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, August 16, 2025

Transcutaneous electrical nerve stimulation for balance and gait rehabilitation in stroke survivors: A systematic review and Meta-analysis

 

 Previous research didn't show much benefit from TENS.

  • TENS (8 posts to November 2017)

    • Transcutaneous electrical nerve stimulation for balance and gait rehabilitation in stroke survivors: A systematic review and Meta-analysis


    Anas R Alashram 
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    Abstract

    Objectives

    Balance and impairments are common consequences of stroke. For decades, transcutaneous electrical nerve stimulation (TENS) has been used in stroke rehabilitation. This review aims to explore the effects of TENS on balance and gait deficits in stroke survivors and to identify its contraindications.

    Methods

    “PubMed, Scopus, PEDro, CINAHL, EMBASE, and Web of Science” were searched until February 2025. Randomized trials included stroke survivors, administrated TENS, compared with rest or active interventions, and included scales that assessed gait or balance abilities. The PEDro scale was used to determine the quality of the included studies. Comprehensive Meta-Analysis Version 4 was used for meta-analysis.

    Results

    Ten studies met the inclusion criteria. In total, 465 patients with stroke (mean age 58.84 years; 65% male) were involved in this review. The included studies&apos; PEDro scale scores ranged from 6 to 9, with a median of 8. The meta-analysis showed a potential effect of TENS on the Timed Up and Go (TUG) test (SMD: 0.458, 95% CI: –0.116 to 1.031, p=0.118, I²=75%), but the results were inconclusive due to lack of statistical significance and high heterogeneity. For gait, the meta-analysis showed a significant positive effect of TENS on the 10-Meter Walk Test (SMD=0.831, 95% CI: 0.448 to 1.214, p<0.001; I²=0%).

    Conclusions

    TENS may improve gait, but its effect on balance remains inconclusive. It is contraindicated in stroke patients with heart pacemakers, skin issues at the electrode site, severe cognitive impairments, sensory deficits, pregnancy, psychotic disorders, uncontrolled hypertension or diabetes, seizures, and severe heart or lung disease. Further studies are recommended.

    More at link.

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