Effects of combined exercise level NMES and exercise therapy on hemiplegic upper limbs in patients with severe stroke on upper limb recovery
- Conditions
- Cerebrovascular disease
- Registration Number
- JPRN-UMIN000038399
- Lead Sponsor
- International University of Health and Welfare Graduate School
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 14
Not provided
(1) Patients whose upper limb function training is judged to be difficult due to dyspnea during work, heart failure, arrhythmia, or myocardial infarction. (2) Patients with a history of neurological disorders or upper limb joint diseases that affect upper limb function. (3) Patients who have advanced complications such as degenerative shoulder and elbow arthritis, poorly controlled rheumatoid arthritis, scoliosis, osteoporosis, etc., and upper limb function training is difficult or symptoms are worsened by upper limb training. (4) Patients with severe liver disorder, renal disorder, cardiovascular disease. (5) Patients with higher brain dysfunction such as severe consciousness disorder, sensory disturbance or ataxia, aphasia (6) Contraindication examples of electrical stimulation therapy. Using implantable electronic devices (such as pacemakers), patients with heart disease, malignant tumor, tuberculosis disease, or acute disease, extremely weak, pregnant or possibly pregnant, using metal implants Who is. Other persons deemed inappropriate by doctors. A person with abnormal blood pressure, fever, or infectious disease. (7) Patients who cannot apply electrode pads due to skin diseases. (8) Patients who need other treatments that affect the study due to fractures, trauma and other diseases at the time of obtaining consent. (9) Those deemed to be maladapted by doctors when participating in this study When an appropriate response to electrical stimulation cannot be obtained. When significant improvement in upper limb function is observed.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method (1)Automatic motion angle of shoulder joint by two-dimensional motion analysis (2)Muscle activity of the anterior deltoid muscle, triceps, and extensor extensor muscles by surface electromyography Measure on the day before treatment, immediately before and after treatment, and the next day after treatment program
- Secondary Outcome Measures
Name Time Method (1) Stroke Impairment Assessment Set (SIAS) (2) Upper extremities, fingers Brunnstrom Recovery Stage (BRS) (3) Upper limb Fugl-Meyer Assessment (FMA) (4) Manual Function Test (MFT) (5) Number of grips (6) Modified Ashworth scale (MAS) (7) Jikei Assessment Scale for Motor Impairment in Daily Living (JASMID) (8) Functional independence Measure (FIM) (9) Barthel Index (BI) Measure on the day before the treatment, the second week of treatment (the 14th day), and the day after the treatment program