https://scholars.lib.ntu.edu.tw/handle/123456789/483867
Title: | Effects of noxious versus innocuous thermal stimulation on lower extremity motor recovery 3 months after stroke | Authors: | Hsu H.-W. Lee C.-L. Hsu M.-J. Wu H.-C. Lin R. CHING-LIN HSIEH Lin J.-H. |
Issue Date: | 2013 | Journal Volume: | 94 | Journal Issue: | 4 | Start page/Pages: | 633-641 | Source: | Archives of Physical Medicine and Rehabilitation | Abstract: | Objective: To examine the effects of thermal stimulation (TS) on the lower extremity (LE) movement and function in patients with stroke. Design: A double-blinded randomized controlled trial. Setting: A university hospital. Participants: Patients (N=34) at least 3 months after stroke were randomly assigned into the experimental and the control groups. Interventions: In addition to regular rehabilitation, the experimental group received a 30-minute noxious TS protocol (heat pain 46-47°C/cold pain 2-3°C) 3days/wk for 8 weeks, and the control group received a 30-minute innocuous TS protocol (heat 40-41°C/cold 23-24°C) 3d/wk for 8 weeks. Main Outcome Measures: The Low Extremity subscale of the Stroke Rehabilitation Assessment of Movement (LE-STREAM), the Mobility subscale of STREAM (Mob-STREAM), the Functional Ambulation Category (FAC), the Barthel Index (BI), the Postural Assessment Scale for Stroke Patients (PASS), and the Modified Ashworth Scale (MAS) were administered by a blinded rater at baseline, posttreatment (8wk), and follow-up (12wk). Results: Twenty-three participants completed the study protocol and all outcome measurements. No preexisting group differences between the experimental group (n=11) and the control group (n=12) were found on demographic and clinical variables. Compared with baseline, the experimental group showed significant improvements at posttreatment and follow-up on the LE-STREAM, Mob-STREAM, FAC, and BI (P<.05) while the control group showed no significant improvements for all outcome measures. As for the between-group comparison, significant differences were seen at follow-up (12wk) on the LE-STREAM, Mob-STREAM, BI, and MAS. Conclusions: Our findings indicate that an 8-week program of noxious TS combined with a traditional stroke rehabilitation program can improve the LE-related movement and function in patients with stroke for more than 3 months. ? 2013 by the American Congress of Rehabilitation Medicine. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84875457213&doi=10.1016%2fj.apmr.2012.11.021&partnerID=40&md5=2c84977eabd6fc7ae98c805d8f297c13 https://scholars.lib.ntu.edu.tw/handle/123456789/483867 |
ISSN: | 0003-9993 | DOI: | 10.1016/j.apmr.2012.11.021 | SDG/Keyword: | article; Barthel index; cerebrovascular accident; clinical article; clinical assessment; controlled study; demography; double blind procedure; follow up; functional ambulation category; human; leg movement; Low Extremity subscale of the Stroke Rehabilitation Assessment of Movement; Modified Ashworth Scale; pain; Postural Assessment Scale for Stroke Patient; randomized controlled trial; thermal stimulation; treatment duration; treatment outcome; Adult; Aged; Cryotherapy; Double-Blind Method; Female; Follow-Up Studies; Humans; Hyperthermia, Induced; Lower Extremity; Male; Middle Aged; Paresis; Recovery of Function; Stroke; Time Factors; Treatment Outcome; Walking |
Appears in Collections: | 職能治療學系 |
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