Effects of Noxious Versus Innocuous Thermal Stimulation on Lower Extremity Motor Recovery 3 Months After Stroke.
Abstract: Objective: To examine the effects of thermal stimulation (TS) on the lower extremity (LE) movement and function in patients with stroke. Design: A double-blinded randomized controlled trial. Setting: A university hospital. Participants: Patients (N=34) at least 3 months after stroke were r...
| Publicado en: | Archives of Physical Medicine & Rehabilitation Vol. 94; no. 4; pp. 633 - 642 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
W B Saunders
Apr2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104258901&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104258901 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: Apr2013 vid: 94 iid: 4 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 104258901 86430172 10.1016/j.apmr.2012.11.021 NLM23178539 104258901 ppf: 633 ppct: 9 formats: tig: atl: Effects of Noxious Versus Innocuous Thermal Stimulation on Lower Extremity Motor Recovery 3 Months After Stroke. aug: au: Hsu, Hsin-Wen Lee, Chia-Ling Hsu, Miao-Ju Wu, Hung-Chia Lin, Roxane Hsieh, Ching-Lin Lin, Jau-Hong affil: Department and Graduate Institute of Neurology, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Physical Medicine and Rehabilitation, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan sug: subj: Stroke Rehabilitation Cryotherapy Hypothermia, Induced Recovery Lower Extremity Physiopathology Paresthesia Rehabilitation Time Factors Walking Stroke Complications Stroke Physiopathology Combined Modality Therapy Pain Measurement Visual Analog Scaling Paresthesia Physiopathology Paresthesia Etiology Treatment Outcomes Barthel Index Clinical Assessment Tools Scales Randomized Controlled Trials Double-Blind Studies Chi Square Test Fisher's Exact Test T-Tests Mann-Whitney U Test Repeated Measures Analysis of Variance Post Hoc Analysis P-Value Data Analysis Software Adult Middle Age Aged Female Male Human Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Abstract: Objective: To examine the effects of thermal stimulation (TS) on the lower extremity (LE) movement and function in patients with stroke. Design: A double-blinded randomized controlled trial. Setting: A university hospital. Participants: Patients (N=34) at least 3 months after stroke were randomly assigned into the experimental and the control groups. Interventions: In addition to regular rehabilitation, the experimental group received a 30-minute noxious TS protocol (heat pain 46–47°C/cold pain 2–3°C) 3days/wk for 8 weeks, and the control group received a 30-minute innocuous TS protocol (heat 40–41°C/cold 23–24°C) 3d/wk for 8 weeks. Main Outcome Measures: The Low Extremity subscale of the Stroke Rehabilitation Assessment of Movement (LE-STREAM), the Mobility subscale of STREAM (Mob-STREAM), the Functional Ambulation Category (FAC), the Barthel Index (BI), the Postural Assessment Scale for Stroke Patients (PASS), and the Modified Ashworth Scale (MAS) were administered by a blinded rater at baseline, posttreatment (8wk), and follow-up (12wk). Results: Twenty-three participants completed the study protocol and all outcome measurements. No preexisting group differences between the experimental group (n=11) and the control group (n=12) were found on demographic and clinical variables. Compared with baseline, the experimental group showed significant improvements at posttreatment and follow-up on the LE-STREAM, Mob-STREAM, FAC, and BI (P<.05) while the control group showed no significant improvements for all outcome measures. As for the between-group comparison, significant differences were seen at follow-up (12wk) on the LE-STREAM, Mob-STREAM, BI, and MAS. Conclusions: Our findings indicate that an 8-week program of noxious TS combined with a traditional stroke rehabilitation program can improve the LE-related movement and function in patients with stroke for more than 3 months. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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