Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/7904
Title: Comparison of the effectiveness of active and passive neuromuscular electrical stimulation of hemiplegic upper extremities: A randomized, controlled trial
Authors: Boyacı, Ahmet
Topuz, Oya
Alkan, Hakan
Özgen, Merih
Sarsan, Ayşe
Yıldız, Necmettin
Ardıç, Füsun
Keywords: Neuromuscular electrical stimulation
Rehabilitation
Stroke
Upper extremity
Functional independence measures
Goniometric measurements
Metacarpophalangeal joints
Neuromuscular electrical stimulations (NMES)
Statistically significant difference
Human rehabilitation equipment
Patient rehabilitation
Physical therapy
Electromyography
arm
article
cerebrovascular accident
comparative study
controlled clinical trial
controlled study
electromyography
electrostimulation therapy
female
hand strength
hemiplegia
human
joint characteristics and functions
male
methodology
middle aged
nerve cell plasticity
pathophysiology
prospective study
randomized controlled trial
treatment outcome
wrist
Electric Stimulation Therapy
Female
Hand Strength
Hemiplegia
Humans
Male
Middle Aged
Neuronal Plasticity
Prospective Studies
Range of Motion, Articular
Treatment Outcome
Upper Extremity
Wrist Joint
Abstract: To compare the efficacy of electromyography (EMG)-triggered (active) neuromuscular electrical stimulation (NMES) and passive NMES in enhancing the upper extremity (UE) motor and functional recovery of subacute and chronic stage stroke patients. Thirty-one hemiplegic patients were randomly assigned to active NMES (n=11), passive NMES (n=10), and control (sham stimulation) (n=10) groups. Each treatment regimen was applied five times per week for 45 min for 3 weeks. All of the patients performed the same neurophysiologic exercise program for 45 min five times per week for 3 weeks. Patients were assessed by the UE component of the Fugl-Meyer Motor Assessment (UE-FMA), the self-care component of the Functional Independence Measure (self-care FIM), the Motor Activity Log (MAL), goniometric measurements of active wrist and metacarpophalangeal joint extension, surface EMG potentials, grip strength, and the modified Ashworth scale in a blinded manner. Data were obtained before and at the end of the treatment. Participants were similar in all clinical and demographic features (P>0.05). All groups were comparable with respect to UE-FMA, MAL, self-care FIM, wrist and finger flexor spasticity, active range of motion (ROM), grip strength, and surface EMG potentials before treatment (P>0.05). The active ROM, grip strength, FMA, FIM, surface EMG potentials, and MAL: amount of use were significantly improved in the EMG-triggered NMES group compared with the controls (P<0.05). The active wrist extension ROM and FMA scores were significantly improved in the passive NMES group compared with the controls (P<0.05). There were no statistically significant differences between active and passive NMES groups in any of the parameters evaluated at the end of the treatment (P>0.05). Both active and passive NMES as adjuvant therapy in the neurophysiologic exercise program effectively enhanced the UE motor and functional recovery of stroke survivors. © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins.
URI: https://hdl.handle.net/11499/7904
https://doi.org/10.1097/MRR.0b013e328360e541
ISSN: 0342-5282
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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