Effects of repetitive facilitative exercise with neuromuscular electrical stimulation, vibratory stimulation and repetitive transcranial magnetic stimulation of the hemiplegic hand in chronic stroke patients

Etoh, Seiji; Noma, Tomokazu; Takiyoshi, Yuko; Arima, Michiko; Ohama, Rintaro; Yokoyama, Katsuya; Hokazono, Akihiko; Amano, Yumeko; Shimodozono, Megumi; Kawahira, Kazumi

doi:10.3109/00207454.2015.1094473

Cited by 21 publications

(15 citation statements)

References 16 publications

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“…Decrease in spasticity and increases in motor and cognitive functions also resulted with improvements in functional outcomes in our study. Etoh et al (2016) in another study, aimed to retrospectively compare the effects of repetitive facilitative exercise (RFE), neuromuscular electrical stimulation (NMES), direct application of vibratory stimulation (DAVS) and rTMS, and to determine the maximal effect of the combination of RFE with NMES, DAVS, rTMS, and pharmacological treatments in chronic stroke patients. Different from our study and other previously mentioned studies, rTMS was found to be less effective than NMES and DAVS in this study and a combination of RFE with NMES or DAVS was suggested instead of a combination with rTMS for the recovery of upper limb function.…”

Section: Discussionmentioning

confidence: 99%

Effects of low-frequency repetitive transcranial magnetic stimulation on upper extremity motor recovery and functional outcomes in chronic stroke patients: A randomized controlled trial

Aşkın

Demirdal

2017

Somatosensory & Motor Research

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Section: Discussionmentioning

confidence: 99%

Effects of low-frequency repetitive transcranial magnetic stimulation on upper extremity motor recovery and functional outcomes in chronic stroke patients: A randomized controlled trial

Aşkın

Demirdal

2017

Somatosensory & Motor Research

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“…Recently, some researchers have studied the synergistic effects of different therapies on limb function recovery after stroke and found that they were more pronounced than single treatment [ 7 , 42 ]. So the next step, we will study the synergistic effects of FMS and some other therapies on GHS and upper limb function in hemiplegic patients.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal Ultrasonography Assessment of Functional Magnetic Stimulation on the Effect of Glenohumeral Subluxation in Acute Poststroke Hemiplegic Patients

Yang

Chen

et al. 2018

BioMed Research International

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Background Glenohumeral subluxation (GHS) is common in patients with acute hemiplegia caused by stroke. GHS and upper limb function are closely related. Objective Using musculoskeletal ultrasonography (MSUS) to objectively evaluate the efficacy of functional magnetic stimulation (FMS) in the treatment of GHS in acute hemiplegic patients after stroke. Methods The study used prospective case control study. Stroke patients with GHS were recruited and assigned to control group and FMS group. Control group received electrode stimulation at the supraspinatus and deltoid muscles of the hemiplegic side, while FMS group was stimulated at the same locations. Before and after treatment, the distances of the acromion-greater tuberosity (AGT), acromion-lesser tuberosity (ALT), acromiohumeral distance (AHD), supraspinatus thickness (SST), and deltoid muscle thickness (DMT) in patients' bilateral shoulder joint were measured by MSUS, respectively. Meanwhile, Fugl-Meyer Assessment (FMA) was used to evaluate the improvement of upper limb function. Results 30 patients were recruited. After FMS treatment, there was a significant decrease in the difference value between ipsilateral side and contralateral side of AGT [t = 8.595, P < 0.01], ALT [t = 11.435, P < 0.01], AHD [t = 8.375, P < 0.01], SST [t = 15.394, P < 0.01], and DMT [t = 24.935, P < 0.01], and FMA score increased [t = −13.315, P < 0.01]. Compared with control group, FMS group decreased more significantly in the difference value between ipsilateral side and contralateral side of AGT [t = 2.161, P < 0.05], ALT [t = 3.332, P < 0.01], AHD [t = 8.768, P < 0.01], SST [t = 6.244, P < 0.01], and the DMT [t = 3.238, P < 0.01], and FMA score increased more significantly in FMS group [t = 7.194, P < 0.01]. Conclusion The study preliminarily shows that the MSUS can objectively and dynamically evaluate the treatment effect of GHS in hemiplegic patients. Meanwhile, compared with control group, the FMS is more effective and has fewer side effects, and the long-term effect of FMS is worth further study. This trial is registered with ChiCTR1800015352.

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“…Several studies suggested that RFE might promote functional recovery of hemiplegia and activities of daily living to a greater extent than conventional neurofacilitation therapy, using a randomized controlled design 2 , 3 , 4 , 5 , 19 , 20 ) . Especially, RFE with other interventions (i.e., neuromuscular electrical stimulation, direct application of vibratory stimulation repetitive transcranial magnetic stimulation, and pharmacological treatments) may be more effective than RFE only for the recovery of limb motor performance.…”

Section: Discussionmentioning

confidence: 99%

Short-term effects of physiotherapy combining repetitive facilitation exercises and orthotic treatment in chronic post-stroke patients

et al. 2017

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[Purpose] This study investigated the short-term effects of a combination therapy consisting of repetitive facilitative exercises and orthotic treatment. [Subjects and Methods] The subjects were chronic post-stroke patients (n=27; 24 males and 3 females; 59.3 ± 12.4 years old; duration after onset: 35.7 ± 28.9 months) with limited mobility and motor function. Each subject received combination therapy consisting of repetitive facilitative exercises for the hemiplegic lower limb and gait training with an ankle-foot orthosis for 4 weeks. The Fugl-Meyer assessment of the lower extremity, the Stroke Impairment Assessment Set as a measure of motor performance, the Timed Up & Go test, and the 10-m walk test as a measure of functional ambulation were evaluated before and after the combination therapy intervention. [Results] The findings of the Fugl-Meyer assessment, Stroke Impairment Assessment Set, Timed Up & Go test, and 10-m walk test significantly improved after the intervention. Moreover, the results of the 10-m walk test at a fast speed reached the minimal detectible change threshold (0.13 m/s). [Conclusion] Short-term physiotherapy combining repetitive facilitative exercises and orthotic treatment may be more effective than the conventional neurofacilitation therapy, to improve the lower-limb motor performance and functional ambulation of chronic post-stroke patients.

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Effects of repetitive facilitative exercise with neuromuscular electrical stimulation, vibratory stimulation and repetitive transcranial magnetic stimulation of the hemiplegic hand in chronic stroke patients

Abstract: RFE with NMES, DAVS may be more effective than RFE with rTMS for the recovery of upper-limb function. Patients who received RFE with NMES, DAVS and pharmacological treatments showed significant functional recovery.

Cited by 21 publications

References 16 publications

Effects of low-frequency repetitive transcranial magnetic stimulation on upper extremity motor recovery and functional outcomes in chronic stroke patients: A randomized controlled trial

Effects of low-frequency repetitive transcranial magnetic stimulation on upper extremity motor recovery and functional outcomes in chronic stroke patients: A randomized controlled trial

Musculoskeletal Ultrasonography Assessment of Functional Magnetic Stimulation on the Effect of Glenohumeral Subluxation in Acute Poststroke Hemiplegic Patients

Short-term effects of physiotherapy combining repetitive facilitation exercises and orthotic treatment in chronic post-stroke patients

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