Effect of Exercise with Functional Electrical Stimulation and Transcutaneous Electrical Nerve Stimulation on Muscle Tone, Stiffness of Calf Muscle, and Balance Ability in Patients with Stroke

Park, Sin-Jun; Cho, Kyun Hee; 조용훈,

doi:10.13066/kspm.2017.12.2.43

Cited by 4 publications

(6 citation statements)

References 31 publications

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“…An increase in gastrocnemius muscle (GCM) tone increases spasticity [3], whereas a decrease in GCM tone and stiffness may improve balance [4]. Therefore, many studies have investigated the reduction of GCM tone [2,4,5].…”

Section: ⅰ Introductionmentioning

confidence: 99%

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The Immediate Effect of Interferential Current Therapy on Muscle Tone and Stiffness in Chronic Stroke Patients

Park

Cho

Kim

2019

KSPM

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In chronic stroke patients, muscle tone and stiffness increase due to ankle spasticity. Electrotherapy may control the spasticity of patients with central nerve system damage via neurophysiological mechanisms. Therefore, this study was conducted to determine the immediate effects of interferential current therapy on gastrocnemius (GCM) muscle. Methods: This study was a one-group pretest-posttest design and 20 stroke patients participated. The experimental group underwent interferential current therapy for GCM for 30 minutes. Muscle tone (MT) and stiffness were assessed using MYOTONEⓇ PRO. After 30 minutes of interferential current therapy, MT and stiffness of the affected side and unaffected side by GCM were measured.

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Section: ⅰ Introductionmentioning

confidence: 99%

“…Several techniques that reduce muscle tone, such as robot-assisted training, mirror therapy [1], therapeutic exercise [2], and electrotherapy [4,5] have been investigated.…”

Section: ⅰ Introductionmentioning

confidence: 99%

The Immediate Effect of Interferential Current Therapy on Muscle Tone and Stiffness in Chronic Stroke Patients

Park

Cho

Kim

2019

KSPM

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“…The flow of current was arranged in such a way that the current was to be carried through the heel switch when the paralyzed foot was heel-off from the ground during the therapeutic exercise. The frequency of 35 Hz, the pulse of 280 μs, and the intensity of the tolerance level of each subject were applied 8 ) . For the TENS group, TENS (Novastim CU-FS1, CU Medical Systems, Korea) was used to stimulate sensory nerves.…”

Section: Methodsmentioning

confidence: 99%

“…In the program mode of electrotherapy, TENS was set to adjust the ranges of the frequency within 0–100 Hz and the pulse within 20–700 μs. The intensity was adjusted to prevent visible muscle contractions in each subject 8 ) .…”

Section: Methodsmentioning

confidence: 99%

“…Functional electrical stimulation (FES) stimulates motor nerves in patients with upper motor neuron lesions 3 ) , leading to an increase of the dorsiflexor strength on the paretic side 4 ) , a decrease of gastrocnemius (GCM) muscle tone and stiffness 5 ) , and improvement of gait ability 6 ) . On the other hand, transcutaneous electrical nerve stimulation (TENS) stimulates sensory nerves, causing pain relief 7 ) , and it increases the presynaptic inhibition, reducing the muscle tone, stiffness, and spasticity 8 , 9 ) .…”

Section: Introductionmentioning

confidence: 99%

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The immediate effect of FES and TENS on gait parameters in patients after stroke

Park

Wang

2017

J Phys Ther Sci

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[Purpose] This study was conducted to compare the immediate effects of different electrotherapies on the gait parameters for stroke patients. [Subjects and Methods] Thirty patients with stroke were randomly assigned either to the functional electrical stimulation group or the transcutaneous electrical nerve stimulation group, with 15 patients in each group. Each electrotherapy was performed for 30 minutes simultaneously with the therapeutic exercise, and the changes in the spatial and temporal parameters of gait were measured. [Results] After the intervention, a significant, immediate improvement in cadence and speed was observed only in the functional electrical stimulation group. [Conclusion] Based on this study, functional electrical stimulation that stimulates motor nerves of the dorsiflexor muscles on the paretic side is recommended to achieve immediate improvement in the gait ability of stroke patients.

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Effects of extracorporeal shock wave treatment on the muscle tone and static stability of gastrocnemius muscle according to the energy level in children with cerebral palsy

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Purpose This study investigates the effects of extracorporeal shock wave treatment on the muscle tone and static stability of gastrocnemius muscle according to the energy amount in adolescent with spastic cerebral palsy. Methods The low energy group(n=9) and high energy group(n=9) to which extracorporeal shock wave was applied were randomly selected. The muscle tones of all subjects were measured before intervention, immediately after intervention, and 5 min after intervention. The static stability was measured before intervention and 10 min after intervention. Results Muscle tone significantly decreased both in the group to which high energy extracorporeal shock wave was applied and the group to which low energy extracorporeal shock wave was applied. Muscle stiffness statistically significantly decreased only in the group to which high energy extracorporeal shock wave was applied (p<.05). The difference in the amount of change between the two groups was statistically significant only before intervention and immediately after intervention (p<.05). Furthermore, regarding static balance, the sway area measured with eyes open showed a statistically significant difference between the two groups (p<.01). The sway path length showed a statistically significant decrease 10 min after intervention only in the group to which high energy extracorporeal shock wave was applied. Thus, the inter group change in sway path length showed a statistically significant difference (p<.01). Conclusion This result suggests that extracorporeal shock wave using a high energy is more effective than extracorporeal shock wave using low energy in the reduction of muscle tone in adolescent with spastic cerebral palsy.

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Effect of Exercise with Functional Electrical Stimulation and Transcutaneous Electrical Nerve Stimulation on Muscle Tone, Stiffness of Calf Muscle, and Balance Ability in Patients with Stroke

Cited by 4 publications

References 31 publications

The Immediate Effect of Interferential Current Therapy on Muscle Tone and Stiffness in Chronic Stroke Patients

The Immediate Effect of Interferential Current Therapy on Muscle Tone and Stiffness in Chronic Stroke Patients

The immediate effect of FES and TENS on gait parameters in patients after stroke

Effects of extracorporeal shock wave treatment on the muscle tone and static stability of gastrocnemius muscle according to the energy level in children with cerebral palsy

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