Comparison Between Neuromuscular Electrical Stimulation to Abdominal and Back Muscles on Postural Balance in Post-stroke Hemiplegic Patients

Park, Mingeun; Seok, Hyun; Kim, Sang-Hyun; Noh, Kyudong; Lee, Seung Yeol

doi:10.5535/arm.2018.42.5.652

Cited by 10 publications

(7 citation statements)

References 25 publications

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“…Patients with acute stroke are mostly older adults with loose skin with lack of elasticity, and subcutaneous fat atrophy. Patients with stroke are also prone to bedsores due to impaired consciousness, paralysis, being bedridden, psychological stress, malnutrition and are prone to pressure ulcers 44,45 . Once pressure ulcers develop, they are difficult to cure and often cause pain and complications in patients, leading to increased nursing workload, prolonged hospitalisation and can even lead to death 46,47 .…”

Section: Discussionmentioning

confidence: 99%

Effects of bundle‐care interventions on pressure ulcers in patients with stroke: A meta‐analysis

Wang,

Gao,

Wang

et al. 2023

International Wound Journal

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We conducted a meta‐analysis to assess the effects of bundle‐care interventions on pressure ulcers in patients with stroke to provide a basis for clinical work. Randomised controlled trials on the effects of bundle‐care interventions in patients with stroke were identified using computerised searches of the PubMed, Embase, Cochrane Library, Chinese National Knowledge Infrastructure, VIP and Wanfang databases, from the time of inception of each database to July 2023, supplemented by manual literature searches. Two researchers independently retrieved and screened the articles, extracted the data and evaluated the quality of the included studies. After reaching consensus, meta‐analysis was performed using RevMan 5.4. Twenty‐four papers were included, involving 3330 patients of whom 1679 were in the intervention group and 1651 were in the control group. The results showed that, compared with standard care, bundle‐care interventions significantly reduced the incidence of pressure ulcers (3.28% vs. 14.84%, odds ratio [OR]: 0.19, 95% confidence interval [CI]: 0.14–0.26, p < 0.001), and aspiration (5.60% vs. 18.84%, OR: 0.25, 95% CI: 0.17–0.39, p < 0.001), and improved patient satisfaction with nursing care (96.59% vs. 84.43%, OR. 5.45, 95% CI: 3.76–7.90, p < 0.001). Current evidence suggests that care bundles are significantly better than conventional nursing measures in preventing pressure ulcers and aspiration, and improving patient satisfaction with nursing care in patients with stroke, and are worthy of clinical promotion and application.

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Section: Discussionmentioning

confidence: 99%

Effects of bundle‐care interventions on pressure ulcers in patients with stroke: A meta‐analysis

Wang,

Gao,

Wang

et al. 2023

International Wound Journal

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“…EMG data were recorded from the trunk and leg postural muscles using wireless surface EMG (sEMG) sensors (Ultium EMG, Noraxon, USA). The erector muscles of the trunk are important for trunk stability [24], therefore at the trunk the sensors were placed bilaterally at the Thoracic Erector Spinae (T6) (5 cm lateral to the T6 spinous process) and the Lumbar Erector Spinae (L5) (2 cm lateral to the L5 spinous process) [26], [27]. The leg posture can help stabilize the pelvis, consequently stabilizing the trunk [9], therefore at the legs the sensors were placed bilaterally at the Adductor Magnus (AM), Rectus Femoris (RF), Gastrocnemius: Lateral Head (GL) and Tibialis Anterior (TA) according to the prescribed guidelines [28].…”

Section: A Experimental Setupmentioning

confidence: 99%

Study on the Effects of Different Seat and Leg Support Conditions of a Trunk Rehabilitation Robot

Eizad

Lee

Pyo

et al. 2022

IEEE Trans. Neural Syst. Rehabil. Eng.

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Performance of trunk rehabilitation exercises while sitting on movable surfaces with feet on the ground can increase trunk and leg muscle activations, and constraining the feet to move with the seat isolates control of the trunk. However, there are no detailed studies on the effects of these different leg supports on the trunk and leg muscle activations under unstable and forcefully perturbed seating conditions. We have recently devised a trunk rehabilitation robot that can generate unstable and forcefully perturbed sitting surfaces, and can be used with ground-mounted or seat-connected footrests. In this study, we have evaluated the differences in balance performance, trunk movement and muscle activation (trunk and legs) of fourteen healthy adults caused by the use of these different footrest configurations under the different seating scenarios. The center of pressure and trunk movement results show that the seatconnected footrest may be a more suitable choice for use in a balance recovery focused rehabilitation protocol, while the ground-mounted footrest may be a more suitable choice for a trunk movement focused rehabilitation protocol. Although it is difficult to make a clear selection between footrests due to the mixed trends observed in the muscle activation results, it appears that the seat-connected footrest may be preferable for use with the unstable seat as it causes greater muscle activations. Furthermore, the results provide limited evidence that targeting of a particular muscle group may be Manuscript

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“…In common, stroke causes paralysis of contralateral musculature, but as the trunk has bilateral representation, both contralateral and ipsilateral side trunk musculature will be affected [ 21 ]. Poor trunk posture and lack of stabilization of the scapula over the thorax affect the kinetics and kinematics of upper limb movement [ 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

The Mediating Effect of Age, Gender, and Post-Stroke Duration on the Association between Trunk and Upper Limb Recovery in Subacute Stroke Population: A Cross-Sectional Study with Mediation Analysis

Gular

Sivasubramanian

Reddy

et al. 2022

IJERPH

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Background: The trunk acts as proximal support with which limbs execute smooth and purposeful movement. Furthermore, as upper extremity functions are an integral component of daily living activities, exploring the association between trunk and upper extremity recovery will guide therapists in developing appropriate rehabilitation goals and interventions. The objectives of this study were to (1) assess the association between trunk and upper extremity recovery in the subacute stroke population and (2) assess the effect of trunk control on upper extremity impairment and function with age, gender, and duration of stroke as mediators using mediation analysis in subacute stroke individuals. Methods: This cross-sectional study included 54 subacute stroke participants with a mean age of 58.37 ± 6.11 years. The trunk impairment scale (TIS) assessed the trunk’s stability, mobility, and coordination. The level of upper extremity impairment was evaluated using the Fugl-Meyer Assessment scale (FMA). The quality and quantity of upper limb motor functions were measured using the Wolf motor function test (WMFT). Results: The TIS exhibited moderate positive correlations with the FMA-UE, WMFT-time scale (TS), and WMFT-functional ability scale (FAS) at p < 0.001. The mediation analysis reported a profound mediation effect of post-stroke duration on the association of trunk and upper limb recovery. Conclusions: The study results substantiated that trunk control significantly correlates with upper limb impairment and the quality and quantity of its use in the subacute stroke population. Post-stroke duration proved to mediate the association between trunk and upper limb recovery. Therefore, the assessment and intervention of trunk and upper extremity motor control considering the post-stroke duration is vital and should be incorporated in stroke rehabilitation aiming at functional independence.

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Comparison Between Neuromuscular Electrical Stimulation to Abdominal and Back Muscles on Postural Balance in Post-stroke Hemiplegic Patients

Cited by 10 publications

References 25 publications

Effects of bundle‐care interventions on pressure ulcers in patients with stroke: A meta‐analysis

Effects of bundle‐care interventions on pressure ulcers in patients with stroke: A meta‐analysis

Study on the Effects of Different Seat and Leg Support Conditions of a Trunk Rehabilitation Robot

The Mediating Effect of Age, Gender, and Post-Stroke Duration on the Association between Trunk and Upper Limb Recovery in Subacute Stroke Population: A Cross-Sectional Study with Mediation Analysis

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