In a nutshell
This analysis explored whether neuromuscular electric stimulation (NMES) is an effective treatment option for stroke patients with spasticity. The authors concluded that NMES combined with other treatment techniques is both effective and a viable option for stroke patients with spasticity and motion problems.
Some background
Stroke commonly leads to lifelong disabilities including spasticity (muscles constantly contracted) problems. Spasticity occurs in 20-50% of stroke patients. Neuromuscular electric stimulation (NMES) is a treatment that uses electrical impulses to control muscle contraction. The limited data available on whether NMES is an effective treatment for stroke patients with spasticity is conflicting. Some studies suggest a benefit while others do not.
Methods & findings
This meta-analysis summarized data from 29 trials that looked at whether NMES was a viable treatment for stroke patients who have spasticity.
14 trials looked at whether it improved spasticity in particular. Overall, NMES was associated with a reduction in spasticity compared to control groups that were not treated with NMES. This was particular for spasticity improvements in the leg but not the wrist or elbow.
13 trials looked at whether it improved range of motion. NMES combined with other treatment techniques resulted in a 2.87-fold increase in range of motion compared to control groups. This was particular for the leg and elbow but not the wrist.
The bottom line
The authors concluded that NMES combined with other treatment techniques may be an effective treatment option for stroke patients to improve spasticity and motion.
The fine print
The authors do not describe the other interventions, that combined with NMES, resulted in improved spasticity.
Published By :
Stroke
Date :
Jul 14, 2015
