Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Sep;27(9):2947-50.
doi: 10.1589/jpts.27.2947. Epub 2015 Sep 30.

Randomized controlled comparative study on effect of training to improve lower limb motor paralysis in convalescent patients with post-stroke hemiplegia

Kenji Kawakami  1 , Hiroyuki Miyasaka  2 , Sayaka Nonoyama  3 , Kazuya Hayashi  4 , Yusuke Tonogai  1 , Genichi Tanino  2 , Yosuke Wada  5 , Akihisa Narukawa  6 , Yuko Okuyama  1 , Yutaka Tomita  1 ; RE; Shigeru Sonoda  2
Affiliations

Randomized controlled comparative study on effect of training to improve lower limb motor paralysis in convalescent patients with post-stroke hemiplegia

Kenji Kawakami et al. J Phys Ther Sci. 2015 Sep.

Abstract

[Purpose] The motor paralysis-improving effect on the hemiplegic lower limb was compared among mirror therapy, integrated volitional-control electrical stimulation, therapeutic electrical stimulation, repetitive facilitative exercises, and the standard training method in post-stroke hemiplegia patients. [Subjects and Methods] Eighty one stroke patients admitted to a convalescent rehabilitation ward were randomly allocated to the above 5 treatment groups. Each patient performed functional training of the paralytic lower limb for 20 minutes a day for 4 weeks, and changes in the lower limb function were investigated using the Stroke Impairment Assessment Set. [Results] The hip and knee joint functions did not significantly improve in the standard training control group, but significant improvements were observed after 4 weeks in the other intervention groups. Significant improvement was noted in the ankle joint function in all groups. [Conclusion] Although the results were influenced by spontaneous recovery and the standard training in the control group, the hip and knee joints were more markedly improved by the interventions in the other 4 groups of patients with moderate paralysis, compared to the control group.

Keywords: Intervention; Motor paralysis; Stroke.

PubMed Disclaimer

Figures

Fig. 1.
Fig. 1.
*Caption missing*
Fig. 2.
Fig. 2.
*Caption missing*
Fig. 3.
Fig. 3.
Training scene of TES
Fig. 4.
Fig. 4.
Training scene of RFEs
See this image and copyright information in PMC

References

    1. Iwai N, Aoyagi Y, Tokuhisa K, et al. : The gaps between capability ADL and performance ADL of stroke patients in a convalescent rehabilitation ward—based on the functional independence measure—. J Phys Ther Sci, 2011, 23: 333–338.
    1. Kwakkel G, van Peppen R, Wagenaar RC, et al. : Effects of augmented exercise therapy time after stroke: a meta-analysis. Stroke, 2004, 35: 2529–2539. - PubMed
    1. Park IM, Lee YS, Moon BM, et al.: A comparison of the effects of overground gait training and treadmill gait training according to stroke patients’ gait velocity. J Phys Ther Sci, 2013, 25: 379–382.
    1. Cho KH, Lee JY, Lee KJ, et al. : Factors related to gait function in post-stroke patients. J Phys Ther Sci, 2014, 26: 1941–1944. - PMC - PubMed
    1. Pollock A, Baer G, Langhorne P, et al. : Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke: a systematic review. Clin Rehabil, 2007, 21: 395–410. - PubMed

LinkOut - more resources