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Neurostimulation After Stroke
This article explores its applications in upper and lower limb stroke rehabilitation. The authors review various methods to target the corticomotor system, including transcranial direct current stimulation, repetitive transcranial magnetic stimulation, and vagus nerve stimulation. In addition, the authors review the use of peripheral neuromuscular electrical stimulation for therapeutic and assistive purposes, including transcutaneous electrical nerve stimulation, neuromuscular electrical stimulation, and functional electrical stimulation. For each, the authors examine the potential benefits, limitations, safety considerations, and FDA status.
Source: Physical Medicine and Rehabilitation Clinics of North America - August 21, 2023 Category: Rehabilitation Authors: Hala Osman, Ricardo Siu, Nathan S. Makowski, Jayme S. Knutson, David A. Cunningham Source Type: research

Effectiveness of physical therapy interventions on post-stroke spasticity: An umbrella review
CONCLUSION: Findings suggest that PT should prioritize a combination of active strategies over passive interventions, but further studies are needed prioritizing analyses of the movement system in managing post-stroke spasticity in conjunction with medical therapies.PMID:36806522 | DOI:10.3233/NRE-220275
Source: NeuroRehabilitation - February 22, 2023 Category: Rehabilitation Authors: Gregory Brusola Erica Garcia Meagan Albosta Audrey Daly Konstandinos Kafes Michael Furtado Source Type: research

Neglect syndrome in post-stroke conditions: assessment and treatment (scoping review)
There is no consensus about the definition or most effective treatment for neglect syndrome. The aim of this review was therefore to evaluate the results of trials that investigated different treatment methods for neglect syndrome. A systematic literature search in PubMed and Web of Science databases was performed to identify studies that investigated the effects of neglect therapies. Authors followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Studies were selected by two assayers, and disagreement was resolved by a third reviewer. The literature search identified 202 articles: 19 met the...
Source: International Journal of Rehabilitation Research - February 13, 2021 Category: Rehabilitation Tags: Review Articles Source Type: research

Updates and comments on: Influence of transcutaneous electrical nerve stimulation on spasticity, balance, and walking speed in stroke patients: A systematic review and meta-analysis.
Authors: Kiper P, Turolla A PMID: 30805654 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - February 27, 2019 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Effect of Transcutaneous Electrical Nerve Stimulation on Spasticity in Adults With Stroke: A Systematic Review and Meta-analysis
(1) To determine the effect of transcutaneous electrical nerve stimulation (TENS) on poststroke spasticity. (2) To determine the effect of different parameters (intensity, frequency, duration) of TENS on spasticity reduction in adults with stroke. (3) To determine the influence of time since stroke on the effectiveness of TENS on spasticity.
Source: Archives of Physical Medicine and Rehabilitation - November 16, 2018 Category: Rehabilitation Authors: Amreen Mahmood, Sundar Kumar Veluswamy, Aditi Hombali, Aditi Mullick, Manikandan N, John M. Solomon Tags: Review article (Meta-analysis) Source Type: research

Effect of Transcutaneous Electrical Nerve Stimulation (TENS) on spasticity in adults with stroke: A systematic review and meta-analysis
1. To determine the effect of transcutaneous electrical nerve stimulation (TENS) on post-stroke spasticity. 2a. To determine the effect of different parameters (intensity, frequency, and duration) of TENS on spasticity reduction in adults with stroke; 2b. To determine the influence of time since stroke on the effectiveness of TENS on spasticity.
Source: Archives of Physical Medicine and Rehabilitation - November 16, 2018 Category: Rehabilitation Authors: Amreen Mahmood, Sundar Kumar Veluswamy, Aditi Hombali, Aditi Mullick, Manikandan N, John M. Solomon Source Type: research

Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis
ConclusionElectrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews
ConclusionsDespite the available range of non-pharmacological interventions for spasticity, there is lack of high-quality evidence for many modalities. Further research is needed to judge the effect with appropriate study designs, timing and intensity of modalities, and associate costs of these interventions.
Source: Annals of Physical and Rehabilitation Medicine - July 10, 2018 Category: Rehabilitation Source Type: research

Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis
ConclusionElectrical sensory input can contribute to routine rehabilitation to improve early post-stroke lower-extremity impairment and late motor function, with no change in spasticity. Prolonged periods of sensory stimulation such as TENS combined with activity can have beneficial effects on impairment and function after stroke.
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews
ConclusionsDespite the available range of non-pharmacological interventions for spasticity, there is lack of high-quality evidence for many modalities. Further research is needed to judge the effect with appropriate study designs, timing and intensity of modalities, and associate costs of these interventions.
Source: Annals of Physical and Rehabilitation Medicine - July 5, 2018 Category: Rehabilitation Source Type: research

Influence of transcutaneous electrical nerve stimulation on spasticity, balance, and walking speed in stroke patients: A systematic review and meta-analysis.
Authors: Etoom M PMID: 29206272 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - December 6, 2017 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Transcutaneous electrical nerve stimulation improves walking capacity and reduces spasticity in stroke survivors: a systematic review and meta-analysis.
CONCLUSION: The results support the use of repeated applications of TENS as an adjunct therapy for improving walking capacity and reducing spasticity in stroke survivors. PMID: 29232981 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - December 1, 2017 Category: Rehabilitation Authors: Kwong PW, Ng GY, Chung RC, Ng SS Tags: Clin Rehabil Source Type: research

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