| Titre : | Effects of Noxious Versus Innocuous Thermal Stimulation on Lower Extremity Motor Recovery 3 Months After Stroke (2013) |
| Auteurs : | Hsin-Wen Hsu ; Chia-Ling Lee ; Miao-Ju Hsu ; et al. |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2013/4, 2013) |
| Article en page(s) : | pp. 633-641 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Membre inférieur ; Rééducation et réadaptation |
| Mots-clés: | Lower extremity ; Recovery of function ; Récupération fonctionnelle ; Stroke |
| Résumé : |
"Objective To examine the effects of thermal stimulation (TS) on the lower extremity (LE) movement and function in patients with stroke. Design A double-blinded randomized controlled trial. Setting A university hospital. Participants Patients (N=34) at least 3 months after stroke were randomly assigned into the experimental and the control groups. Interventions In addition to regular rehabilitation, the experimental group received a 30-minute noxious TS protocol (heat pain 46–47°C/cold pain 2–3°C) 3days/wk for 8 weeks, and the control group received a 30-minute innocuous TS protocol (heat 40–41°C/cold 23–24°C) 3d/wk for 8 weeks. Main Outcome Measures The Low Extremity subscale of the Stroke Rehabilitation Assessment of Movement (LE-STREAM), the Mobility subscale of STREAM (Mob-STREAM), the Functional Ambulation Category (FAC), the Barthel Index (BI), the Postural Assessment Scale for Stroke Patients (PASS), and the Modified Ashworth Scale (MAS) were administered by a blinded rater at baseline, posttreatment (8wk), and follow-up (12wk). Results Twenty-three participants completed the study protocol and all outcome measurements. No preexisting group differences between the experimental group (n=11) and the control group (n=12) were found on demographic and clinical variables. Compared with baseline, the experimental group showed significant improvements at posttreatment and follow-up on the LE-STREAM, Mob-STREAM, FAC, and BI (P<.05 while the control group showed no significant improvements for all outcome measures. as between-group comparison differences were seen at follow-up on le-stream mob-stream bi and mas.> Conclusions Our findings indicate that an 8-week program of noxious TS combined with a traditional stroke rehabilitation program can improve the LE-related movement and function in patients with stroke for more than 3 months." |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |
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