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Anti-spastic effects of the direct application of vibratory stimuli to the
spastic muscles of hemiplegic limbs in post-stroke patients : a proof-of-principle study

NOMA T; MATSUMOTO S; SHIMODOZONO M; ETOH S; KAWAHIRA K
J REHABIL MED , 2012, vol. 44, n° 4, p. 325-330
Doc n°: 156723
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.2340/16501977-0946
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, AD32 - SPASTICITE

OBJECTIVE: To investigate whether the direct application of vibratory stimuli
inhibits spasticity in the hemiplegic upper limbs of post-stroke patients.
DESIGN: A randomized controlled study. SUBJECTS: Thirty-six post-stroke patients.
METHODS: Patients were randomly allocated to the "Rest group", "Stretch group",
or "Direct application of vibratory stimuli group". After relaxing in a supine
posture for 30 min, subjects received the interventions for 5 min. The Modified
Ashworth Scale scores and F-wave parameters were recorded before, immediately
after and 30 min after each intervention. RESULTS: The Rest group showed no
significant changes in F-wave parameters and Modified Ashworth Scale scores. The
Stretch group showed a tendency to decrease in F-wave amplitude and F/M ratio
immediately after the intervention, but not 30 min later. The Direct application
of vibratory stimuli group showed significant improvements in F-wave parameters
and Modified Ashworth Scale scores immediately after the intervention, which
remained 30 minutes later. The changes in F-wave parameters and Modified Ashworth
Scale scores observed in the Direct application of vibratory stimuli group
significantly differed from those in the Rest group and the Stretch group.
CONCLUSION: The direct application of vibratory stimuli has anti-spastic effects
in the hemiplegic upper limbs of post-stroke patients.

Langue : ANGLAIS

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