| A randomized controlled trial of functional neuromuscular stimulation in chronic stroke subjects. | |
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MedLine Citation:
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PMID: 16322492 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: Conventional therapies fail to restore normal gait to many patients after stroke. The study purpose was to test response to coordination exercise, overground gait training, and weight-supported treadmill training, both with and without functional neuromuscular stimulation (FNS) using intramuscular (IM) electrodes (FNS-IM). METHODS: In a randomized controlled trial, 32 subjects (>1 year after stroke) were assigned to 1 of 2 groups: FNS-IM or No-FNS. Inclusion criteria included ability to walk independently but inability to execute a normal swing or stance phase. All subjects were treated 4 times per week for 12 weeks. The primary outcome measure, obtained by a blinded evaluator, was gait component execution, according to the Tinetti gait scale. Secondary measures were coordination, balance, and 6-minute walking distance. RESULTS: Before treatment, there were no significant differences between the 2 groups for age, time since stroke, stroke severity, and each study measure. FNS-IM produced a statistically significant greater gain versus No-FNS for gait component execution (P=0.003; parameter estimate 2.9; 95% CI, 1.2 to 4.6) and knee flexion coordination (P=0.049). CONCLUSIONS: FNS-IM can have a significant advantage versus No-FNS in improving gait components and knee flexion coordination after stroke. |
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Authors:
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Janis J Daly; Kristen Roenigk; John Holcomb; Jean M Rogers; Kristen Butler; Jennifer Gansen; Jessica McCabe; Eric Fredrickson; E Byron Marsolais; Robert L Ruff |
Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S. Date: 2005-12-01 |
Journal Detail:
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Title: Stroke; a journal of cerebral circulation Volume: 37 ISSN: 1524-4628 ISO Abbreviation: Stroke Publication Date: 2006 Jan |
Date Detail:
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Created Date: 2005-12-23 Completed Date: 2006-02-21 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0235266 Medline TA: Stroke Country: United States |
Other Details:
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Languages: eng Pagination: 172-8 Citation Subset: IM |
Affiliation:
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Department of Neurology, Case Western Reserve University, School of Medicine, Cleveland, Ohio, USA. jjd17@case.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Electric Stimulation Therapy / methods* Electrodes Exercise Therapy Female Humans Male Middle Aged Paresis / rehabilitation, therapy Physical Therapy Modalities* Stroke / rehabilitation*, therapy Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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