Functional electrical stimulation cycling has no clear effect on urine output, lower limb swelling, and spasticity in people with spinal cord injury: a randomised cross-over trial

Ralston, Keira; Harvey, L A; Batty, Julia; Lee, Bonsan Bonne; Ben, Marsha; Cusmiani, Rita; Bennett, Jacqueline

doi:10.1016/s1836-9553(13)70200-5

Cited by 24 publications

(36 citation statements)

References 22 publications

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“…These studies were homogeneous (χ 2 = 2.21; p = 053; I 2 : 0%). The overall effect of ES on spasticity of the lower limbs was non-significant (mean difference: 0.55; 95% CI: −0.31 to 1.41; p = 0.21), although three studies [12,29,30] demonstrated a decrease in spasticity ( Fig. 3).…”

Section: Study Not Included In Meta-analysismentioning

confidence: 95%

“…Two studies analyzed muscle volume [27,28] and four analyzed spasticity [12,14,29,30]. Four studies recruited patients with cervical and thoracic SCI [12,14,28,30] and two studies selected patients with complete thoracic SCI [27,29]. The duration of time since SCI reported in the studies allowed us to examine the effects of ES on skeletal muscle volume and spasticity in patients with non-chronic versus chronic conditions.…”

Section: Description Of Studies and Participantsmentioning

confidence: 99%

“…The studies were quite heterogeneous in regard to the stimulation parameters, as shown in Tables 1 and 2. Two electrical stimulation currents were used in the studies examining the effect of ES on spasticity. Two studies compared the effects of ES to combined physical and occupational therapy [12,29]. The other two studies compared ES with resistance exercise and treatment with baclofen [14,30].…”

Section: Interventionmentioning

confidence: 99%

“…Although the intervention did not result in a change in body composition, long-term follow-up revealed that it may maintain muscle volume. Figure 3 shows the results of the four studies [12,14,29,30] examining spasticity at baseline and after ES, which involved a total of 108 patients (44 in the intervention groups and 62 in the control groups). These studies were homogeneous (χ 2 = 2.21; p = 053; I 2 : 0%).…”

Section: Study Not Included In Meta-analysismentioning

confidence: 99%

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Effect of electrical stimulation on muscle atrophy and spasticity in patients with spinal cord injury – a systematic review with meta-analysis

et al. 2019

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Study design This work is a systematic review with meta-analysis Objective Evaluate the effect of electrical stimulation (ES) on skeletal muscle volume and spasticity in individuals with spinal cord injury (SCI). Setting University of Brasilia, Brazil Methods Searches were conducted of the Cochrane Library, MEDLINE, CINAHL, PEDro, PsycINFO and EMBASE electronic databases for relevant articles published up to June 2018. No restrictions were imposed regarding the year of publication. The inclusion criteria were randomized controlled trials involving adults with SCI comparing ES to an active or passive control. Two independent reviewers extracted the data from the selected studies and methodological quality was assessed using the PEDro scale. Results The initial search led to the retrieval of 164 studies, seven of which met the eligibility criteria, but only six were included in the meta-analysis. The six studies comprised 104 patients with complete or incomplete SCI. In the two studies that investigated the use of ES on muscle volume of the lower limbs, the overall effect was statistically significant in patients with acute SCI (mean difference: 0.86; 95% CI: 0.04 to 1.69; p < 0.04). Among the four studies that examined the use of ES for spasticity of the lower limb, the overall effect was non-significant (mean difference: 0.55; 95% CI: −0.31 to 1.41; p = 0.21). Conclusions Electrical stimulation was found to be an effective method for increasing muscle volume in SCI patients, but had no effect on spasticity. Further investigation of the effect of ES on spasticity in SCI is needed.

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Section: Study Not Included In Meta-analysismentioning

confidence: 95%

Section: Description Of Studies and Participantsmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

Section: Study Not Included In Meta-analysismentioning

confidence: 99%

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Effect of electrical stimulation on muscle atrophy and spasticity in patients with spinal cord injury – a systematic review with meta-analysis

et al. 2019

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“…Table 2 and Figure 1 show the reporting of each CONSORT item. The median (IQR) number of CONSORT items per trial that was 'fully reported' was 11/37 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). The median (IQR) number of CONSORT items per trial that was either 'fully reported' or 'not relevant' or 'not reported but unable to determine if relevant/done' was 20/37 items (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27).…”

Section: Resultsmentioning

confidence: 99%

How well do randomised controlled trials of physical interventions for people with spinal cord injury adhere to the CONSORT guidelines? An analysis of trials published over a 10-year period

et al. 2014

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Transcranial direct current stimulation for upper extremity spasticity rehabilitation in stroke survivors: A systematic review of randomized controlled trials

Alashram

Padua²,

Aburub

et al. 2022

PM&R

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Objectives: To examine the effects of transcranial direct current stimulation (tDCS) on upper extremity spasticity after stroke and to define the most effective tDCS parameters. Literature Survey: Systematic review in the following databases: PubMed, SCOPUS, PEDro, CINAHL, MEDLINE, REHABDATA, AMED, and Web of Science databases. Studies up to June 2020 were included. Methodology: Studies were included if the sample was composed of individuals with stroke, the intervention followed a tDCS intervention (alone or combined with another intervention), and the study was a randomized controlled trial including at least one measurement assessing upper extremity spasticity. Two authors independently screened the included studies. Conflicting decisions between authors were resolved by discussion with the third author. The methodological quality was assessed using the Cochrane Collaboration's tool. The authors determined that the meta-analysis was not feasible due to the heterogeneity in the protocols among the included studies. Synthesis: After the screening of 1204 records, a total of seven studies met the specified inclusion criteria and involved 320 participants (mean age = 60.3), 31.1% of whom were females. Patients with ischemic stroke comprised 77.2% of the total patients, and 42.2% were with right hemispheric stroke. Six studies exhibited "high" quality and one exhibited "moderate" quality. Five of the selected studies that combined the tDCS intervention and other traditional interventions showed a significant reduction in upper extremity spasticity after stroke following tDCS intervention. The other two studies that delivered tDCs alone did not show a significant difference. Conclusions: The evidence for the effect of tDCS on upper extremity spasticity after stroke was limited. The optimal tDCS treatment dosage remains unclear. Additional studies with large sample sizes and long-term follow-up are strongly warranted.

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Functional electrical stimulation cycling has no clear effect on urine output, lower limb swelling, and spasticity in people with spinal cord injury: a randomised cross-over trial

Abstract: ACTRN12611000923965.

Cited by 24 publications

References 22 publications

Effect of electrical stimulation on muscle atrophy and spasticity in patients with spinal cord injury – a systematic review with meta-analysis

Effect of electrical stimulation on muscle atrophy and spasticity in patients with spinal cord injury – a systematic review with meta-analysis

How well do randomised controlled trials of physical interventions for people with spinal cord injury adhere to the CONSORT guidelines? An analysis of trials published over a 10-year period

Transcranial direct current stimulation for upper extremity spasticity rehabilitation in stroke survivors: A systematic review of randomized controlled trials

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