Immediate effects of electrical stimulation combined with passive locomotion-like movement on gait velocity and spasticity in persons with hemiparetic stroke

A randomized controlled study

Tomofumi Yamaguchi, Shigeo Tanabe, Yoshihiro Muraoka, Yoshihisa Masakado, Akio Kimura, Tetsuya Tsuji, Meigen Liu

    Research output: Contribution to journalArticle

    7 Citations (Scopus)

    Abstract

    Objective: Research to examine the immediate effects of electrical stimulation combined with passive locomotion-like movement on gait velocity and spasticity.Design: A single-masked, randomized controlled trial design.Subjects: Twenty-seven stroke inpatients in subacute phase (ischemic n=16, hemorrhagic n=11).Interventions: A novel approach using electrical stimulation combined with passive locomotion-like movement.Main measures: We assessed the maximum gait speed and modified Ashworth scale before and 20 minutes after the interventions.Results: The gait velocity of the electrical stimulation combined with passive locomotion-like movement group showed the increase form 0.68±0.28 (mean±SD, unit: m) to 0.76±0.32 after the intervention. Both the electrical stimulation group and passive locomotion-like movement group also showed increases after the interventions (from 0.76±0.37 to 0.79±0.40, from 0.74±0.35 to 0.77±0.36, respectively). The gait velocity of the electrical stimulation combined with passive locomotion-like movement group differed significantly from those of the other groups (electrical stimulation combined with passive locomotion-like movement versus electrical stimulation: P=0.049, electrical stimulation combined with passive locomotion-like movement versus passive locomotion-like movement: P=0.025). Although there was no statistically significant difference in the modified Ashworth scale among the three groups, six of the nine subjects (66.6%) in the electrical stimulation combined with passive locomotion-like movement group showed improvement in the modified Ashworth scale score, while only three of the nine subjects (33.3%) in the electrical stimulation group and two of the nine subjects (22.2%) improved in the passive locomotion-like movement group.Conclusion: These findings suggest electrical stimulation combined with passive locomotion-like movement could improve gait velocity in stroke patients.

    Original languageEnglish
    Pages (from-to)619-628
    Number of pages10
    JournalClinical Rehabilitation
    Volume26
    Issue number7
    DOIs
    Publication statusPublished - 2012 Jul

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    Locomotion
    Gait
    Electric Stimulation
    Stroke
    Inpatients
    Randomized Controlled Trials

    ASJC Scopus subject areas

    • Rehabilitation
    • Physical Therapy, Sports Therapy and Rehabilitation

    Cite this

    Immediate effects of electrical stimulation combined with passive locomotion-like movement on gait velocity and spasticity in persons with hemiparetic stroke : A randomized controlled study. / Yamaguchi, Tomofumi; Tanabe, Shigeo; Muraoka, Yoshihiro; Masakado, Yoshihisa; Kimura, Akio; Tsuji, Tetsuya; Liu, Meigen.

    In: Clinical Rehabilitation, Vol. 26, No. 7, 07.2012, p. 619-628.

    Research output: Contribution to journalArticle

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    abstract = "Objective: Research to examine the immediate effects of electrical stimulation combined with passive locomotion-like movement on gait velocity and spasticity.Design: A single-masked, randomized controlled trial design.Subjects: Twenty-seven stroke inpatients in subacute phase (ischemic n=16, hemorrhagic n=11).Interventions: A novel approach using electrical stimulation combined with passive locomotion-like movement.Main measures: We assessed the maximum gait speed and modified Ashworth scale before and 20 minutes after the interventions.Results: The gait velocity of the electrical stimulation combined with passive locomotion-like movement group showed the increase form 0.68±0.28 (mean±SD, unit: m) to 0.76±0.32 after the intervention. Both the electrical stimulation group and passive locomotion-like movement group also showed increases after the interventions (from 0.76±0.37 to 0.79±0.40, from 0.74±0.35 to 0.77±0.36, respectively). The gait velocity of the electrical stimulation combined with passive locomotion-like movement group differed significantly from those of the other groups (electrical stimulation combined with passive locomotion-like movement versus electrical stimulation: P=0.049, electrical stimulation combined with passive locomotion-like movement versus passive locomotion-like movement: P=0.025). Although there was no statistically significant difference in the modified Ashworth scale among the three groups, six of the nine subjects (66.6{\%}) in the electrical stimulation combined with passive locomotion-like movement group showed improvement in the modified Ashworth scale score, while only three of the nine subjects (33.3{\%}) in the electrical stimulation group and two of the nine subjects (22.2{\%}) improved in the passive locomotion-like movement group.Conclusion: These findings suggest electrical stimulation combined with passive locomotion-like movement could improve gait velocity in stroke patients.",
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    AU - Tanabe, Shigeo

    AU - Muraoka, Yoshihiro

    AU - Masakado, Yoshihisa

    AU - Kimura, Akio

    AU - Tsuji, Tetsuya

    AU - Liu, Meigen

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