Document Detail


A randomized controlled trial of functional neuromuscular stimulation in chronic stroke subjects.
MedLine Citation:
PMID:  16322492     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2005-12-01
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  37     ISSN:  1524-4628     ISO Abbreviation:  Stroke     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2005-12-23     Completed Date:  2006-02-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  United States    
Other Details:
Languages:  eng     Pagination:  172-8     Citation Subset:  IM    
Affiliation:
Department of Neurology, Case Western Reserve University, School of Medicine, Cleveland, Ohio, USA. jjd17@case.edu
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MeSH Terms
Descriptor/Qualifier:
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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