Immediate therapeutic effect of interferential current therapy on spasticity, balance, and gait function in chronic stroke patients: a randomized control trial
Suh, Hye Rim
(Department of Physiology, College of Medicine, Korea University, Seoul, South Korea)
,
Han, Hee Chul
(Department of Physiology, College of Medicine, Korea University, Seoul, South Korea)
,
Cho, Hwi-young
(Department of Physical Therapy, College of Health Science, Gachon University, Incheon, South Korea)
Objective:To determine whether a single trial of interferential current therapy (ICT) can immediately alleviate spasticity and improve balance and gait performance in patients with chronic stroke.Design:Randomized, placebo-controlled clinical trial.Setting:Inpatient rehabilitation in a local center....
Objective:To determine whether a single trial of interferential current therapy (ICT) can immediately alleviate spasticity and improve balance and gait performance in patients with chronic stroke.Design:Randomized, placebo-controlled clinical trial.Setting:Inpatient rehabilitation in a local center.Subjects:A total of 42 adult patients with chronic stroke with plantar flexor spasticity of the lower limb.Intervention:The ICT group received a single 60-minute ICT stimulation of the gastrocnemius in conjunction with air-pump massage. In the placebo-ICT group, electrodes were placed and air-pump massage performed without electrical stimulation.Main measures:After a single ICT application, spasticity was measured immediately using the Modified Ashworth Scale (MAS), and balance and functional gait performance were assessed using the following clinical tools: Functional Reach Test (FRT), Berg Balance Scale (BBS), Timed Up and Go Test (TUG), and 10-m Walk Test (10MWT).Results:Gastrocnemius spasticity significantly decreased in the ICT group than in the placebo-ICT group (MAS: ICT vs placebo-ICT: 1.55±0.76 vs 0.40±0.50). The ICT group showed significantly greater improvement in balance and gait abilities than the placebo-ICT group (FRT: 2.62±1.21 vs 0.61±1.34, BBS: 1.75±1.52 vs 0.40±0.88, TUG: 6.07±6.11 vs 1.68±2.39, 10MWT: 7.02±7.02 vs 1.96±3.13). Spasticity correlated significantly with balance and gait abilities (P < 0.05).Conclusion:A single trial of ICT is a useful intervention for immediately improving spasticity, balance, and gait abilities in chronic stroke patients, but not for long-term effects. Further study on the effects of repeated ICT is needed.
Objective:To determine whether a single trial of interferential current therapy (ICT) can immediately alleviate spasticity and improve balance and gait performance in patients with chronic stroke.Design:Randomized, placebo-controlled clinical trial.Setting:Inpatient rehabilitation in a local center.Subjects:A total of 42 adult patients with chronic stroke with plantar flexor spasticity of the lower limb.Intervention:The ICT group received a single 60-minute ICT stimulation of the gastrocnemius in conjunction with air-pump massage. In the placebo-ICT group, electrodes were placed and air-pump massage performed without electrical stimulation.Main measures:After a single ICT application, spasticity was measured immediately using the Modified Ashworth Scale (MAS), and balance and functional gait performance were assessed using the following clinical tools: Functional Reach Test (FRT), Berg Balance Scale (BBS), Timed Up and Go Test (TUG), and 10-m Walk Test (10MWT).Results:Gastrocnemius spasticity significantly decreased in the ICT group than in the placebo-ICT group (MAS: ICT vs placebo-ICT: 1.55±0.76 vs 0.40±0.50). The ICT group showed significantly greater improvement in balance and gait abilities than the placebo-ICT group (FRT: 2.62±1.21 vs 0.61±1.34, BBS: 1.75±1.52 vs 0.40±0.88, TUG: 6.07±6.11 vs 1.68±2.39, 10MWT: 7.02±7.02 vs 1.96±3.13). Spasticity correlated significantly with balance and gait abilities (P < 0.05).Conclusion:A single trial of ICT is a useful intervention for immediately improving spasticity, balance, and gait abilities in chronic stroke patients, but not for long-term effects. Further study on the effects of repeated ICT is needed.
Mansouri, Behnam, Heidari, Kamran, Asadollahi, Shadi, Nazari, Maryam, Assarzadegan, Farhad, Amini, Afshin.
Mortality and functional disability after spontaneous intracranial hemorrhage: the predictive impact of overall admission factors.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology,
vol.34,
no.11,
1933-1939.
Kiyota, Yasuhiro, Hase, Kimitaka, Nagashima, Hayato, Obara, Tomoko, Liu, Meigen.
Adaptation process for standing postural control in individuals with hemiparesis.
Disability and rehabilitation,
vol.33,
no.25,
2567-2573.
Esquenazi, A..
Improvements in healthcare and cost benefits associated with botulinum toxin treatment of spasticity and muscle overactivity.
European journal of neurology : the official journal of the European Federation of Neurological Societies,
vol.13,
no.suppl4,
27-34.
Cho, Hwi-Young, Sung In, Tae, Hun Cho, Ki, Ho Song, Chang.
A Single Trial of Transcutaneous Electrical Nerve Stimulation (TENS) Improves Spasticity and Balance in Patients with Chronic Stroke.
The Tohoku journal of experimental medicine,
vol.229,
no.3,
187-193.
Tyson, Sarah F, Sadeghi-Demneh, Ebrahim, Nester, Christopher J.
The effects of transcutaneous electrical nerve stimulation on strength, proprioception, balance and mobility in people with stroke: a randomized controlled cross-over trial.
Clinical rehabilitation,
vol.27,
no.9,
785-791.
Ng, Shamay SM, Hui-Chan, Christina WY.
Does the use of TENS increase the effectiveness of exercise for improving walking after stroke? A randomized controlled clinical trial.
Clinical rehabilitation,
vol.23,
no.12,
1093-1103.
Tanaka, Minoru, Hirayama, Yusuke, Fujita, Naoto, Fujino, Hidemi.
Comparison of premodulated interferential and pulsed current electrical stimulation in prevention of deep muscle atrophy in rats.
Journal of molecular histology,
vol.44,
no.2,
203-211.
Folstein, M.F., Folstein, S.E., McHugh, P.R..
''Mini-mental state'' - A practical method for grading the cognitive state of patients for the clinician.
Journal of psychiatric research,
vol.12,
no.3,
189-198.
Ozcan, John, Ward, Alex R, Robertson, Valma J.
A comparison of true and premodulated interferential currents.
Archives of physical medicine and rehabilitation,
vol.85,
no.3,
409-415.
Ansari, Noureddin Nakhostin, Naghdi, Soofia, Arab, Tahereh Khosravian, Jalaie, Shohreh.
The interrater and intrarater reliability of the Modified Ashworth Scale in the assessment of muscle spasticity: Limb and muscle group effect.
NeuroRehabilitation,
vol.23,
no.3,
231-237.
Podsiadlo, Diane, Richardson, Sandra.
The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons.
Journal of the American Geriatrics Society,
vol.39,
no.2,
142-148.
Vos-Vromans, Desirée, de Bie, Rob, Erdmann, Peter, van Meeteren, Nico.
The responsiveness of the Ten-Meter Walking Test and other measures in patients with hemiparesis in the acute phase.
Physiotherapy theory and practice,
vol.21,
no.3,
173-180.
Yan, T, Hui-Chan, CWY.
Transcutaneous electrical stimulation on acupuncture points improves muscle function in subjects after acute stroke: A randomized controlled trial.
Journal of rehabilitation medicine,
vol.41,
no.5,
312-316.
Maeda, Y., Lisi, T.L., Vance, C.G.T., Sluka, K.A..
Release of GABA and activation of GABAA in the spinal cord mediates the effects of TENS in rats.
Brain research,
vol.1136,
43-50.
tionnelle, Hôpital Gui de Chauliac, CHU Montpellier (Pérennou, Leblond, Micallef, Hérisson); and UPR Neurobiologie et Mouvements du CNRS (Amblard), Marseille, France, Départment de Médecine Physique et Réadaptation du CHU de Nîmes, Unité de Rééducation Neurologique (Pérennou, Micallef, Pélissier), Le Grau du Roi; Service de Rééducation Fonctionnelle, Hôpital Gui de Chauliac, CHU Montpellier (Pérennou, Leblond, Micallef, Hérisson); and UPR Neurobiologie et Mouvements du CNRS (Amblard), Marseille, France.
Transcutaneous electric nerve stimulation reduces neglect-related postural instability after stroke.
Archives of physical medicine and rehabilitation,
vol.82,
no.4,
440-448.
Lord, Stephen R., Clark, Russell D., Webster, Ian W..
Physiological Factors Associated with Falls in an Elderly Population.
Journal of the American Geriatrics Society,
vol.39,
no.12,
1194-1200.
Kaelin‐Lang, Alain, Luft, Andreas R., Sawaki, Lumy, Burstein, Aaron H., Sohn, Young H., Cohen, Leonardo G..
Modulation of human corticomotor excitability by somatosensory input.
The Journal of physiology,
vol.540,
no.2,
623-633.
Ridding, Michael C, McKay, Darrin R, Thompson, Philip D, Miles, Timothy S.
Changes in corticomotor representations induced by prolonged peripheral nerve stimulation in humans.
Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology,
vol.112,
no.8,
1461-1469.
Dorsch, S., Ada, L., Canning, C.G., Al-Zharani, M., Dean, C..
The Strength of the Ankle Dorsiflexors Has a Significant Contribution to Walking Speed in People Who Can Walk Independently After Stroke: An Observational Study.
Archives of physical medicine and rehabilitation,
vol.93,
no.6,
1072-1076.
Mecagni, Chiara, Smith, Janet Pulliam, Roberts, Kay E, O'Sullivan, Susan B.
Balance and Ankle Range of Motion in Community-Dwelling Women Aged 64 to 87 Years: A Correlational Study.
Physical therapy,
vol.80,
no.10,
1004-1011.
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