Effects of repetitive facilitative exercise with neuromuscular electrical stimulation, vibratory stimulation and repetitive transcranial magnetic stimulation of the hemiplegic hand in chronic stroke patients
| Autor: | Yumeko Amano, Tomokazu Noma, Seiji Etoh, Michiko Arima, Akihiko Hokazono, Megumi Shimodozono, Yuko Takiyoshi, Kazumi Kawahira, Katsuya Yokoyama, Rintaro Ohama |
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| Rok vydání: | 2015 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty Stroke patient medicine.medical_treatment Stimulation Hemiplegia Vibration 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Outcome Assessment Health Care medicine Humans Chronic stroke Aged Rehabilitation General Neuroscience Vibratory stimulation Stroke Rehabilitation General Medicine Middle Aged Combined Modality Therapy Transcranial Magnetic Stimulation Exercise Therapy Transcranial magnetic stimulation Stroke Chronic Disease Physical therapy Transcutaneous Electric Nerve Stimulation Female 0305 other medical science Psychology 030217 neurology & neurosurgery |
| Zdroj: | The International journal of neuroscience. 126(11) |
| ISSN: | 1563-5279 |
| Popis: | Repetitive facilitative exercise (RFE) is a developed approach to the rehabilitation of hemiplegia. RFE can be integrated with neuromuscular electrical stimulation (NMES), direct application of vibratory stimulation (DAVS) and repetitive transcranial magnetic stimulation (rTMS). The aims of the present study were to retrospectively compare the effects of RFE and NMES, DAVS with those of RFE and rTMS, and to determine the maximal effect of the combination of RFE with NMES, DAVS, rTMS and pharmacological treatments in stroke patients.Thirty-three stroke patients were enrolled and divided into three groups: 15 who received RFE with rTMS (4 min) (TMS4 alone), 9 who received RFE with NMES, DAVS (NMES, DAVS alone) and 9 who received RFE with NMES, DAVS and rTMS (10 min) (rTMS10 + NMES, DAVS). The subjects performed the Fugl-Meyer Assessment (FMA) and Action Research Arm Test (ARAT) before and after the 2-week session. The 18 patients in the NMES, DAVS alone and rTMS10 + NMES, DAVS group underwent the intervention for 4 weeks.There were no significant differences in the increases in the FMA, ARAT scores in the three groups. The FMA or ARAT scores in the NMES, DAVS alone and the rTMS10 + NMES, DAVS group were increased significantly. The FMA and ARAT scores were significantly improved after 4 weeks in the NMES, DAVS alone group.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. |
| Databáze: | OpenAIRE |
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