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.

Sunday, November 23, 2025

Effect of Neuromuscular Electrical Stimulation on Muscle Atrophy in Patients with Acute Stroke: A Randomized Controlled Trial

 Of course, your competent? doctor put together EXACT PROTOCOLS ON NMES USE YEARS AGO, RIGHT? Too bad, your doctor is incompetent and still gets paid for not getting you fully recovered! Let's check on how long your doctor and hospital have been incompetent!
  • NMES (38 posts to November 2013)
  • 2-channel NMES (1 post to June 2021)
  • 4-channel NMES (1 post to June 2021)
  • EMG-NMES (1 post to February 2019)
  • cNMES (1 post to August 2019)

    • Effect of Neuromuscular Electrical Stimulation on Muscle Atrophy in Patients with Acute Stroke: A Randomized Controlled Trial


     a,  b,  a,  c,  a,  a,  a,  d
    PMCID: PMC12626773  PMID: 41267677

    ABSTRACT

    Objectives:

    This study aimed to assess the effectiveness of neuromuscular electrical stimulation (NMES) in reducing muscle atrophy in patients with acute stroke.

    Methods:

    In acute stroke patients with hemiparesis, NMES or control treatment was applied to the quadriceps muscles for 2 weeks. The change of the quadriceps muscle thickness was assessed using ultrasound after 2 weeks.

    Results:

    Sixty-three patients were randomized to control treatment or NMES treatment. On the paretic side, muscle thickness changed by −2.65 ± 4.24 mm in the NMES group and −4.64 ± 4.58 mm in the control group (P=0.119). On the non-paretic side, the respective changes were −0.42 ± 5.19 mm and −1.93 ± 3.36 mm (P=0.223). In an exploratory subgroup analysis, no significant effect was observed in severely affected patients, whereas patients with mild-to-moderate stroke (National Institute of Health Stroke Scale score <12, n=23) showed a smaller reduction in quadriceps thickness on the paretic side in the NMES group compared with controls (0.00 ± 3.21 mm vs. −3.88 ± 5.11 mm, P=0.043). These exploratory subgroup findings should be regarded as hypothesis-generating.

    Conclusions:

    This underpowered trial did not demonstrate a significant preventive effect of 2 weeks of NMES on quadriceps atrophy in patients with acute stroke. Exploratory subgroup findings suggest a potential benefit in patients with less severe stroke, but these results should be considered hypothesis-generating and require confirmation in future adequately powered trials.

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