Effectiveness of thermal stimulation for the moderately to severely
paretic leg after stroke: serial changes at one-year follow-up.To
evaluate the serial changes of long-term effects of thermal stimulation
(TS) on acute stroke patients.A prospective study with follow-up at 3,
6, and 12 months after TS to assess motor and balance function of the
paretic leg of acute stroke patients.A general hospital rehabilitation
department. Poststroke patients (N=30) with moderate to severe impairment
of leg function.In addition to receiving standard rehabilitation,
eligible patients were randomly assigned to a TS group (5 thermal
stimulations per week for 6wk) or a control group (3 consultations per
week for 6wk).Fugl-Meyer lower extremity score, Medical Research Council
Scale for the Lower Extremity, Berg Balance Scale, Modified Motor
Assessment Scale, Functional Ambulation Classification, and Barthel
Index were administered at baseline, after 4 and 6 weeks of treatment,
and at the 3-, 6-, and 12-month follow-up.No significant differences
were found between the 2 groups at baseline. After TS, the Fugl-Meyer
lower extremity score, Medical Research Council Scale for the Lower
Extremity, Modified Motor Assessment Scale, and Functional Ambulation
Classification were significantly better in the TS group, and the
effects persisted for 3 months (P.05).The long-term benefits of TS for
patients with acute stroke may be sustained for 3 months but disappear
by the 6-month and 1-year follow-up.
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