Effects of Noxious Versus Innocuous Thermal Stimulation on Lower Extremity Motor Recovery 3 Months After Stroke

被引：19

作者：

Hsu, Hsin-Wen ^{[1
,2
,3
]}

Lee, Chia-Ling ^{[3
]}

Hsu, Miao-Ju ^{[1
,2
,4
]}

Wu, Hung-Chia ^{[5
]}

Lin, Roxane ^{[4
]}

Hsieh, Ching-Lin ^{[6
,7
]}

Lin, Jau-Hong ^{[1
,2
,4
]}

机构：

[1] Kaohsiung Med Univ, Coll Med, Dept Neurol, Kaohsiung 807, Taiwan

[2] Kaohsiung Med Univ, Coll Med, Grad Inst Neurol, Kaohsiung 807, Taiwan

[3] Kaohsiung Med Univ, Kaohsiung Municipal Hsiao Kang Hosp, Dept Phys Med & Rehabil, Kaohsiung 807, Taiwan

[4] Kaohsiung Med Univ, Coll Hlth Sci, Dept Phys Therapy, Kaohsiung 807, Taiwan

[5] E Da Hosp, Dept Phys Med & Rehabil, Kaohsiung, Taiwan

[6] Natl Taiwan Univ, Coll Med, Sch Occupat Therapy, Taipei 10764, Taiwan

[7] Natl Taiwan Univ Hosp, Dept Phys Med & Rehabil, Taipei, Taiwan

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2013年 / 94卷 / 04期

关键词：

Lower extremity; Recovery of function; Rehabilitation; Stimulation; Stroke; RANDOMIZED CLINICAL-TRIAL; MOVEMENT STREAM; PSYCHOMETRIC CHARACTERISTICS; SOMATOSENSORY STIMULATION; REHABILITATION ASSESSMENT; COPENHAGEN STROKE; ASSESSMENT SCALE; CUTANEOUS HEAT; BRAIN ACTIVITY; UPPER-LIMB;

D O I：

10.1016/j.apmr.2012.11.021

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

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 degrees C/cold pain 2-3 degrees C) 3days/wk for 8 weeks, and the control group received a 30-minute innocuous TS protocol (heat 40-41 degrees C/cold 23-24 degrees 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 for the between-group comparison, significant differences were seen at follow-up (12wk) on the 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. Archives of Physical Medicine and Rehabilitation 2013;94:633-41 (C) 2013 by the American Congress of Rehabilitation Medicine

引用

页码：633 / 641

页数：9

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