Randomized controlled comparative study on effect of training to improve
lower limb motor paralysis in convalescent patients with post-stroke
hemiplegia |
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| Authors: | Kenji Kawakami Hiroyuki Miyasaka Sayaka Nonoyama Kazuya Hayashi Yusuke Tonogai Genichi Tanino Yosuke Wada Akihisa Narukawa Yuko Okuyama Yutaka Tomita RE Shigeru Sonoda |
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| Affiliation: | 1) Fujita Health University Nanakuri Sanatorium, Japan;2) Division of Rehabilitation, Fujita Memorial Nanakuri Institute, Japan;3) Fujita Health University Core Center of The Regional Comprehensive Care, Japan;4) Fujita Health University Hospital, Japan;5) Tsujimura Surgical Hospital, Japan;6) Zenjyokai Rehabilitation Hospital, Japan |
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| Abstract: | ![]()
[Purpose] The motor paralysis-improving effect on the hemiplegic lower limb was comparedamong mirror therapy, integrated volitional-control electrical stimulation, therapeuticelectrical stimulation, repetitive facilitative exercises, and the standard trainingmethod in post-stroke hemiplegia patients. [Subjects and Methods] Eighty one strokepatients admitted to a convalescent rehabilitation ward were randomly allocated to theabove 5 treatment groups. Each patient performed functional training of the paralyticlower limb for 20 minutes a day for 4 weeks, and changes in the lower limb function wereinvestigated using the Stroke Impairment Assessment Set. [Results] The hip and knee jointfunctions did not significantly improve in the standard training control group, butsignificant 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 inthe control group, the hip and knee joints were more markedly improved by theinterventions in the other 4 groups of patients with moderate paralysis, compared to thecontrol group.Key words: Stroke, Motor paralysis, Intervention |
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