[Purpose] This study investigated the effects of a 12-hour neuromuscular electrical
stimulation program in the evening hours on upper extremity function in sub-acute stroke
patients. [Subjects and Methods] Forty-five subjects were randomized to one of three
groups: 12-hour neuromuscular electrical stimulation group (n=15), which received 12 hours
of neuromuscular electrical stimulation and conventional rehabilitation for the affected
upper extremity; neuromuscular electrical stimulation group (n=15), which received 30 min
of neuromuscular electrical stimulation and conventional rehabilitation; and control group
(n=15), which received conventional rehabilitation only. The Fugl-Meyer assessment, Action
Research Arm Test, and modified Ashworth scale were used to evaluate the effects before
and after intervention, and 4 weeks later. [Results] The improvement in the distal
(wrist-hand) components of the Fugl-Meyer assessment and Action Research Arm Test in the
12-hour neuromuscular electrical stimulation group was more significant than that in the
neuromuscular electrical stimulation group. No significant difference was found between
the two groups in the proximal component (shoulder-elbow) of the Fugl-Meyer assessment.
[Conclusion] The 12-hour neuromuscular electrical stimulation group achieved better
improvement in upper extremity motor function, especially in the wrist-hand function. This
alternative therapeutic approach is easily applicable and can be used in stroke patients
during rest or sleep.
As an important cause of disability in adults, post-stroke spasticity (PSS) is a big challenge for the clinician and the effective management of spasticity should be necessary and essential for patients. We herein present a rare case of hyperpyrexia caused by upper respiratory tract infection which obviously relieved post-stroke spasticity (PPS), inspired by this, hyperthermia might be a new good way to relieve spasticity.
This study aimed to explore the safety and effectiveness of rehabilitation treatment for stroke patients with muscular call vein thrombosis (MCVT) in the lower limbs. A total of 173 patients were recruited with stroke complicated by MCVT, including 130 who received rehabilitation training and 43 who did not receive rehabilitation training. The t test and chi-square test were used to analyze the basic data of the 2 groups. There were no significant differences in the Fugl-Meyer Assessment scores between 2 groups at the beginning of recruitment (P = .149). There was a significant difference in the Fugl-Meyer Assessment scores of the lower limbs in patients with MCVT after 3 weeks of rehabilitation treatment (P < .001), and there was a significant difference in the rate of MCVT recanalization and extension between the 2 groups (χ2 = 11.646, P = 0001). Combined with anticoagulation therapy, rehabilitation training did not increase the thrombosis progression of MCVT and was effective in the recovery of lower limb motor function in stroke patients.
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