Physiotherapy Efficiency in Post-stroke Upper Extremity Spasticity: TENS<i>vs</i>. Ultrasound<i>vs</i>. Paraffin

Roman, Nadinne; Miclăuş, Roxana; Necula, Radu; Dumistracel, Andrei; Cheregi, Cornel; Grigorescu, Ovidiu-Dan

doi:10.21873/invivo.13163

Cited by 4 publications

(2 citation statements)

References 55 publications

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“…The mean scores in these areas showed significant reductions post-treatment, indicating a decrease in muscle spasticity. However, no significant differences were observed between the two groups when baseline measurements were compared, suggesting that both interventions were equally effective at the outset of the study (15,16). The lack of significant difference in baseline measures, with p > 0.05, implies that the initial conditions of spasticity in both groups were comparable, allowing for a fair comparison of the treatment effects.…”

Section: Discussionmentioning

confidence: 94%

Comparison of Intensive Physical Therapy and Electrical Stimulation to Reduce Spasticity in Stroke

Khurshid,

Hussain,

Saleemi

et al. 2024

JHRR

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Background: Stroke is a leading cause of disability worldwide, often resulting in spasticity that significantly impairs the functional recovery of individuals. The comparative efficacy of intensive physical therapy and electrical stimulation in mitigating post-stroke spasticity remains a critical area of research. Understanding the impacts of these treatments can guide clinicians in optimizing rehabilitation strategies for stroke survivors. Objective: The study aimed to compare the effectiveness of intensive physical therapy and electrical stimulation in reducing spasticity among stroke patients, with an emphasis on how these interventions influence muscle tone and functional outcomes. Methods: This quasi-experimental trial was conducted at Nishtar Hospital, Multan, over six months, involving 30 participants aged 50-65 years who had experienced a stroke. Participants were randomly assigned to receive either intensive physical therapy or electrical stimulation. Baseline and post-treatment assessments of spasticity were conducted using the Modified Ashworth Scale (MAS). Data were analyzed using SPSS version 25, focusing on changes in MAS scores before and after the interventions. Results: Both interventions showed significant improvements in spasticity levels. The intensive physical therapy group exhibited notable reductions in MAS scores across various joints: shoulder flexors (from 3.13 ± 0.51 to 1.20 ± 0.41), shoulder extensors (from 3.00 ± 0.65 to 1.20 ± 0.67), and hip abduction (from 3.00 ± 0.65 to 1.33 ± 0.72). The electrical stimulation group also demonstrated significant improvements, with MAS scores in wrist flexion (from 2.73 ± 0.70 to 1.33 ± 0.61) and hip extension (from 2.80 ± 0.67 to 1.26 ± 0.45) showing notable reductions. However, no statistically significant differences were observed between the two groups in terms of overall effectiveness in reducing spasticity (p > 0.05). Conclusion: Both intensive physical therapy and electrical stimulation are effective in reducing post-stroke spasticity, with no significant difference in their overall efficacy. This suggests that either treatment can be considered as part of a comprehensive rehabilitation strategy for stroke survivors, depending on individual patient needs, preferences, and specific functional goals.

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Section: Discussionmentioning

confidence: 94%

Comparison of Intensive Physical Therapy and Electrical Stimulation to Reduce Spasticity in Stroke

Khurshid,

Hussain,

Saleemi

et al. 2024

JHRR

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“…A meta-analysis examining the spasticityrelieving effect of TENS discovered that applying it to the muscle belly of spastic muscles for over 30 min effectively alleviated spasticity [17]. Additionally, a study comparing the spasticity-relieving effects of TENS, ultrasound, and paraffin reported that all three treatments had similar efficacy in relieving spasticity [30]. In this previous study, TENS was administered to the muscle belly of the plantar flexor for 30 min in both groups, resulting in significant improvements in stiffness for both.…”

Section: Discussionmentioning

confidence: 99%

Effects of Transcutaneous Electrical Nerve Stimulation with Taping on Wrist Spasticity, Strength, and Upper Extremity Function in Patients with Stroke: A Randomized Control Trial

Jung,

Cho

et al. 2024

JCM

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Objective: Six months after the onset of stroke, over 60% of patients experience upper limb dysfunction, with spasticity being a major contributor alongside muscle weakness. This study investigated the effect of transcutaneous electrical nerve stimulation (TENS) with taping on wrist spasticity, strength, and upper extremity function in patients with stroke. Methods: In total, 40 patients with stroke were included and randomly divided into two groups: the TENS + taping (n = 20, age 52.4 ± 9.3 (range: 39 to 70)) and TENS (n = 20, age 53.5 ± 10.8 (range: 39 to 74)) groups. All subjects performed 30 sessions of task-related training, which included 10 min of postural control training and 20 min of task performance. Additionally, all subjects received TENS on the spastic muscle belly for 30 min before task-related training. In the TENS + taping group, taping was additionally applied to the forearm and wrist but not in the TENS group. The Modified Ashworth Scale was used to measure spasticity, and a handheld dynamometer was used to measure muscle strength. The Fugl–Meyer Assessment of Upper Extremity was used to evaluate the functional ability of the upper extremity. Results: In the TENS + taping group, spasticity and upper extremity function were significantly improved as compared to those in the TENS group (p < 0.05). However, no significant difference in muscle strength was observed between the two groups (p > 0.05). Conclusions: This study demonstrated that the combination of TENS and taping for spasticity and function of the upper extremity was more effective in relieving the spasticity than TENS alone. Therefore, we suggest this combination as an additional treatment for spasticity and function of the upper extremity.

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Comparative effectiveness of high-intensity laser therapy and ultrasound therapy for hemiplegic shoulder pain in stroke patients: a randomized controlled trial“

Dajpratham,

Pongratanakul,

Satidwongpibool

et al. 2024

Topics in Stroke Rehabilitation

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Physiotherapy Efficiency in Post-stroke Upper Extremity Spasticity: TENSvs. Ultrasoundvs. Paraffin

Cited by 4 publications

References 55 publications

Comparison of Intensive Physical Therapy and Electrical Stimulation to Reduce Spasticity in Stroke

Comparison of Intensive Physical Therapy and Electrical Stimulation to Reduce Spasticity in Stroke

Effects of Transcutaneous Electrical Nerve Stimulation with Taping on Wrist Spasticity, Strength, and Upper Extremity Function in Patients with Stroke: A Randomized Control Trial

Comparative effectiveness of high-intensity laser therapy and ultrasound therapy for hemiplegic shoulder pain in stroke patients: a randomized controlled trial“

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