Electrostimulation for promoting recovery of movement or functional ability after stroke

Pomeroy, V; Pollock, Alex

doi:10.1002/14651858.cd003241

Cited by 21 publications

(22 citation statements)

References 21 publications

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“…Sowohl bei den einzelnen Studien als auch bei den publizierten systematischen Reviews fällt eine problematische Inkonsistenz der Ergebnisse auf. Es wird geschlussfolgert, dass eine Elektrostimulation zu einer Verbesserung der Lähmung und der motorischen Funktionen beitragen könnte; die Datenlage ist jedoch nicht gesichert [26]. Der klinische Haupteinsatz der Verfahren wird in einer ergänzenden Therapie bei schweren Läh-mungen gesehen, wobei die EMG-ES bzw.…”

Section: Neuromuskuläre Emg-getriggerte Und Funktionelle Elektrostimunclassified

Rehabilitation der Arm- und Handmotorik

Platz¹

2013

Fortschr Neurol Psychiatr

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Section: Neuromuskuläre Emg-getriggerte Und Funktionelle Elektrostimunclassified

Rehabilitation der Arm- und Handmotorik

Platz¹

2013

Fortschr Neurol Psychiatr

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“…These goals can be accomplished with or without voluntary active muscular feedback, otherwise known as electromyographic (EMG) triggered NMES. A recent Cochrane review reported NMES is beneficial in improving motor output compared with placebo in both the upper and lower extremity [46]. An educational review reports several studies demonstrating improvement in walking recovery of patients post-stroke using NMES via reciprocal stimulation of agonists and antagonists, such as the DF and PF muscles of the lower leg [47].…”

Section: Neuromuscular Electrical Stimulation (Nmes)mentioning

confidence: 99%

Rehabilitation of Walking After Stroke

Bowden

Embry

Perry

et al. 2012

Curr Treat Options Neurol

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Rehabilitation of walking after stroke has been investigated with a variety of interventions, which will be outlined in this review. To date, the majority of interventions have demonstrated a positive, but similar effect in the primary clinical outcome of self-selected walking speed. Consistent among the most successful interventions is a focus on the intensity of the intervention and the ability to progress rehabilitation in a structured fashion. Successful progression of rehabilitation of walking likely lies in the ability to combine interventions based on an understanding of contributing underlying deficits (eg, motor control, strength, cardiovascular endurance, and dynamic balance). Rehabilitation programs must account for the need to train dynamic balance for falls prevention. Lastly, clinicians and researchers need to measure the effects of rehabilitation on participation and health related quality of life.

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“…In a recent Cochrane review it is, however, concluded that there is still insufficient robust data to suggest clinical use of electrostimulation for neuromuscular retraining [39] (Fig. 1).…”

Section: Supporting Neural Plasticity By Peripheral and Noninvasive Ementioning

confidence: 99%

Neurorehabilitation of stroke

Albert

Kesselring

2011

J Neurol

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Despite ongoing improvements in the acute treatment of cerebrovascular diseases and organization of stroke services, many stroke survivors are in need of neurorehabilitation, as more than two-thirds show persisting neurologic deficits. While early elements of neurorehabilitation are already taking place on the stroke unit, after the acute treatment, the patient with relevant neurologic deficits usually takes part in an organized inpatient multidisciplinary rehabilitation program and eventually continues with therapies in an ambulatory setting afterwards. A specialized multidisciplinary neurorehabilitation team with structured organization and processes provides a multimodal, intense treatment program for stroke patients which is adapted in detail to the individual goals of rehabilitation. There are many parallels between postlesional neuroplasticity (relearning) and learning in the development of individuals as well as task learning of healthy persons. One key principle of neurorehabilitation is the repetitive creation of specific learning situations to promote mechanisms of neural plasticity in stroke recovery. There is evidence of achieving a better outcome of neurorehabilitation with early initiation of treatment, high intensity, with specific goals and active therapies, and the coordinated work and multimodality of a specialized team. In this context, interdisciplinary goal-setting and regular assessments of the patient are important. Furthermore, several further potential enhancers of neural plasticity, e.g., peripheral and brain stimulation techniques, pharmacological augmentation, and use of robotics, are under evaluation.

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Electrostimulation for promoting recovery of movement or functional ability after stroke

Cited by 21 publications

References 21 publications

Rehabilitation der Arm- und Handmotorik

Rehabilitation der Arm- und Handmotorik

Rehabilitation of Walking After Stroke

Neurorehabilitation of stroke

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