FUNCTIONAL RECIPROCAL NEUROMUSCULAR ELECTRIC STIMULATION IN ADAPTIVE KINESITHERAPY IN POST-STRESS PATIENTS
The aim of the study was to develop a program of neuromuscular electrical stimulation, used in combination with manual kinesitherapy techniques, to restore gait stereotype function and adaptive kinematics of the lower extremities after stroke. The study involved 37 patients in the early recovery period after cerebral infarction (MI), divided into three groups: group No. 1 (n = 10) were treated according to the standard complex therapy program (SCTP); 2) a group of patients No. 2 (n = 12) received combined treatment including SCTP and a program of reciprocal neuromuscular electrical stimulation - program “A”; 3) a group of patients No. 3 (n = 15) received combined treatment, including s SCTP and the program of functional reciprocal neuromuscular electrical stimulation (FRNMES) - program “B”. Assessment of the results of the study was carried out according to modified Rankin scale, Barthel index, Rivermead mobility index, Scandinavian stroke scale, 10-meter walk test and adaptive kinematics test of lower limbs. An analysis of the results found that the use of the FRNMES increase in the effectiveness of SCTP in early recovery period after stroke by 49,15%.
Uladzislau А. Lukashevich1, Vladimir V. Ponomarev1,
Mechislav I. Tarasevich2, Sergei А. Zhivolupov3
1 Belorussian medical academy of post graduate education, Minsk, Belarus;
2 2-nd clinical hospital, Minsk, Belarus;
3 Military medical academy, neurology department, Saint-Petersburg, Russian Federation.
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References:
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4. Fritzsche D., Fruend A., Schenk S. Electromyostimulation (EMS) in cardiac patients. Will EMS training be helpful in secondary prevention? // Herz. 2010. Vol. 35. P. 34–40.
5. Kelley C.P., Childress J., Boake C., Noser E.A. Over-ground and robotic-assisted locomotor training in adults with chronic stroke: a blinded randomized clinical trial // Disabil Rehabil Assist. Technol. 2013. Vol. 8. №2. Р. 161-168.
6. Kemmler W., Froehlich M., von Stengel S. Whole-Body Electromyostimulation – the need for common sense! rationale and guideline for a safe and effective training // Dtsch Z Sportmed. 2016. Vol. P. 218–21.
7. Lukashevich, U. Adaptive kinezitherapy in early rehabilitation of patients with mild coordination defects // World Science. 2017. Vol. 6. № 4. P. 4–7.
8. Lerdal A., Bakken L.N., Kouwenhoven S.E. Poststroke fatigue – a review // J Pain Symptom Manage. 2009. Vol. 38. P. 928–949.
9. Lloyd-Jones D., Adams R. J., Brown T. M. Heart disease and stroke statistics – 2010 update: a report from the American heart association // Circulation. 2010. Vol. 121. №. 7. Р 46 – 215.
10. Mehta S., McIntyre A., Lobo L., Teasell R.W. Functional electrical stimulation for improving gait in persons with chronic stroke // Top Stroke Rehabil. 2012. Vol. 19. P 491–498.
11. Muennig P.A., Glied S.A. What changes in survival rates tell us about US health care // Health Affair. 2010. Vol. 29. P. 2105-2113.
12. Ng S.S., Hui-Chan C.W. Does the use of TENS increase the effectiveness of exercise for improving walking after stroke? A randomized controlled clinical trial // Clin Rehabil. 2009. Vol. 23. P. 1093–1103.
13. Pendlebury S.T., Rothwell P.M. Prevalence, incidence, and factors associated with pre-stroke and post-stroke dementia: a systematic review and meta-analysis // Lancet Neurol. 2009. Vol. 11. №8. Р. 1006-1018.
14. Roger V.L. Heart disease and stroke statistics – 2011 update: a report from the American heart association // Circulation. 2011. Vol. 123. № 4. Р. 18–190.
15. Tashiro S., Mizuno K., Kawakami M., Takahashi O., Nakamura T., Suda M., Haruyama K., Otaka Y., Tsuji T., Liu M. Neuromuscular electrical stimulation-enhanced rehabilitation is associated with not only motor but also somatosensory cortical plasticity in chronic stroke patients: an interventional study // Therapeutic Advances in Chronic Disease. 2019. Vol. 10. P. 1-13.
16. Tyson S.F., Sadeghi-Demneh E., Nester C.J. The effects of transcutaneous electrical nerve stimulation on strength, proprioception, balance and mobility in people with stroke: a randomized controlled cross-over trial // Clin Rehabil. 2013. Vol. 27. P. 785–791.
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Lukashevich U.А., Ponomarev V.V., Tarasevich M.I., Zhivolupov S.А. Functional reciprocal neuromuscular electric stimulation in adaptive kinesitherapy in post-stress patients // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 3, pp. 80-88. doi 10.34689/SH.2020.22.3.010Related publications:
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