceps after an electric stimulation facilitation program in persons affected by cerebrovascular accident (CVA).
Three-week, randomized controlled trial with an electric stimulation facilitation program added to standard care.
Inpatient rehabilitation center.
Twenty patients receiving rehabilitation for first-time CVA (51.8±15.2y; days post-CVA, 38.4±40.0d). Patients were randomly assigned to study and control groups.
All patients received standard physical therapy (PT) care. In addition, the study group received an electric stimulation facilitation program during weight-bearing and ambulatory activities of the PT program.
MVIT and motor unit recruitment measured by interpolated twitch testing. A 2×4 repeated-measures analysis of variance was performed on measurements at 4 intervals: pretest, 1 week, 2 weeks, and 3 weeks.
MVIT increased by 77% in patients receiving electric stimulation, compared with a 31% increase for the control group. There was a significant effect for assessment time only. Motor unit recruitment increased from 35% to 53% for the study group, whereas the control group recorded no change in recruitment ability. A significant interaction was recorded, indicating improved motor unit recruitment for the study group.
A brief and dynamic electric stimulation facilitation program significantly improved motor unit recruitment in persons after CVA. |
| doi_str_mv | 10.1016/j.apmr.2004.02.029 |
| format | Article |
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To compare maximum voluntary isometric torque (MVIT) and motor unit recruitment of the quadriceps after an electric stimulation facilitation program in persons affected by cerebrovascular accident (CVA).
Three-week, randomized controlled trial with an electric stimulation facilitation program added to standard care.
Inpatient rehabilitation center.
Twenty patients receiving rehabilitation for first-time CVA (51.8±15.2y; days post-CVA, 38.4±40.0d). Patients were randomly assigned to study and control groups.
All patients received standard physical therapy (PT) care. In addition, the study group received an electric stimulation facilitation program during weight-bearing and ambulatory activities of the PT program.
MVIT and motor unit recruitment measured by interpolated twitch testing. A 2×4 repeated-measures analysis of variance was performed on measurements at 4 intervals: pretest, 1 week, 2 weeks, and 3 weeks.
MVIT increased by 77% in patients receiving electric stimulation, compared with a 31% increase for the control group. There was a significant effect for assessment time only. Motor unit recruitment increased from 35% to 53% for the study group, whereas the control group recorded no change in recruitment ability. A significant interaction was recorded, indicating improved motor unit recruitment for the study group.
A brief and dynamic electric stimulation facilitation program significantly improved motor unit recruitment in persons after CVA.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2004.02.029</identifier><identifier>PMID: 15605345</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Electric stimulation ; Electric Stimulation Therapy ; Female ; Humans ; Isometric Contraction - physiology ; Male ; Medical sciences ; Middle Aged ; Motor activity ; Motor Neurons - physiology ; Muscle, Skeletal - innervation ; Muscle, Skeletal - physiopathology ; Neurology ; Recruitment, Neurophysiological - physiology ; Rehabilitation ; Stroke ; Stroke - physiopathology ; Stroke Rehabilitation ; Thigh ; Torque ; Treatment Outcome ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Archives of physical medicine and rehabilitation, 2004-12, Vol.85 (12), p.2040-2045</ispartof><rights>2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-d86b02575ef1586ce428f5841d53f8664cd2f46adbc08c39c3ade3ae6459b74e3</citedby><cites>FETCH-LOGICAL-c479t-d86b02575ef1586ce428f5841d53f8664cd2f46adbc08c39c3ade3ae6459b74e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2004.02.029$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16330843$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15605345$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Newsam, Craig J.</creatorcontrib><creatorcontrib>Baker, Lucinda L.</creatorcontrib><title>Effect of an electric stimulation facilitation program on quadriceps motor unit recruitment after stroke</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Newsam CJ, Baker LL. Effect of an electric stimulation facilitation program on quadriceps motor unit recruitment after stroke.
To compare maximum voluntary isometric torque (MVIT) and motor unit recruitment of the quadriceps after an electric stimulation facilitation program in persons affected by cerebrovascular accident (CVA).
Three-week, randomized controlled trial with an electric stimulation facilitation program added to standard care.
Inpatient rehabilitation center.
Twenty patients receiving rehabilitation for first-time CVA (51.8±15.2y; days post-CVA, 38.4±40.0d). Patients were randomly assigned to study and control groups.
All patients received standard physical therapy (PT) care. In addition, the study group received an electric stimulation facilitation program during weight-bearing and ambulatory activities of the PT program.
MVIT and motor unit recruitment measured by interpolated twitch testing. A 2×4 repeated-measures analysis of variance was performed on measurements at 4 intervals: pretest, 1 week, 2 weeks, and 3 weeks.
MVIT increased by 77% in patients receiving electric stimulation, compared with a 31% increase for the control group. There was a significant effect for assessment time only. Motor unit recruitment increased from 35% to 53% for the study group, whereas the control group recorded no change in recruitment ability. A significant interaction was recorded, indicating improved motor unit recruitment for the study group.
A brief and dynamic electric stimulation facilitation program significantly improved motor unit recruitment in persons after CVA.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Electric stimulation</subject><subject>Electric Stimulation Therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Isometric Contraction - physiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Motor activity</subject><subject>Motor Neurons - physiology</subject><subject>Muscle, Skeletal - innervation</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Neurology</subject><subject>Recruitment, Neurophysiological - physiology</subject><subject>Rehabilitation</subject><subject>Stroke</subject><subject>Stroke - physiopathology</subject><subject>Stroke Rehabilitation</subject><subject>Thigh</subject><subject>Torque</subject><subject>Treatment Outcome</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU9rGzEQxUVoSdy0X6CHoEtzW1f_vYJcSkjaQqCXBHITsjRq5e6uHEkbyLePFhtya2FAM_DTm-E9hD5TsqaEqq-7td2Pec0IEWvCWukTtKKSs65n9PEdWhFCeKe15mfoQym7NirJ6Sk6o1IRyYVcoT83IYCrOAVsJwxD63N0uNQ4zoOtMU04WBeHWA_DPqff2Y64tU-z9Y2FfcFjqinjeYoVZ3B5jnWEqWIbKuSmldNf-IjeBzsU-HR8z9HD7c399Y_u7tf3n9ff7jonNrp2vldbwuRGQqCyVw4E64PsBfWSh14p4TwLQlm_daR3XDtuPXALSki93Qjg5-jyoNsufZqhVDPG4mAY7ARpLkZtqGaS6P-CVCtBhOQNZAfQ5VRKhmD2OY42vxhKzBKE2ZklCLMEYQhrtahfHNXn7Qj-7cvR-QZ8OQK2ODuEbCcXyxunOCe9WLZfHThopj1HyKa4CJMDH5vV1fgU_3XHK9FmqLg</recordid><startdate>20041201</startdate><enddate>20041201</enddate><creator>Newsam, Craig J.</creator><creator>Baker, Lucinda L.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>20041201</creationdate><title>Effect of an electric stimulation facilitation program on quadriceps motor unit recruitment after stroke</title><author>Newsam, Craig J. ; Baker, Lucinda L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-d86b02575ef1586ce428f5841d53f8664cd2f46adbc08c39c3ade3ae6459b74e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Electric stimulation</topic><topic>Electric Stimulation Therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Isometric Contraction - physiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Motor activity</topic><topic>Motor Neurons - physiology</topic><topic>Muscle, Skeletal - innervation</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Neurology</topic><topic>Recruitment, Neurophysiological - physiology</topic><topic>Rehabilitation</topic><topic>Stroke</topic><topic>Stroke - physiopathology</topic><topic>Stroke Rehabilitation</topic><topic>Thigh</topic><topic>Torque</topic><topic>Treatment Outcome</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Newsam, Craig J.</creatorcontrib><creatorcontrib>Baker, Lucinda L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Newsam, Craig J.</au><au>Baker, Lucinda L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of an electric stimulation facilitation program on quadriceps motor unit recruitment after stroke</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2004-12-01</date><risdate>2004</risdate><volume>85</volume><issue>12</issue><spage>2040</spage><epage>2045</epage><pages>2040-2045</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Newsam CJ, Baker LL. Effect of an electric stimulation facilitation program on quadriceps motor unit recruitment after stroke.
To compare maximum voluntary isometric torque (MVIT) and motor unit recruitment of the quadriceps after an electric stimulation facilitation program in persons affected by cerebrovascular accident (CVA).
Three-week, randomized controlled trial with an electric stimulation facilitation program added to standard care.
Inpatient rehabilitation center.
Twenty patients receiving rehabilitation for first-time CVA (51.8±15.2y; days post-CVA, 38.4±40.0d). Patients were randomly assigned to study and control groups.
All patients received standard physical therapy (PT) care. In addition, the study group received an electric stimulation facilitation program during weight-bearing and ambulatory activities of the PT program.
MVIT and motor unit recruitment measured by interpolated twitch testing. A 2×4 repeated-measures analysis of variance was performed on measurements at 4 intervals: pretest, 1 week, 2 weeks, and 3 weeks.
MVIT increased by 77% in patients receiving electric stimulation, compared with a 31% increase for the control group. There was a significant effect for assessment time only. Motor unit recruitment increased from 35% to 53% for the study group, whereas the control group recorded no change in recruitment ability. A significant interaction was recorded, indicating improved motor unit recruitment for the study group.
A brief and dynamic electric stimulation facilitation program significantly improved motor unit recruitment in persons after CVA.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15605345</pmid><doi>10.1016/j.apmr.2004.02.029</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Access via ScienceDirect (Elsevier) |
| subjects | Adult Aged Biological and medical sciences Electric stimulation Electric Stimulation Therapy Female Humans Isometric Contraction - physiology Male Medical sciences Middle Aged Motor activity Motor Neurons - physiology Muscle, Skeletal - innervation Muscle, Skeletal - physiopathology Neurology Recruitment, Neurophysiological - physiology Rehabilitation Stroke Stroke - physiopathology Stroke Rehabilitation Thigh Torque Treatment Outcome Vascular diseases and vascular malformations of the nervous system |
| title | Effect of an electric stimulation facilitation program on quadriceps motor unit recruitment after stroke |
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