Article

OBJECTIVE: To investigate the effectiveness of neuromuscular electrical
stimulation (NMES) with or without other interventions in improving lower limb
activity after chronic stroke. DATA SOURCES: Electronic databases, including
PubMed, EMBase, Cochrane Library, PEDro (Physiotherapy Evidence Database), and
PsycINFO, were searched from the inception to January 2017. STUDY SELECTION: We
selected the 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. DATA
EXTRACTION: The primary outcome was defined as lower limb motor function, and the
secondary outcomes included gait speed, Berg Balance Scale, timed Up and Go,
6-minute walk test, Modified Ashworth Scale, and range of motion. DATA SYNTHESIS:
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,
95% confidence interval 0.26-0.58), 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. CONCLUSIONS: 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.
CI - Copyright (c) 2018 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS