Deans' stroke musings: Effectiveness of neuromuscular electrical stimulation on lower limbs of patients with hemiplegia after chronic stroke: A systematic review

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, September 8, 2018

Effectiveness of neuromuscular electrical stimulation on lower limbs of patients with hemiplegia after chronic stroke: A systematic review

These systematic reviews should never be necessary if we had a database of research that was continually updated as research comes in. Or we had Dr. Watson to ask these questions of. A protocol database would also obviate the need for these reviews, it should be updated as new research comes in.

Effectiveness of neuromuscular electrical stimulation on lower limbs of patients with hemiplegia after chronic stroke: A systematic review

Archives of Physical Medicine and Rehabilitation , Volume 99(5) , Pgs. 1011-1022, 1022.e1.

NARIC Accession Number: J79115. What's this?
ISSN: 0003-9993.
Author(s): Hong, Zhongqiu; Sui, Minghong; Zhuang, Zhiqiang; Liu, Huihua; Zheng, Xiuyuan; Cai, Chuanping; Jin, Dongmei.
Publication Year: 2018.
Number of Pages: 13.
Abstract: Study investigated the effectiveness of neuromuscular electrical stimulation (NMES) with or without other interventions in improving lower-limb activity after chronic stroke. Electronic databases, including PubMed, EMBase, Cochrane Library, PEDro (Physiotherapy Evidence Database), and PsycINFO, were searched from the inception to January 2017. Randomized controlled trials (RCTs) involving chronic stroke survivors with lower limb dysfunction and comparing NMES or combined with other interventions with a control group of no electrical stimulation treatment were selected. The primary outcome was defined as lower-limb motor function, and the secondary outcomes included gait speed, Berg Balance Scale, Timed Up and Go test, 6-Minute Walk Test, Modified Ashworth Scale, and range of motion. Twenty-one RCTs involving 1481 participants were identified from 5759 retrieved articles. Pooled analysis showed that NMES had a moderate but statistically significant benefit on lower-limb motor function (standard mean difference 0.42), especially when NMES was combined with other interventions or treatment time within either 6 or 12 weeks. NMES also had significant benefits on gait speed, balance, spasticity, and range of motion but had no significant difference in walking endurance after NMES. Results indicate NMES combined with or without other interventions has beneficial effects in lower-limb motor function in chronic stroke survivors. These data suggest(I don't want lazy suggestions, I want a protocol. Exact instructions telling what the starting diagnosis should be for this protocols use.) that NMES should be a promising therapy to apply in chronic stroke rehabilitation to improve the capability of lower extremity in performing activities.
Descriptor Terms: BODY MOVEMENT, ELECTRICAL STIMULATION, EQUILIBRIUM, HEMIPLEGIA, INTERVENTION, LIMBS, LITERATURE REVIEWS, MOBILITY, MOTOR SKILLS, OUTCOMES, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Not available from NARIC.

Citation: Hong, Zhongqiu, Sui, Minghong, Zhuang, Zhiqiang, Liu, Huihua, Zheng, Xiuyuan, Cai, Chuanping, Jin, Dongmei. (2018). Effectiveness of neuromuscular electrical stimulation on lower limbs of patients with hemiplegia after chronic stroke: A systematic review. Archives of Physical Medicine and Rehabilitation , 99(5), Pgs. 1011-1022, 1022.e1. Retrieved 9/8/2018, from REHABDATA database.