The effects of Neuro-Muscular Electrical Stimulation (NMES) on shoulder subluxation in flaccid hemiplegic patients
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概要
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We examined the effects of Neuro-Muscular Electrical Stimulation (NMES) on upper extremity function of flaccid hemiplegic patients using a randomized controlled trial with cross-over design. In this study, total of 44 patients with hemiplegia were selected. The experimental group (14 women, 8 men) received conventional therapy and NMES for 6-7 weeks. After finishing this session, 8 patients were treated for 1-2 weeks by conventional therapy only, withdrawing the NMES. The control group (11 women, 11 men) received conventional therapy only. After finishing the session, 5 patients in the control group were given additional NMES treatments. Subjects received the NMES treatments a total of 5 hours per day, 5 days per week. After finishing 6 to 7 weeks of treatment, there were no significant differences between the groups in either motor function or muscle tone (p>0.74). But there were significant differences in ROM (p<0.0001), brachial circumference (p<0.0001) and subluxation (p<0.0001). The control group demonstrated a loss of passive ROM progressively over the 6-7 weeks, but the experimental group maintained their ROM, except for two patients with severe asomatognosia and unilateral spatial neglect. All patients in the experimental group showed a significant subluxation of the shoulder after the withdrawal of NMES. Five patients in the control group revealed a significant improvement in the subluxation of the shoulder (p<0.05) after starting the NMES treatment. The authors presumed that the NMES treatment can prevent subluxation of the affected shoulder, except for those with severe asomatognosia and unilateral spatial neglect.
- 神戸大学の論文
- 2004-03-25
著者
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Shimada Tomoaki
Department Of Physical Therapy Faculty Of Health Science Kobe University
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Shomoto Koji
Department Of Health Sciences Kobe-university Graduate School Of Medicine
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