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||Hong, Z., Sui, M., Zhuang, Z., Liu, H., Zheng, X., Cai, C., & Jin, D. (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), 1011-1022, 1022.e1.
||Body movement, electrical stimulation, equilibrium, hemiplegia, intervention, limbs, literature reviews, mobility, motor skills, outcomes, stroke
||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 that NMES should be a promising therapy to apply in chronic stroke rehabilitation to improve the capability of lower extremity in performing activities.
|Full-Text Availability Options:||https://www.ncbi.nlm.nih.gov/pubmed/29357280|