Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia
The purpose of this study was to assess the efficacy of neuromuscular stimulation in enhancing the upper extremity motor and functional recovery of acute stroke survivors. Forty-six stroke survivors admitted to an inpatient rehabilitation unit were randomly assigned to receive either neuromuscular s...
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| Veröffentlicht in: | Stroke (1970) 1998-05, Vol.29 (5), p.975-979 |
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| container_title | Stroke (1970) |
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| creator | CHAE, J BETHOUX, F BOHINC, T DOBOS, L DAVIS, T FRIEDL, A |
| description | The purpose of this study was to assess the efficacy of neuromuscular stimulation in enhancing the upper extremity motor and functional recovery of acute stroke survivors.
Forty-six stroke survivors admitted to an inpatient rehabilitation unit were randomly assigned to receive either neuromuscular stimulation or placebo. Twenty-eight subjects completed the study. The treatment group received surface neuromuscular stimulation to produce wrist and finger extension exercises. The control group received placebo stimulation over the paretic forearm. All subjects were treated 1 hour per day, for a total of 15 sessions. Outcomes were assessed in a blinded manner with the upper extremity component of the Fugl-Meyer Motor Assessment and the self-care component of the Functional Independence Measure at pretreatment, after treatment, and at 4 and 12 weeks after treatment.
The treatment subjects and control subjects had comparable baseline characteristics. Parametric analyses revealed significantly greater gains in Fugl-Meyer scores for the treatment group after treatment (13.1 versus 6.5; P=0.05), at 4 weeks after treatment (17.9 versus 9.7; P=0.05), and at 12 weeks after treatment (20.6 versus 11.2; P=0.06). Functional Independence Measure scores were not different between groups at any of the time periods (P>0.10).
Data suggest that neuromuscular stimulation enhances the upper extremity motor recovery of acute stroke survivors. However, the sample size in this study was too small to detect any significant effect of neuromuscular stimulation on self-care function. |
| doi_str_mv | 10.1161/01.str.29.5.975 |
| format | Article |
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Forty-six stroke survivors admitted to an inpatient rehabilitation unit were randomly assigned to receive either neuromuscular stimulation or placebo. Twenty-eight subjects completed the study. The treatment group received surface neuromuscular stimulation to produce wrist and finger extension exercises. The control group received placebo stimulation over the paretic forearm. All subjects were treated 1 hour per day, for a total of 15 sessions. Outcomes were assessed in a blinded manner with the upper extremity component of the Fugl-Meyer Motor Assessment and the self-care component of the Functional Independence Measure at pretreatment, after treatment, and at 4 and 12 weeks after treatment.
The treatment subjects and control subjects had comparable baseline characteristics. Parametric analyses revealed significantly greater gains in Fugl-Meyer scores for the treatment group after treatment (13.1 versus 6.5; P=0.05), at 4 weeks after treatment (17.9 versus 9.7; P=0.05), and at 12 weeks after treatment (20.6 versus 11.2; P=0.06). Functional Independence Measure scores were not different between groups at any of the time periods (P>0.10).
Data suggest that neuromuscular stimulation enhances the upper extremity motor recovery of acute stroke survivors. However, the sample size in this study was too small to detect any significant effect of neuromuscular stimulation on self-care function.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/01.str.29.5.975</identifier><identifier>PMID: 9596245</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Acute Disease ; Aged ; Arm - innervation ; Biological and medical sciences ; Data Interpretation, Statistical ; Diseases of the nervous system ; Double-Blind Method ; Electric Stimulation ; Female ; Fingers - innervation ; Follow-Up Studies ; Hemiplegia - physiopathology ; Hemiplegia - rehabilitation ; Humans ; Male ; Medical sciences ; Middle Aged ; Motor Activity - physiology ; Muscle, Skeletal - innervation ; Neuromuscular Junction - physiology ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Shoulder - innervation ; Time Factors ; Treatment Outcome ; Wrist - innervation</subject><ispartof>Stroke (1970), 1998-05, Vol.29 (5), p.975-979</ispartof><rights>1998 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. May 1998</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-e611ee9c52dc6f483a718b1514f6575cb96143d27480621b0a431be6e9659b763</citedby><cites>FETCH-LOGICAL-c536t-e611ee9c52dc6f483a718b1514f6575cb96143d27480621b0a431be6e9659b763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3674,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2234949$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9596245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CHAE, J</creatorcontrib><creatorcontrib>BETHOUX, F</creatorcontrib><creatorcontrib>BOHINC, T</creatorcontrib><creatorcontrib>DOBOS, L</creatorcontrib><creatorcontrib>DAVIS, T</creatorcontrib><creatorcontrib>FRIEDL, A</creatorcontrib><title>Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>The purpose of this study was to assess the efficacy of neuromuscular stimulation in enhancing the upper extremity motor and functional recovery of acute stroke survivors.
Forty-six stroke survivors admitted to an inpatient rehabilitation unit were randomly assigned to receive either neuromuscular stimulation or placebo. Twenty-eight subjects completed the study. The treatment group received surface neuromuscular stimulation to produce wrist and finger extension exercises. The control group received placebo stimulation over the paretic forearm. All subjects were treated 1 hour per day, for a total of 15 sessions. Outcomes were assessed in a blinded manner with the upper extremity component of the Fugl-Meyer Motor Assessment and the self-care component of the Functional Independence Measure at pretreatment, after treatment, and at 4 and 12 weeks after treatment.
The treatment subjects and control subjects had comparable baseline characteristics. Parametric analyses revealed significantly greater gains in Fugl-Meyer scores for the treatment group after treatment (13.1 versus 6.5; P=0.05), at 4 weeks after treatment (17.9 versus 9.7; P=0.05), and at 12 weeks after treatment (20.6 versus 11.2; P=0.06). Functional Independence Measure scores were not different between groups at any of the time periods (P>0.10).
Data suggest that neuromuscular stimulation enhances the upper extremity motor recovery of acute stroke survivors. However, the sample size in this study was too small to detect any significant effect of neuromuscular stimulation on self-care function.</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Arm - innervation</subject><subject>Biological and medical sciences</subject><subject>Data Interpretation, Statistical</subject><subject>Diseases of the nervous system</subject><subject>Double-Blind Method</subject><subject>Electric Stimulation</subject><subject>Female</subject><subject>Fingers - innervation</subject><subject>Follow-Up Studies</subject><subject>Hemiplegia - physiopathology</subject><subject>Hemiplegia - rehabilitation</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Motor Activity - physiology</subject><subject>Muscle, Skeletal - innervation</subject><subject>Neuromuscular Junction - physiology</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Shoulder - innervation</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Wrist - innervation</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0M9rFTEQB_AglvpaPXsSgkhvu83k5-YoxVahKGg9h2zerG7Z3az5UXz_vVv66MFThsxnBuZLyFtgLYCGSwZtLqnltlWtNeoF2YHispGady_JjjFhGy6tfUXOcr5njHHRqVNyapXVXKodcV-xpjjXHOrkE81lnLeijHGhQ0y0rismin9LwnksBzrHsv36ZU-HuoRH5ieaMMQHTAc6LtSHWpD-3vQ64a_RvyYng58yvjm-5-Tn9ae7q8_N7bebL1cfb5ughC4NagBEGxTfBz3ITngDXQ8K5KCVUaG3GqTYcyM7pjn0zEsBPWq0WtneaHFOLp72rin-qZiLm8cccJr8grFmZ2xnQEi1wff_wftY03ZGdmCNkUoLsaHLJxRSzDnh4NY0zj4dHDD3mLtj4H7cfXfcOuW23LeJd8e1tZ9x_-yPQW_9D8e-z8FPQ_JLGPMz41xIK634B_NFi7c</recordid><startdate>19980501</startdate><enddate>19980501</enddate><creator>CHAE, J</creator><creator>BETHOUX, F</creator><creator>BOHINC, T</creator><creator>DOBOS, L</creator><creator>DAVIS, T</creator><creator>FRIEDL, A</creator><general>Lippincott Williams & Wilkins</general><general>American Heart Association, Inc</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>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19980501</creationdate><title>Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia</title><author>CHAE, J ; BETHOUX, F ; BOHINC, T ; DOBOS, L ; DAVIS, T ; FRIEDL, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-e611ee9c52dc6f483a718b1514f6575cb96143d27480621b0a431be6e9659b763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Acute Disease</topic><topic>Aged</topic><topic>Arm - innervation</topic><topic>Biological and medical sciences</topic><topic>Data Interpretation, Statistical</topic><topic>Diseases of the nervous system</topic><topic>Double-Blind Method</topic><topic>Electric Stimulation</topic><topic>Female</topic><topic>Fingers - innervation</topic><topic>Follow-Up Studies</topic><topic>Hemiplegia - physiopathology</topic><topic>Hemiplegia - rehabilitation</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Motor Activity - physiology</topic><topic>Muscle, Skeletal - innervation</topic><topic>Neuromuscular Junction - physiology</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Shoulder - innervation</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Wrist - innervation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHAE, J</creatorcontrib><creatorcontrib>BETHOUX, F</creatorcontrib><creatorcontrib>BOHINC, T</creatorcontrib><creatorcontrib>DOBOS, L</creatorcontrib><creatorcontrib>DAVIS, T</creatorcontrib><creatorcontrib>FRIEDL, A</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>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHAE, J</au><au>BETHOUX, F</au><au>BOHINC, T</au><au>DOBOS, L</au><au>DAVIS, T</au><au>FRIEDL, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>1998-05-01</date><risdate>1998</risdate><volume>29</volume><issue>5</issue><spage>975</spage><epage>979</epage><pages>975-979</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>The purpose of this study was to assess the efficacy of neuromuscular stimulation in enhancing the upper extremity motor and functional recovery of acute stroke survivors.
Forty-six stroke survivors admitted to an inpatient rehabilitation unit were randomly assigned to receive either neuromuscular stimulation or placebo. Twenty-eight subjects completed the study. The treatment group received surface neuromuscular stimulation to produce wrist and finger extension exercises. The control group received placebo stimulation over the paretic forearm. All subjects were treated 1 hour per day, for a total of 15 sessions. Outcomes were assessed in a blinded manner with the upper extremity component of the Fugl-Meyer Motor Assessment and the self-care component of the Functional Independence Measure at pretreatment, after treatment, and at 4 and 12 weeks after treatment.
The treatment subjects and control subjects had comparable baseline characteristics. Parametric analyses revealed significantly greater gains in Fugl-Meyer scores for the treatment group after treatment (13.1 versus 6.5; P=0.05), at 4 weeks after treatment (17.9 versus 9.7; P=0.05), and at 12 weeks after treatment (20.6 versus 11.2; P=0.06). Functional Independence Measure scores were not different between groups at any of the time periods (P>0.10).
Data suggest that neuromuscular stimulation enhances the upper extremity motor recovery of acute stroke survivors. However, the sample size in this study was too small to detect any significant effect of neuromuscular stimulation on self-care function.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>9596245</pmid><doi>10.1161/01.str.29.5.975</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; American Heart Association Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection; Journals@Ovid Complete |
| subjects | Acute Disease Aged Arm - innervation Biological and medical sciences Data Interpretation, Statistical Diseases of the nervous system Double-Blind Method Electric Stimulation Female Fingers - innervation Follow-Up Studies Hemiplegia - physiopathology Hemiplegia - rehabilitation Humans Male Medical sciences Middle Aged Motor Activity - physiology Muscle, Skeletal - innervation Neuromuscular Junction - physiology Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Shoulder - innervation Time Factors Treatment Outcome Wrist - innervation |
| title | Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia |
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