Effect of Sensory-Amplitude Electric Stimulation on Motor Recovery and Gait Kinematics After Stroke: A Randomized Controlled Study

Abstract Yavuzer G, Öken Ö, Atay MB, Stam HJ. Effect of sensory-amplitude electric stimulation on motor recovery and gait kinematics after stroke: a randomized controlled study. Objective To evaluate the effects of sensory-amplitude electric stimulation (SES) of the paretic leg on motor recovery and...

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Veröffentlicht in:Archives of physical medicine and rehabilitation 2007-06, Vol.88 (6), p.710-714
Hauptverfasser: Yavuzer, Gunes, MD, PhD, Öken, Öznur, MD, Atay, Mesut B., MD, Stam, Henk J., MD, PhD
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container_issue 6
container_start_page 710
container_title Archives of physical medicine and rehabilitation
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creator Yavuzer, Gunes, MD, PhD
Öken, Öznur, MD
Atay, Mesut B., MD
Stam, Henk J., MD, PhD
description Abstract Yavuzer G, Öken Ö, Atay MB, Stam HJ. Effect of sensory-amplitude electric stimulation on motor recovery and gait kinematics after stroke: a randomized controlled study. Objective To evaluate the effects of sensory-amplitude electric stimulation (SES) of the paretic leg on motor recovery and gait kinematics of patients with stroke. Design Randomized, controlled, double-blind study. Setting Rehabilitation ward and gait laboratory of a university hospital. Participants A total of 30 consecutive inpatients with stroke (mean age, 63.2y), all within 6 months poststroke and without volitional ankle dorsiflexion were studied. Intervention Both the SES group (n=15) and the placebo group (n=15) participated in a conventional stroke rehabilitation program 5 days a week for 4 weeks. The SES group also received 30 minutes of SES to the paretic leg without muscle contraction 5 days a week for 4 weeks. Main Outcome Measures Brunnstrom stages of motor recovery and time-distance and kinematic characteristics of gait. Results Brunnstrom stages improved significantly in both groups ( P .05). Gait kinematics was improved in both groups, but the between-group difference was not significant. Conclusions In our patients with stroke, SES of the paretic leg was not superior to placebo in terms of lower-extremity motor recovery and gait kinematics.
doi_str_mv 10.1016/j.apmr.2007.02.030
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Effect of sensory-amplitude electric stimulation on motor recovery and gait kinematics after stroke: a randomized controlled study. Objective To evaluate the effects of sensory-amplitude electric stimulation (SES) of the paretic leg on motor recovery and gait kinematics of patients with stroke. Design Randomized, controlled, double-blind study. Setting Rehabilitation ward and gait laboratory of a university hospital. Participants A total of 30 consecutive inpatients with stroke (mean age, 63.2y), all within 6 months poststroke and without volitional ankle dorsiflexion were studied. Intervention Both the SES group (n=15) and the placebo group (n=15) participated in a conventional stroke rehabilitation program 5 days a week for 4 weeks. The SES group also received 30 minutes of SES to the paretic leg without muscle contraction 5 days a week for 4 weeks. Main Outcome Measures Brunnstrom stages of motor recovery and time-distance and kinematic characteristics of gait. Results Brunnstrom stages improved significantly in both groups ( P &lt;.05). In total, 58% of the SES group and 56% of the placebo group gained voluntary ankle dorsiflexion. The between-group difference of percentage change was not significant ( P &gt;.05). Gait kinematics was improved in both groups, but the between-group difference was not significant. Conclusions In our patients with stroke, SES of the paretic leg was not superior to placebo in terms of lower-extremity motor recovery and gait kinematics.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2007.02.030</identifier><identifier>PMID: 17532891</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Biomechanical Phenomena ; Cerebrovascular accident ; Double-Blind Method ; Electric stimulation ; Electric Stimulation Therapy - methods ; Female ; Gait ; Humans ; Lower Extremity - physiopathology ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Muscle Contraction ; Neurology ; Paresis - etiology ; Paresis - physiopathology ; Paresis - rehabilitation ; Physical Medicine and Rehabilitation ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Recovery of Function ; Rehabilitation ; Stroke - complications ; Stroke - physiopathology ; Stroke Rehabilitation ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Archives of physical medicine and rehabilitation, 2007-06, Vol.88 (6), p.710-714</ispartof><rights>American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2007 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-556b6f6e0dc9e5be023773aac9b38f421a02ed0f3b459c2312d66fede47821b43</citedby><cites>FETCH-LOGICAL-c470t-556b6f6e0dc9e5be023773aac9b38f421a02ed0f3b459c2312d66fede47821b43</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.2007.02.030$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=18820946$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17532891$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yavuzer, Gunes, MD, PhD</creatorcontrib><creatorcontrib>Öken, Öznur, MD</creatorcontrib><creatorcontrib>Atay, Mesut B., MD</creatorcontrib><creatorcontrib>Stam, Henk J., MD, PhD</creatorcontrib><title>Effect of Sensory-Amplitude Electric Stimulation on Motor Recovery and Gait Kinematics After Stroke: A Randomized Controlled Study</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Yavuzer G, Öken Ö, Atay MB, Stam HJ. Effect of sensory-amplitude electric stimulation on motor recovery and gait kinematics after stroke: a randomized controlled study. Objective To evaluate the effects of sensory-amplitude electric stimulation (SES) of the paretic leg on motor recovery and gait kinematics of patients with stroke. Design Randomized, controlled, double-blind study. Setting Rehabilitation ward and gait laboratory of a university hospital. Participants A total of 30 consecutive inpatients with stroke (mean age, 63.2y), all within 6 months poststroke and without volitional ankle dorsiflexion were studied. Intervention Both the SES group (n=15) and the placebo group (n=15) participated in a conventional stroke rehabilitation program 5 days a week for 4 weeks. The SES group also received 30 minutes of SES to the paretic leg without muscle contraction 5 days a week for 4 weeks. Main Outcome Measures Brunnstrom stages of motor recovery and time-distance and kinematic characteristics of gait. Results Brunnstrom stages improved significantly in both groups ( P &lt;.05). In total, 58% of the SES group and 56% of the placebo group gained voluntary ankle dorsiflexion. The between-group difference of percentage change was not significant ( P &gt;.05). Gait kinematics was improved in both groups, but the between-group difference was not significant. Conclusions In our patients with stroke, SES of the paretic leg was not superior to placebo in terms of lower-extremity motor recovery and gait kinematics.</description><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Cerebrovascular accident</subject><subject>Double-Blind Method</subject><subject>Electric stimulation</subject><subject>Electric Stimulation Therapy - methods</subject><subject>Female</subject><subject>Gait</subject><subject>Humans</subject><subject>Lower Extremity - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Muscle Contraction</subject><subject>Neurology</subject><subject>Paresis - etiology</subject><subject>Paresis - physiopathology</subject><subject>Paresis - rehabilitation</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Recovery of Function</subject><subject>Rehabilitation</subject><subject>Stroke - complications</subject><subject>Stroke - physiopathology</subject><subject>Stroke Rehabilitation</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>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk2LFDEQhhtR3HH1D3iQXPTWbSXpTxFhGMZVXBF2FLyFdLoCme3uzCbdC-3RX24NM7DgQSGQVPK8VaHeSpKXHDIOvHy7z_RhCJkAqDIQGUh4lKx4IUVaC_7zcbICAJk2TSMvkmcx7iksC8mfJhe8Iqpu-Cr5vbUWzcS8ZTscow9Luh4OvZvmDtm2p6fgDNtNbph7PTk_Mlpf_eQDu0Hj7zEsTI8du9JuYl_ciANRJrK1nTCQLvhbfMfW7IYgP7hf2LGNH-m67-m4ozLL8-SJ1X3EF-f9Mvnxcft98ym9_nb1ebO-Tk1ewZQWRdmWtkToTINFiyBkVUmtTdPK2uaCaxDYgZVtXjRGSC66srTYYV5RO9pcXiZvTnkPwd_NGCc1uGiw7_WIfo6qgiKv8uL_IG_KXNQVJ1CcQBN8jAGtOgQ36LAoDupokdqro0XqaJECocgiEr06Z5_bAbsHydkTAl6fAR2N7m3Qo3HxgatrAU1eEvf-xCE17d5hUNE4HA12LpBvqvPu3__48Jfc9G50VPEWF4x7P4eR7FBcRRKo3XGYjrMEFVDGspF_AObuxVI</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>Yavuzer, Gunes, MD, PhD</creator><creator>Öken, Öznur, MD</creator><creator>Atay, Mesut B., MD</creator><creator>Stam, Henk J., MD, PhD</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>20070601</creationdate><title>Effect of Sensory-Amplitude Electric Stimulation on Motor Recovery and Gait Kinematics After Stroke: A Randomized Controlled Study</title><author>Yavuzer, Gunes, MD, PhD ; Öken, Öznur, MD ; Atay, Mesut B., MD ; Stam, Henk J., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-556b6f6e0dc9e5be023773aac9b38f421a02ed0f3b459c2312d66fede47821b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Cerebrovascular accident</topic><topic>Double-Blind Method</topic><topic>Electric stimulation</topic><topic>Electric Stimulation Therapy - methods</topic><topic>Female</topic><topic>Gait</topic><topic>Humans</topic><topic>Lower Extremity - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Muscle Contraction</topic><topic>Neurology</topic><topic>Paresis - etiology</topic><topic>Paresis - physiopathology</topic><topic>Paresis - rehabilitation</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Recovery of Function</topic><topic>Rehabilitation</topic><topic>Stroke - complications</topic><topic>Stroke - physiopathology</topic><topic>Stroke Rehabilitation</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yavuzer, Gunes, MD, PhD</creatorcontrib><creatorcontrib>Öken, Öznur, MD</creatorcontrib><creatorcontrib>Atay, Mesut B., MD</creatorcontrib><creatorcontrib>Stam, Henk J., MD, PhD</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>Yavuzer, Gunes, MD, PhD</au><au>Öken, Öznur, MD</au><au>Atay, Mesut B., MD</au><au>Stam, Henk J., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Sensory-Amplitude Electric Stimulation on Motor Recovery and Gait Kinematics After Stroke: A Randomized Controlled Study</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2007-06-01</date><risdate>2007</risdate><volume>88</volume><issue>6</issue><spage>710</spage><epage>714</epage><pages>710-714</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract Yavuzer G, Öken Ö, Atay MB, Stam HJ. Effect of sensory-amplitude electric stimulation on motor recovery and gait kinematics after stroke: a randomized controlled study. Objective To evaluate the effects of sensory-amplitude electric stimulation (SES) of the paretic leg on motor recovery and gait kinematics of patients with stroke. Design Randomized, controlled, double-blind study. Setting Rehabilitation ward and gait laboratory of a university hospital. Participants A total of 30 consecutive inpatients with stroke (mean age, 63.2y), all within 6 months poststroke and without volitional ankle dorsiflexion were studied. Intervention Both the SES group (n=15) and the placebo group (n=15) participated in a conventional stroke rehabilitation program 5 days a week for 4 weeks. The SES group also received 30 minutes of SES to the paretic leg without muscle contraction 5 days a week for 4 weeks. Main Outcome Measures Brunnstrom stages of motor recovery and time-distance and kinematic characteristics of gait. Results Brunnstrom stages improved significantly in both groups ( P &lt;.05). In total, 58% of the SES group and 56% of the placebo group gained voluntary ankle dorsiflexion. The between-group difference of percentage change was not significant ( P &gt;.05). Gait kinematics was improved in both groups, but the between-group difference was not significant. Conclusions In our patients with stroke, SES of the paretic leg was not superior to placebo in terms of lower-extremity motor recovery and gait kinematics.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17532891</pmid><doi>10.1016/j.apmr.2007.02.030</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Access via ScienceDirect (Elsevier)
subjects Biological and medical sciences
Biomechanical Phenomena
Cerebrovascular accident
Double-Blind Method
Electric stimulation
Electric Stimulation Therapy - methods
Female
Gait
Humans
Lower Extremity - physiopathology
Male
Medical sciences
Middle Aged
Miscellaneous
Muscle Contraction
Neurology
Paresis - etiology
Paresis - physiopathology
Paresis - rehabilitation
Physical Medicine and Rehabilitation
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Recovery of Function
Rehabilitation
Stroke - complications
Stroke - physiopathology
Stroke Rehabilitation
Vascular diseases and vascular malformations of the nervous system
title Effect of Sensory-Amplitude Electric Stimulation on Motor Recovery and Gait Kinematics After Stroke: A Randomized Controlled Study
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