A randomized controlled trial of surface neuromuscular electrical stimulation applied early after acute stroke: Effects on wrist pain, spasticity and contractures
Authors: Malhotra, S., Rosewilliam, S., Hermens, H., Roffe, C., Jones, P. and Pandyan, A.D.
Journal: Clinical Rehabilitation
Volume: 27
Issue: 7
Pages: 579-590
eISSN: 1477-0873
ISSN: 0269-2155
DOI: 10.1177/0269215512464502
Abstract:Objectives: To investigate effects of surface neuromuscular electrical stimulation applied early after stroke to the wrist and finger extensor muscles on upper limb pain, spasticity and contractures in patients with no functional arm movement. Design: Secondary analysis from a Phase II, randomized, controlled, single-blind study. Setting: An acute hospital stroke unit. Subjects: Patients with no useful arm function within six weeks of a first stroke. Intervention: Patients were randomized to treatment (30-minute sessions of surface neuromuscular stimulation to wrist and finger extensors and 45 minutes of physiotherapy) or control (45 minutes of physiotherapy) groups. All patients had access to routine care. Treatment was given for six weeks from recruitment. Results: Ninety patients (49% male, median age 74 years (range 32-98), median time since stroke onset three weeks (range one to six weeks)) were included. Treatment compliance was variable (mean 28%). The treatment prevented the development of pain (mean difference in rate of change 0.4 units/week, 95% confidence interval (CI) 0.09 to 0.6). Treatment may have prevented a deterioration in contractures (quantified by measuring passive range of movement) in severely disabled patients (mean rate of deterioration -0.5 deg/week; 95% CI -0.9 to -0.06). There were no significant changes in stiffness and spasticity. Conclusion: Surface neuromuscular electrical stimulation reduces pain in stroke patients with a non-functional arm. There was some evidence that treatment with electrical stimulation was beneficial in reducing contractures. Treatment had no effect on spasticity. © 2012 The Author(s).
Source: Scopus
A randomized controlled trial of surface neuromuscular electrical stimulation applied early after acute stroke: effects on wrist pain, spasticity and contractures.
Authors: Malhotra, S., Rosewilliam, S., Hermens, H., Roffe, C., Jones, P. and Pandyan, A.D.
Journal: Clin Rehabil
Volume: 27
Issue: 7
Pages: 579-590
eISSN: 1477-0873
DOI: 10.1177/0269215512464502
Abstract:OBJECTIVES: To investigate effects of surface neuromuscular electrical stimulation applied early after stroke to the wrist and finger extensor muscles on upper limb pain, spasticity and contractures in patients with no functional arm movement. DESIGN: Secondary analysis from a Phase II, randomized, controlled, single-blind study. SETTING: An acute hospital stroke unit. SUBJECTS: Patients with no useful arm function within six weeks of a first stroke. INTERVENTION: Patients were randomized to treatment (30-minute sessions of surface neuromuscular stimulation to wrist and finger extensors and 45 minutes of physiotherapy) or control (45 minutes of physiotherapy) groups. All patients had access to routine care. Treatment was given for six weeks from recruitment. RESULTS: Ninety patients (49% male, median age 74 years (range 32-98), median time since stroke onset three weeks (range one to six weeks)) were included. Treatment compliance was variable (mean 28%). The treatment prevented the development of pain (mean difference in rate of change 0.4 units/week, 95% confidence interval (CI) 0.09 to 0.6). Treatment may have prevented a deterioration in contractures (quantified by measuring passive range of movement) in severely disabled patients (mean rate of deterioration -0.5 deg/week; 95% CI -0.9 to -0.06). There were no significant changes in stiffness and spasticity. CONCLUSION: Surface neuromuscular electrical stimulation reduces pain in stroke patients with a non-functional arm. There was some evidence that treatment with electrical stimulation was beneficial in reducing contractures. Treatment had no effect on spasticity.
Source: PubMed
A randomized controlled trial of surface neuromuscular electrical stimulation applied early after acute stroke: effects on wrist pain, spasticity and contractures
Authors: Malhotra, S., Rosewilliam, S., Hermens, H., Roffe, C., Jones, P. and Pandyan, A.D.
Journal: CLINICAL REHABILITATION
Volume: 27
Issue: 7
Pages: 579-590
eISSN: 1477-0873
ISSN: 0269-2155
DOI: 10.1177/0269215512464502
Source: Web of Science (Lite)
A randomized controlled trial of surface neuromuscular electrical stimulation applied early after acute stroke: effects on wrist pain, spasticity and contractures.
Authors: Malhotra, S., Rosewilliam, S., Hermens, H., Roffe, C., Jones, P. and Pandyan, A.D.
Journal: Clinical rehabilitation
Volume: 27
Issue: 7
Pages: 579-590
eISSN: 1477-0873
ISSN: 0269-2155
DOI: 10.1177/0269215512464502
Abstract:Objectives
To investigate effects of surface neuromuscular electrical stimulation applied early after stroke to the wrist and finger extensor muscles on upper limb pain, spasticity and contractures in patients with no functional arm movement.Design
Secondary analysis from a Phase II, randomized, controlled, single-blind study.Setting
An acute hospital stroke unit.Subjects
Patients with no useful arm function within six weeks of a first stroke.Intervention
Patients were randomized to treatment (30-minute sessions of surface neuromuscular stimulation to wrist and finger extensors and 45 minutes of physiotherapy) or control (45 minutes of physiotherapy) groups. All patients had access to routine care. Treatment was given for six weeks from recruitment.Results
Ninety patients (49% male, median age 74 years (range 32-98), median time since stroke onset three weeks (range one to six weeks)) were included. Treatment compliance was variable (mean 28%). The treatment prevented the development of pain (mean difference in rate of change 0.4 units/week, 95% confidence interval (CI) 0.09 to 0.6). Treatment may have prevented a deterioration in contractures (quantified by measuring passive range of movement) in severely disabled patients (mean rate of deterioration -0.5 deg/week; 95% CI -0.9 to -0.06). There were no significant changes in stiffness and spasticity.Conclusion
Surface neuromuscular electrical stimulation reduces pain in stroke patients with a non-functional arm. There was some evidence that treatment with electrical stimulation was beneficial in reducing contractures. Treatment had no effect on spasticity.Source: Europe PubMed Central