Neuromuscular electric stimulation effect on lower-extremity motor recovery and gait kinematics of patients with stroke: a randomized controlled trial.
OBJECTIVE
To evaluate the effects of neuromuscular electric stimulation (NMES) of the tibialis anterior muscle on motor recovery and gait kinematics of patients with stroke.


METHODS
Randomized, controlled, assessor-blinded trial.


METHODS
Rehabilitation ward and gait laboratory of a university hospital.


METHODS
A total of 25 consecutive inpatients with stroke (mean age, 55y), all within 6 months poststroke and without volitional ankle dorsiflexion.


METHODS
Both the NMES group (n=12) and the control group (n=13) participated in a conventional stroke rehabilitation program, 5 days a week for 4 weeks. The NMES group also received 10 minutes of NMES to the tibialis anterior muscle of the paretic limb.


METHODS
Brunnstrom stages of motor recovery and kinematic characteristics of gait.


RESULTS
Brunnstrom stages improved significantly in both groups (P<.05). In total, 58% of the NMES group and 61% of the control group gained voluntary ankle dorsiflexion. Between-group difference of percentage change was not significant (P>.05). Gait kinematics was improved in both groups, but the difference between groups was not significant.


CONCLUSIONS
NMES of the tibialis anterior muscle combined with a conventional stroke rehabilitation program was not superior to a conventional stroke rehabilitation program alone, in terms of lower-extremity motor recovery and gait kinematics.
Yavuzer
Gunes
G
Department of Physical Medicine & Rehabilitation, Ankara University Faculty of Medicine, Ankara, Turkey. gunesyavuzer@hotmail.com
Geler-Külcü
Duygu
D
Sonel-Tur
Birkan
B
Kutlay
Sehim
S
Ergin
Süreyya
S
Stam
Henk J
HJ
D001696:Biomechanical Phenomena; D016009:Chi-Square Distribution; D004599:Electric Stimulation Therapy; D005260:Female; D005684:Gait / Q000502:physiology; D020233:Gait Disorders, Neurologic / Q000534:rehabilitation*; D006801:Humans; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D018709:Statistics, Nonparametric; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome