Effects of High-Intensity Electromagnetic Stimulation on Reducing Upper Limb Spasticity in Post-Stroke Patients

Ciortea, Viorela Mihaela; Motoașcă, Irina; Borda, Ileana Monica; Ungur, Rodica; Bondor, Cosmina Ioana; Iliescu, Mădălina Gabriela; Ciubean, Alina Deniza; Lazăr, Izabela; Bendea, Eliza; Irsay, László

doi:10.3390/app12042125

Cited by 11 publications

(19 citation statements)

References 17 publications

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“…Once the database searches were completed, by combining the different key words, a total of 521 documents were obtained, of which 10 studies were finally included in the systematic review [32][33][34][35][36][37][38][39][40][41]. Figure 1 shows the flow chart of the search process.…”

Section: Selection Of Studiesmentioning

confidence: 99%

“…A meta-analysis was attempted with the EPIDAT program of the four s [32,33,40,41] that provided numerical data for its performance; however, given the odological, clinical and statistical heterogeneity, it was not possible. A meta-analysis was attempted with the EPIDAT program of the four studies [32,33,40,41] that provided numerical data for its performance; however, given the methodological, clinical and statistical heterogeneity, it was not possible.…”

Section: Selection Of Studiesmentioning

confidence: 99%

“…Regarding the pathology that had originated the spasticity, 50% of the studies were multiple sclerosis [32][33][34][35]37], although in the study by Krause et al other spinal diseases were also included [35] and the other 50% of the trials dealt with stroke [36,[38][39][40][41], although in the article by Krewer, subjects with traumatic brain injury were also included [38].…”

Section: Characteristics Of the Subjectsmentioning

confidence: 99%

“…In 3 of the 10 trials the electromagnetic fields were administered in the form of PEMP [33,34,36] and in the other 7 the therapy was RPMS [32,35,[37][38][39][40][41].…”

Section: Main Characteristics Of the Studiesmentioning

confidence: 99%

“…There was much heterogeneity in terms of the device used, in two of the articles it was portable [33,34]. The oldest trial (1997) used an oil-cooled coil [32] and the most recent [40,41] (2018 and 2022) used an inductive system. There were articles in which the brand of the device was mentioned: Enermed [33,34], Magstim Rapid [35,39], BTL-6000 [40], Dantec-Maglite [37], P-Stim 160 b [38].…”

Section: Main Characteristics Of the Studiesmentioning

confidence: 99%

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Effects of Peripheral Electromagnetic Fields on Spasticity: A Systematic Review

Vinolo-Gil

Rodríguez-Huguet

García-Muñoz

et al. 2022

JCM

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Electromagnetic fields are emerging as a therapeutic option for patients with spasticity. They have been applied at brain or peripheral level. The effects of electromagnetic fields applied to the brain have been extensively studied for years in spasticity, but not so at the peripheral level. Therefore, the purpose of our work is to analyze the effects of electromagnetic fields, applied peripherally to spasticity. A systematic review was conducted resulting in 10 clinical trials. The frequency ranged from 1 Hz to 150 Hz, with 25 Hz being the most commonly used and the intensity it was gradually increased but there was low homogeneity in how it was increased. Positive results on spasticity were found in 80% of the studies: improvements in stretch reflex threshold, self questionnaire about difficulties related to spasticity, clinical spasticity score, performance scale, Ashworth scale, spastic tone, Hmax/Mmax Ratio and active and passive dorsal flexion. However, results must be taken with caution due to the large heterogeneity and the small number of articles. In future studies, it would be interesting to agree on the parameters to be used, as well as the way of assessing spasticity, to be more objective in the study of their effectiveness.

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Section: Selection Of Studiesmentioning

confidence: 99%

Section: Selection Of Studiesmentioning

confidence: 99%

Section: Characteristics Of the Subjectsmentioning

confidence: 99%

“…In 3 of the 10 trials the electromagnetic fields were administered in the form of PEMP [33,34,36] and in the other 7 the therapy was RPMS [32,35,[37][38][39][40][41].…”

Section: Main Characteristics Of the Studiesmentioning

confidence: 99%

Section: Main Characteristics Of the Studiesmentioning

confidence: 99%

See 3 more Smart Citations

Effects of Peripheral Electromagnetic Fields on Spasticity: A Systematic Review

Vinolo-Gil

Rodríguez-Huguet

García-Muñoz

et al. 2022

JCM

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Rehabilitation management of postmenopausal osteoporosis associated with degenerative neurological conditions

Pipernea,

Dumitrescu,

Popa

et al. 2024

Balneo and PRM Research Journal

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Background: The evolving association of neurological disorders such as Parkinson's disease (PD) and stroke may aggravate postmenopausal osteoporosis. In this situation, inactivity and lack of movement are the main factors that contribute contribute to exacerbate osteoporosis and the occurrence of osteoporotic fractures. Material and Methods: We present the case of a 62-year-old female patient diagnosed with diffuse postmenopausal osteoporosis, Parkinson's dis-ease, and left frontal ischemic lacuna. 6 months before admission to our rehabilitation clinic, she suffered a trauma by falling that resulted in an L3 vertebral fracture and a right forearm fracture. L2-L4 posterior segmental spinal fusion and right forearm osteosynthesis were performed. Post-operatively, a motor deficit was found in the lower limbs. She was diagnosed clinically and fol-lowing neurophysiological investigations with bilateral external popliteal sciatic nerve paresis. In these circumstances, the patient suffered a new trauma, resulting in an open fracture at the same level of the right forearm which also required surgical treatment. Results and discussion: Following the rehabilitation program, the evolution was favorable with improved functioning and partial restoration of walking. Conclusion: The association of degenerative neurological and bone meta-bolic diseases in this case led to significant disability, making the rehabilitation process more challenging.

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Mineral metabolism assays and osteoporotic fracture risk evaluation in menopausal population diagnosed with adrenal incidentalomas: a sub-analysis of PRECES study

Trandafir,

Stanciu,

Valea

et al. 2024

Balneo and PRM Research Journal

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Adrenal incidentalomas (AIs) are clinically silent adrenal masses that are unintentionally found during various abdominal imaging procedures. Our objective was to evaluate the bone profile in menopausal females diagnosed with AI versus a non-AI control group. This was an observational, retrospective, multi-centric, case-control study, a sub-analysis of PRECES study (“Parameters of Romanian Patients with Endocrine Conditions with or without Endocrine Surgery: real-world-evidence and retrospective study”), a multi-centric, Romanian collaborative in the field of endocrinology and connected specialities (real-world community setting). Inclusion criteria: women in menopause between 40 and 85 years. Ex-clusion criteria: active endocrine tumours or cancers, prior or current medication against osteoporosis. Assessments included bone turnover markers, central DXA, FRAX-based os-teoporotic fracture risk evaluation. AIs were defined as having a value of second day plas-ma morning cortisol after 1-mg dexamethasone suppression test of < 1.8 µg/dL [without mild autonomous cortisol secretion (MACS free), as seen in control group that did not dis-play the imaging evidence of an adrenal tumour] or between 1.8 and 5 µg/dL (MACS sub-group). Results: Demographic features of both groups (N=39 versus 95 patients) were simi-lar in terms of age (60.95±10.46 versus 61.55±7.2 years), years since menopause (14.92±10.32 versus 14.52±8.85 years), body mass index (28.03 versus 27 kg/sqcm); (p>0.1 for each). Osteopenia was the most prevalent DXA category in each group (43.6% versus 53.7%), followed by osteoporosis (20.5% versus 22.1%), while lumbar, total hip, femoral neck BMD were similar between AIs and controls. A statistically significant lower osteocal-cin in subjects with AIs, with a median (Q1, Q3) of 16.5 (11.96-20.09) ng/mL compared with the value in control groups of 23.17 (15.9-31.46) ng/mL (p=0.003) was found. In AIs group, serum baseline morning cortisol positively correlated with lumbar Z-score, and correlation coefficient reached a statistical significance (p = 0.035). Of note, a tendency for correlation with total hip BMD was found, too. To conclude, decreased osteocalcin might be the signa-ture of mild cortisol anomalies in AIs, but DXA-BMD and FRAX algorithm revealed similar parameters in AI group versus controls, as found between MACS and MACS free sub-groups. Keywords: study, osteoporosis, adrenal incidentaloma, hormone, surgery, cortisol, functional, FRAX, bone turnover marker

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Effects of High-Intensity Electromagnetic Stimulation on Reducing Upper Limb Spasticity in Post-Stroke Patients

Cited by 11 publications

References 17 publications

Effects of Peripheral Electromagnetic Fields on Spasticity: A Systematic Review

Effects of Peripheral Electromagnetic Fields on Spasticity: A Systematic Review

Rehabilitation management of postmenopausal osteoporosis associated with degenerative neurological conditions

Mineral metabolism assays and osteoporotic fracture risk evaluation in menopausal population diagnosed with adrenal incidentalomas: a sub-analysis of PRECES study

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