Type of Article : Original Research

Year: 2015 | Volume 3 | Issue 1 | Page No. 863-867

Date of Publication: 11-02-2015

DOI: 10.16965/ijpr.2014.704

EFFECTIVENESS OF FUNCTIONAL MUSCLE STIMULATION IN IMPROVING MOTOR CONTROL AROUND SHOULDER IN PATIENTS WITH HEMIPLEGIA  

Sirisha Nekkanti ¹, Sivakumar.R ^*2.  

¹ Post Graduate Student, Faculty of Physiotherapy, Sri Ramachandra University, Tamil Nadu, India.
^*2 Additional Professor, Faculty of Physiotherapy, Sri Ramachandra University, Tamil Nadu, India.

Corresponding author: Sivakumar. R, Principal and Additional Professor, Faculty of Physiotherapy, Sri Ramachandra University, Porur, Chennai 600116, Tamil Nadu, India. Phone: +919840068412 E-Mail: rsivkumar@gmail.com

Abstract:

Background: The effect of electrical stimulation on motor outcomes around shoulder in acute hemiplegia is elusive. We tested the effect of stimulation of specific muscles around shoulder on motor outcome in shoulder in patient with hemiplegia.
Methods: 32 first time hemiplegic patient of stroke origin were randomly allocated to control and experimental group. Experimental group received electrical stimulation apart from exercises given to both the groups for 2 weeks. Deltoid, infraspinatus and upper trapezius were stimulated, along with attempt to contract the muscles. Stroke Rehabilitation Assessment of Movement (STREAM) upper components and manual muscle testing were used for evaluation of outcome. Wilcoxon sign rank test and chi-square tests were used for statistics.
Results: Experimental group demonstrated greater recovery compared to control group. In both groups trapezius muscle work showed improvement in large number of patients followed by deltoid. STREAM score changes were seen a more number of patients in experimental group than control group.
Conclusion: Electrical stimulation can be considered as an adjunct to exercises around shoulder in early stroke rehabilitation.
KEYWORDS: Electrical stimulation, Hemiplegia, Rehabilitation.

References

1. Sahin N, Ugurlu H, Albayrak I. The efficacy of electrical stimulation in reducing the post-stroke spasticity: a randomized controlled study. Disabil Rehabil . 2012 Jan 34(2):151–6.
2. Lin Z, Yan T. Long-term effectiveness of neuromuscular electrical stimulation for promoting motor recovery of the upper extremity after stroke. J Rehabil Med . 2011 May;43(6):506–10.
3. Merletti R, Zelaschi F, Latella D, Galli M, Angeli S, Sessa MB. A control study of muscle force recovery in hemiparetic patients during treatment with functional electrical stimulation. Scand J Rehabil Med . 1978 Jan;10(3):147–54.
4. De Kroon JR, Ijzerman MJ, Chae J, Lankhorst GJ, Zilvold G. Relation between stimulation characteristics and clinical outcome in studies using electrical stimulation to improve motor control of the upper extremity in stroke. J Rehabil Med . 2005 Mar;37(2):65–74.
5. Hara Y. Rehabilitation with Functional Electrical Stimulation in Stroke Patients. Int J Phys Med Rehabil . 2013;01(06):1–6.
6. Alon G, Levitt AF, McCarthy PA. Functional electrical stimulation (FES) may modify the poor prognosis of stroke survivors with severe motor loss of the upper extremity: a preliminary study. Am J Phys Med Rehabil . 2008 Aug;87(8):627–36.
7. Quandt F, Hummel FC. The influence of functional electrical stimulation on hand motor recovery in stroke patients: a review. Exp Transl Stroke Med . 2014 Jan;6(1):9.
8. Church C, Price C, Pandyan AD, Huntley S, Curless R, Rodgers H. Randomized controlled trial to evaluate the effect of surface neuromuscular electrical stimulation to the shoulder after acute stroke. Stroke . 2006 Dec;37(12):2995–3001.
9. Thrasher TA, Zivanovic V, McIlroy W, Popovic MR. Rehabilitation of reaching and grasping function in severe hemiplegic patients using functional electrical stimulation therapy. Neurorehabil Neural Repair . 2008;22(6):706–14.
10. Chae J, Sheffler L, Knutson J. Neuromuscular electrical stimulation for motor restoration in hemiplegia. Top Stroke Rehabil . 2008;15(5):412–26.
11. Peurala SH, Pitkänen K, Sivenius J, Tarkka IM. Cutaneous electrical stimulation may enhance sensorimotor recovery in chronic stroke. Clin Rehabil . 2002 Nov;16(7):709–16.
12. Proske U, Gandevia SC. The kinaesthetic senses. J Physiol . 2009 Sep 1;587(Pt 17):4139–46.
13. Carr JH, Shepherd RB. A Motor Relearning Programme for Stroke . Aspen Publishers; 1987
14. Hsieh Y-W, Wang C-H, Sheu C-F, Hsueh I-P, Hsieh C-L. Estimating the minimal clinically important difference of the Stroke Rehabilitation Assessment of Movement measure. Neurorehabil Neural Repair . 2008;22(6):723–7.
15. Chae J, Bethoux F, Bohinc T, Dobos L, Davis T, Friedl A. Neuromuscular Stimulation for Upper Extremity Motor and Functional Recovery in Acute Hemiplegia. Stroke . 1998 May 1;29(5):975–9.

Sirisha Nekkanti, Sivakumar.R. EFFECTIVENESS OF FUNCTIONAL MUSCLE STIMULATION IN IMPROVING MOTOR CONTROL AROUND SHOULDER IN PATIENTS WITH HEMIPLEGIA. Int J Physiother Res 2015;3(1):863-867. DOI: 10.16965/ijpr.2014.704