Dose-response relation between neuromuscular electrical stimulation and upper-extremity function in patients with stroke
Journal
Stroke
Journal Volume
41
Journal Issue
4
Pages
821-824
Date Issued
2010
Author(s)
Abstract
BACKGROUND AND PURPOSE-: The purpose of our study was to investigate the effects of different doses of neuromuscular electrical stimulation (NMES) on upper-extremity function in acute stroke patients with severe motor deficit. METHODS-: Sixty-six acute stroke patients were randomized to 3 groups: high NMES, low NMES, or control. The low-NMES group received 30 minutes of stimulation per day, and the high-NMES group received 60 minutes per day, for 4 weeks. The Fugl-Meyer Motor Assessment Scale, Action Research Arm Test, and Motor Activity Log were used to assess the patients at baseline, 4 weeks, and 12 weeks post baseline (follow-up). RESULTS-: Both NMES groups showed significant improvement on Fugl-Meyer Motor Assessment and Action Research Arm Test scales compared with the control group at week 4 and follow-up. The high-NMES group showed treatment effects similar to those of the low-NMES group. CONCLUSIONS-: Higher and lower doses of NMES led to similar improvements in motor function. A minimum of 10 hours of NMES in combination with regular rehabilitation may improve recovery of arm function in stroke patients during the acute stage. ? 2010 American Heart Association, Inc.
SDGs
Other Subjects
adult; aged; arm movement; article; clinical trial; controlled clinical trial; controlled study; disease severity; female; follow up; human; major clinical study; male; motor activity; motor dysfunction; motor performance; neuromuscular electrical stimulation; outcome assessment; priority journal; randomized controlled trial; rating scale; single blind procedure; stroke; treatment duration; Adult; Aged; Aged, 80 and over; Electric Stimulation Therapy; Humans; Male; Middle Aged; Motor Activity; Stroke; Treatment Outcome; Upper Extremity
Type
journal article