Neuromuscular Electrical Stimulation Improves Activities of Daily Living Post Stroke: A Systematic Review and Meta-analysis

Kristensen, Malene Glavind Holmsted; Busk, Henriette; Wienecke, Troels

doi:10.1016/j.arrct.2021.100167

Cited by 24 publications

(14 citation statements)

References 70 publications

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“…It is well known. Studies [34,35,45] show that NMES reduces pain, spasticity, and contractures, improving functional motor ability and activities of daily living post-stroke.…”

Section: Discussionmentioning

confidence: 99%

The effects of transcranial laser photobiomodulation and neuromuscular electrical stimulation in the treatment of post‐stroke dysfunctions

Paolillo

Luccas

Parizotto

et al. 2023

Journal of Biophotonics

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Post‐stroke sequelae includes loss functions, such as cognitive and sensory‐motor which lead to emotional and social problems, reducing quality of life and well‐being. The main aim of our study was to investigate the effects of transcranial laser photobiomodulation together with neuromuscular electrical stimulation (NMES) in post‐stroke patients. We performed a clinical trial and an ex vivo study. For the clinical trial, hemiplegic patients were separated into two groups: Treated Group (TG): Hemiplegics treated with transcranial laser (on) associated with NMES (on) and; Placebo Group (PG): Hemiplegics treated with placebo transcranial laser (off) associated with NMES (on). The cluster prototype includes 12 diode laser beams (4 × 660 nm, 4 × 808 nm and 4 × 980 nm) with average power of 720 mW per cluster applied during one minute, leading to 43.2 J energy per cluster. Fifteen regions for all head were irradiated by cluster, leading to 648 J energy per session. The parameters of NMES of the paretic limbs to generate extension wrist and ankle dorsiflexion were symmetrical biphasic rectangular waveforms, 50 Hz frequency, 250 μs pulse duration, and adjustable intensity to maintain the maximum range of motion (amplitude between 0 and 150 mA). Our clinical trial showed improvement of cognitive function, pain relief, greater manual dexterity, enhancement of physical and social–emotional health which lead to better quality of life and well‐being. There was also increased temperature in the treated regions with laser and NMES. For the ex vivo study, the distribution of infrared and red radiation after penetration through the cranium and hemihead of cadavers were showed. Therefore, transcranial laser photobiomodulation associated with NMES can be an important therapeutic resource for rehabilitation after stroke.

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“…It is well known. Studies [34,35,45] show that NMES reduces pain, spasticity, and contractures, improving functional motor ability and activities of daily living post-stroke.…”

Section: Discussionmentioning

confidence: 99%

The effects of transcranial laser photobiomodulation and neuromuscular electrical stimulation in the treatment of post‐stroke dysfunctions

Paolillo

Luccas

Parizotto

et al. 2023

Journal of Biophotonics

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“…These parameters combined with a personalized adjustment of the duty cycle can increase the self-perception of improvement of UL function in post-stroke patients during turning on the light and drinking tasks [ 72 , 73 ]. However, outcome measures considered in most previous studies, despite demonstrating a positive effect over ADL [ 19 , 20 , 22 ], include qualitative measures that induce a certain level of subjectivity. Consequently, more studies are required to establish conclusions about the FES optimal therapeutic window for UL rehabilitation in post-stroke patients, particularly in other UL tasks that are not yet assessed [ 19 ].…”

Section: Ul Post Stroke Rehabilitation Factors That Should Be Conside...mentioning

confidence: 99%

“…To analyze FES effectiveness, clinical measures related to ADL, functional recovery measures and muscle-related outcomes were considered ( Table 1 ) [ 19 , 20 , 22 ]. It was demonstrated that FES is effective in improving ADL, expressed through Functional Independence Measure and Upper Extremity Function Test scores, and in functional motor recovery, through a Fugl-Meyer Assessment score [ 19 ].…”

Section: Fes Usability In Post-stroke Patientsmentioning

confidence: 99%

“…Previous systematic reviews with meta-analysis have demonstrated the positive effects of FES on ADL outcomes [ 19 , 20 , 22 ]. This modality was even recommended by the recent Clinical Guidelines for Stroke Management [ 23 ] and Guidelines for Adult Stroke Rehabilitation and Recovery [ 17 ] as a supplementary therapy alongside standard care modalities.…”

Section: Introductionmentioning

confidence: 99%

“…This modality was even recommended by the recent Clinical Guidelines for Stroke Management [ 23 ] and Guidelines for Adult Stroke Rehabilitation and Recovery [ 17 ] as a supplementary therapy alongside standard care modalities. However, according to the data gathered by previous systematic reviews [ 19 , 20 , 22 ], the studies included did not assess the quality of movement as an outcome to assess the role of FES in UL rehabilitation of post-stroke patients. In this context of the applicability of the FES as a tool that contributes to enhancing the quality of movement of the post-stroke subject, it is important to consider the concept of usability as a determining factor.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Usability of Functional Electrical Stimulation in Upper Limb Rehabilitation in Post-Stroke Patients: A Narrative Review

Sousa

Moreira

Silva

et al. 2022

Sensors

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Stroke leads to significant impairment in upper limb (UL) function. The goal of rehabilitation is the reestablishment of pre-stroke motor stroke skills by stimulating neuroplasticity. Among several rehabilitation approaches, functional electrical stimulation (FES) is highlighted in stroke rehabilitation guidelines as a supplementary therapy alongside the standard care modalities. The aim of this study is to present a comprehensive review regarding the usability of FES in post-stroke UL rehabilitation. Specifically, the factors related to UL rehabilitation that should be considered in FES usability, as well a critical review of the outcomes used to assess FES usability, are presented. This review reinforces the FES as a promising tool to induce neuroplastic modifications in post-stroke rehabilitation by enabling the possibility of delivering intensive periods of treatment with comparatively less demand on human resources. However, the lack of studies evaluating FES usability through motor control outcomes, specifically movement quality indicators, combined with user satisfaction limits the definition of FES optimal therapeutical window for different UL functional tasks. FES systems capable of integrating postural control muscles involving other anatomic regions, such as the trunk, during reaching tasks are required to improve UL function in post-stroke patients.

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Interventions for improving walking after stroke: an overview of Cochrane Reviews

Corbetta

Campbell

Wijck

et al. 2023

Cochrane Database of Systematic Reviews

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To summarise and appraise the evidence from Cochrane Reviews assessing the e ects of interventions for the recovery and/or the improvement of walking in people a er stroke. We will conduct an overview of Cochrane Reviews involving stakeholders to:• provide accessible high-quality evidence on the e ects of interventions aiming to recover and/or improve walking in people a er stroke;• summarise the evidence of the e ects of included interventions; clearly present to readers relevant, high-quality evidence of e ective interventions; and direct them to original reviews.A secondary objective will be to explore the outcomes reported in Cochrane Reviews assessing the e ects of interventions to improve walking; how di erent measures are combined in reviews; and how this varies between reviews.Interventions for improving walking a er stroke: an overview of Cochrane Reviews (Protocol)

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Neuromuscular Electrical Stimulation Improves Activities of Daily Living Post Stroke: A Systematic Review and Meta-analysis

Cited by 24 publications

References 70 publications

The effects of transcranial laser photobiomodulation and neuromuscular electrical stimulation in the treatment of post‐stroke dysfunctions

The effects of transcranial laser photobiomodulation and neuromuscular electrical stimulation in the treatment of post‐stroke dysfunctions

Usability of Functional Electrical Stimulation in Upper Limb Rehabilitation in Post-Stroke Patients: A Narrative Review

Interventions for improving walking after stroke: an overview of Cochrane Reviews

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