| Transcutaneous electrical stimulation on acupoints combined with task-related training to improve motor function and walking performance in an individual 7 years poststroke: a case study. | |
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MedLine Citation:
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PMID: 21084922 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: Impaired walking function and spasticity are common sequelae of stroke. Prior studies have shown that a rehabilitation program combining transcutaneous electrical stimulation (TES) with task-related training (TRT) improves motor function in individuals with stroke. However, it is unclear if this approach is beneficial for individuals with long-standing stroke. CASE DESCRIPTION: The subject of this case study was a 61-year-old man who was 7 years poststroke. He exhibited limitations of walking function, impaired strength of the ankle muscles, and severe plantarflexor spasticity. INTERVENTIONS: For 4 weeks, the patient performed a 5-day/wk home program consisting of 60 minutes of TES (below motor threshold) to the acupoints in the affected lower leg, followed by 60 minutes of TRT. He documented his daily home program activities in a log, and 3 times a week he received a call from the therapist to verify his adherence. The patient also had 8 clinic visits, which focused on instruction to ensure adherence to the (TES + TRT) protocol and progression of the program. OUTCOMES: After the 4-week program, plantarflexor spasticity decreased and ankle dorsi- and plantarflexor strength improved. More important, there were notable improvements in gait velocity, walking endurance, and functional mobility. These gains were maintained at 4 weeks posttreatment. DISCUSSION: This accessible home program was safe and effective for decreasing impairment and improving function in an individual with long-term, chronic stroke. The gains were maintained 4 weeks posttreatment. Details are provided for developing a home program integrating somatosensory TES and TRT. |
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Authors:
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Shamay S M Ng; Christina W Y Hui-Chan |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of neurologic physical therapy : JNPT Volume: 34 ISSN: 1557-0584 ISO Abbreviation: J Neurol Phys Ther Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101193365 Medline TA: J Neurol Phys Ther Country: United States |
Other Details:
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Languages: eng Pagination: 208-13 Citation Subset: IM |
Affiliation:
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The Hong Kong Polytechnic University, Hong Kong. |
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Comment In:
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J Neurol Phys Ther. 2010 Dec;34(4):214-5
[PMID:
21084923
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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