| Effects of combining electric stimulation with active ankle dorsiflexion while standing on a rocker board: a pilot study for subjects with spastic foot after stroke. | |
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MedLine Citation:
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PMID: 20382279 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate the therapeutic effects of combining electric stimulation (ES) with active ankle dorsiflexion while standing on a rocker board in subjects with plantarflexor spasticity after stroke. DESIGN: Randomized controlled trial. SETTING: A rehabilitation medical center. PARTICIPANTS: Subjects (N=15) with spastic foot after stroke. INTERVENTIONS: Subjects were randomly assigned to an experimental or a control group. The experimental group received ES of ankle dorsiflexors in concert with a motor training paradigm that required the subject to dorsiflex the ankles in response to a cue while standing on a rocker board. After 30 minutes of this exercise, subjects received ambulation training focusing on ankle control for 15 minutes. The control group received general range of motion and strength exercises for 30 minutes, followed by 15 minutes of ambulation training focusing on ankle control. Sessions occurred 3 times a week for 4 weeks. MAIN OUTCOME MEASURES: Dynamic spasticity of plantarflexors, dorsiflexor muscle strength, balance performance, gait kinematics, and functional gait performance as assessed by the Emory Functional Ambulation Profile (EFAP) were used as outcome measurements. RESULTS: The experimental group demonstrated a greater decrease in dynamic ankle spasticity at a comfortable gait speed (P=.049), a greater improvement in spatial gait symmetry (P=.015), and a greater improvement in functional gait ability as indicated by the EFAP (P=.015) than the control group. CONCLUSIONS: Our results suggest that repeated ES with volitional ankle movements can decrease dynamic ankle spasticity in subjects with stroke. Furthermore, such improvement parallels better gait symmetry and functional gait performance. |
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Authors:
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Ju-Shao Cheng; Yea-Ru Yang; Shih-Jung Cheng; Pei-Yi Lin; Ray-Yau Wang |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 91 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-12 Completed Date: 2010-05-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 505-12 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ankle / physiopathology* Electric Stimulation Therapy / methods* Exercise Therapy / methods Female Gait Humans Male Middle Aged Muscle Spasticity / etiology, physiopathology, rehabilitation* Muscle Strength Pilot Projects Postural Balance Range of Motion, Articular Rehabilitation Centers Stroke / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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