| Titre : | Effects of Repetitive Peripheral Magnetic Stimulation on Upper-Limb Spasticity and Impairment in Patients With Spastic Hemiparesis: A Randomized, Double-Blind, Sham-Controlled Study (2014) |
| Auteurs : | Carmen Krewer ; Sandra Hartl ; Friedemann Müller |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2014/6, 2014) |
| Article en page(s) : | p. 1039-1047 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Magnétothérapie ; Mouvement du corps ; Rééducation et réadaptation |
| Mots-clés: | Paresis ; Parésie ; Magnetic Field Therapy ; Movement ; Paraparesis ; Spastic ; Paraparésie spastique ; Stroke ; Brain Injuries ; Traumatic ; Lésions traumatiques de l'encéphale |
| Résumé : |
Objective To investigate short-term and long-term effects of repetitive peripheral magnetic stimulation (rpMS) on spasticity and motor function. Design Monocentric, randomized, double-blind, sham-controlled trial. Setting Neurologic rehabilitation hospital. Participants Patients (N=66) with severe hemiparesis and mild to moderate spasticity resulting from a stroke or a traumatic brain injury. The average time + SD since injury for the intervention groups was 26+71 weeks or 37+82 weeks. Interventions rpMS for 20 minutes or sham stimulation with subsequent occupational therapy for 20 minutes, 2 times a day, over a 2-week period. Main Outcome Measures Modified Tardieu Scale and Fugl-Meyer Assessment (arm score), assessed before therapy, at the end of the 2-week treatment period, and 2 weeks after study treatment. Additionally, the Tardieu Scale was assessed after the first and before the third therapy session to determine any short-term effects. Results Spasticity (Tardieu >0) was present in 83% of wrist flexors, 62% of elbow flexors, 44% of elbow extensors, and 10% of wrist extensors. Compared with the sham stimulation group, the rpMS group showed short-term effects on spasticity for wrist flexors (P=.048), and long-term effects for elbow extensors (P<.045 arm motor function group: median sham did not significantly change over the study period in either group whereas rpms had a positive effect on sensory function.> Conclusions Therapy with rpMS increases sensory function in patients with severe limb paresis. The magnetic stimulation, however, has limited effect on spasticity and no effect on motor function. |
| 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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