Deans' stroke musings: Effects of Electrical Stimulation in Spastic Muscles After Stroke

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.

Monday, January 10, 2022

Effects of Electrical Stimulation in Spastic Muscles After Stroke

Still a lot of work to do, this only improves spasticity, IT DOES NOT CURE IT! Survivors are looking for cures. When the hell will we get there? WHOM is going to take on the job of finding a cure? Cure my spasticity and I will recover from my dead brain in no time.

Effects of Electrical Stimulation in Spastic Muscles After Stroke

Systematic Review and Meta-Analysis of Randomized Controlled Trials
Cinara Stein, MSc; Carolina Gassen Fritsch, Ft; Caroline Robinson, MSc; Graciele Sbruzzi, DSc; Rodrigo Della Méa Plentz, DSc

Background and Purpose

—Neuromuscular electric stimulation (NMES) has been used to reduce spasticity and improve range of motion in patients with stroke. However, contradictory results have been reported by clinical trials. A systematic review of randomized clinical trials was conducted to assess the effect of treatment with NMES with or without association to another therapy on spastic muscles after stroke compared with placebo or another intervention.

Methods

—We searched the following electronic databases (from inception to February 2015): Medline (PubMed), EMBASE, Cochrane Central Register of Controlled Trials and Physiotherapy Evidence Database (PEDro). Two independent reviewers assessed the eligibility of studies based on predeﬁned inclusion criteria (application of electric stimulation on the lower or upper extremities, regardless of NMES dosage, and comparison with a control group which was not exposed to electric stimulation), excluding studies with <3 days of intervention. The primary outcome extracted was spasticity, assessed by the Modiﬁed Ashworth Scale, and the secondary outcome extracted was range of motion, assessed by Goniometer.

Results

—Of the total of 5066 titles, 29 randomized clinical trials were included with 940 subjects. NMES provided reductions in spasticity (−0.30 [95% conﬁdence interval, −0.58 to −0.03], n=14 randomized clinical trials) and increase in range of motion when compared with control group (2.87 [95% conﬁdence interval, 1.18–4.56], n=13 randomized clinical trials) after stroke.

Conclusions

—NMES combined with other intervention modalities can be considered as a treatment option that provides improvements in spasticity and range of motion in patients after stroke.
Clinical Trial Registration Information
—URL: http://www.crd.york.ac.uk/PROSPERO. Unique identiﬁer: CRD42014008946.
(Stroke. 2015;46:00-00. DOI: 10.1161/STROKEAHA.115.009633.)