Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
The Effects of Transcutaneous Electrical Nerve Stimulation on Strength, Proprioception, Balance and Mobility in People With Stroke: A Randomized Controlled Cross-Over Trial Publisher Pubmed



Tyson SF1 ; Sadeghidemneh E2, 3 ; Nester CJ2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Stroke and Vascular Research Centre, School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, Oxford Road, United Kingdom
  2. 2. Musculoskeletal Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. School of Health Sciences, University of Salford, Salford, United Kingdom

Source: Clinical Rehabilitation Published:2013


Abstract

Objective: To investigate the feasibility and potential efficacy of 'activeTENS' (that is transcutaneous electrical nerve stimulation (TENS) during everyday activities) by assessing the immediate effects on strength, proprioception, balance/falls risk and mobility after stroke. Design: A paired-sample randomized cross-over trial. Subjects: Twenty-nine mobile chronic stroke survivors with no pre-existing conditions limiting balance or mobility or contra-indications to TENS. Setting: University clinical research facility. Intervention: A single session of 'activeTENS' delivered via a 'sock electrode' (70-130 Hz, five second cycle) plus a session of control treatment (wearing the sock electrode with no stimulation), lasting approximately two hours in total. Main Outcomes: Dorsiflexor and plantarflexor strength and proprioception using an isokinetic dyanometer, balance and falls risk (Standing Forward Reach Test) and gait speed (10-m walk test). Results: All participants tolerated 'active TENS'. Most parameters improved during stimulation with activeTENS; balance (p = 0.009), gait speed (p = 0.002), plantarflexor strength (p = 0.008) and proprioception of plantarflexion (p = 0.029), except dorsiflexor strength (p = 0.194) and dorsiflexion proprioception (p = 0.078). Conclusions: The results provide initial evidence of the potential of 'active TENS' to benefit physical function after stroke which warrants further phase II trials to develop the intervention. Concerns that stimulation could have a detrimental impact on balance and increase risk of falls were not supported. © The Author(s) 2013.
Related Docs
View other Related Docs
1. Role of Spasticity Severity in the Balance of Post-Stroke Patients, Frontiers in Human Neuroscience (2021)
2. Plantar Pressure Distribution in People With Stroke and Association With Functional Mobility, Journal of Rehabilitation Sciences and Research (2019)
3. Implementation of Home-Based Health Promotion Program to Improve Flow-Mediated Dilation Among Patients With Subacute Stroke, Journal of Education and Health Promotion (2020)
4. Effects of Gastronomies Kinesio Taping on Postural Control and Spasticity in Patients With Chronic Stroke, Journal of Isfahan Medical School (2015)
5. Effect of Ankle Plantar Flexor Spasticity Level on Balance in Patients With Stroke: Protocol for a Cross-Sectional Study, JMIR Research Protocols (2020)
6. Changes in Postural Control Due to Electrical Stimulation Therapy for Ankle Instability: A Systematic Review, Journal of Rehabilitation Sciences and Research (2024)
7. Can Early Neuromuscular Rehabilitation Protocol Improve Disability After a Hemiparetic Stroke? a Pilot Study, Brain Sciences (2022)
8. The Effects of Electrical Stimulation of Lower Extremity Muscles on Balance in Stroke Patients: A Systematic Review of Literatures, Journal of Stroke and Cerebrovascular Diseases (2021)
Experts (# of related papers)
View all Related Experts
Hamzeh Baharlouei (6)
Saeed Forghany (6)
Other Related Docs
9. An Assessment of Stability, Gait Performance and Energy Consumption in Individuals With Transfemoral Amputation, Journal of Mechanics in Medicine and Biology (2015)
10. The Effects of Two Methods of Reflexology and Stretching Exercises on the Severity of Restless Leg Syndrome Among Hemodialysis Patients, Iranian Journal of Nursing and Midwifery Research (2016)
11. Centre of Pressure Characteristics in Normal, Planus and Cavus Feet, Journal of Foot and Ankle Research (2018)
12. Functional Walking Ability of Paraplegic Patients: Comparison of Functional Electrical Stimulation Versus Mechanical Orthoses, European Journal of Orthopaedic Surgery and Traumatology (2013)
13. Effects of Ankle Foot Orthoses on Restricted Ankle Joint Dorsiflexion Due to Plantarflexors Stiffness in People With Stroke: A Scoping Review, Journal of Rehabilitation Sciences and Research (2019)
14. Effects of Dry Needling on Gastrocnemius Muscle Spasticity and Gait in Patients With Multiple Sclerosis: A Pilot Randomized Controlled Trial, Medical Acupuncture (2024)
15. Intersession Reliability of Center of Pressure Measurement During Bipedal Standing With Different Count-Back Orders, Journal of Bodywork and Movement Therapies (2024)
16. The Effect of Functional Stretching Exercises on Functional Outcomes in Spastic Stroke Patients: A Randomized Controlled Clinical Trial, Journal of Bodywork and Movement Therapies (2018)
17. The Relationship Between Neural Properties, Mechanical Properties, Functional Outcomes, and Clinical Parameters in Spastic Chronic Stroke Patients: An Observational Study, Journal of Rehabilitation Sciences and Research (2022)
18. The Effect of Action Observation Training on Gait and Balance of Patients With Neurological and Musculoskeletal Disorders: A Systematic Review, British Journal of Occupational Therapy (2022)
19. Evaluating the Short Term Effects of Kinesiology Taping and Stretching of Gastrocnemius on Postural Control: A Randomized Clinical Trial, Journal of Bodywork and Movement Therapies (2020)
20. Comparing the Effectiveness of Kinesio Taping and Hand Exercise on Pain, Range of Motion and Grip Strength in Patients With Hand Osteoarthritis, Journal of Mazandaran University of Medical Sciences (2018)
21. The Effects of an 8-Week Dynamic Neuromuscular Stabilization Exercise on Pain, Functional Disability, and Quality of Life in Individuals With Non-Specific Chronic Low Back Pain: A Randomized Clinical Trial With a Two-Month Follow-Up Study, BMC Sports Science, Medicine and Rehabilitation (2024)
22. Efficacy of Foot Orthoses With Sensorimotor Bars on Gait, Postural Control, and Muscle Activity in Healthy Individuals and Those With Musculoskeletal Disorders: A Systematic Review, Iranian Rehabilitation Journal (2024)
23. Effect of Soft and Semirigid Ankle Orthoses on Star Excursion Balance Test Performance in Patients With Functional Ankle Instability, Journal of Science and Medicine in Sport (2014)
24. Gait and Muscle Activity Measures After Biomechanical Device Therapy in Subjects With Ankle Instability: A Systematic Review, Foot (2024)
25. The Comparison of the Effect of Eight Weeks of Theraband Exercises or Using Kinesiotape on Performance, Balance, and Range of Motion Among the Athletes With Chronic Ankle Instability, Journal of Isfahan Medical School (2018)
26. The Effect of 8 Weeks of Kinesio Taping and Sport Program on Grip Endurance of Manufacturing Industrial Female Assembly Workers, Journal of Health and Safety at Work (2020)
27. Effect of Extracorporeal Shock Wave Therapy on Lower Limb Spasticity in Stroke Patients, Archives of Iranian Medicine (2017)
28. Feasibility and Efficacy of an Early Sensory-Motor Rehabilitation Program on Hand Function in Patients With Stroke: A Pilot, Single-Subject Experimental Design, Neurological Sciences (2024)
29. Walking Performance of Subjects With Spinal Cord Injury Using the New Mtk Reciprocal Gait Orthosis, Journal of Isfahan Medical School (2012)
30. The Impact of Home-Based Exercise Rehabilitation on Functional Capacity in Patients With Acute Ischemic Stroke: A Randomized Controlled Trial, Home Health Care Management and Practice (2020)
31. The Effect of Non-Invasive Brain Stimulation on Gait in Healthy Young and Older Adults: A Systematic Review of the Literature, Neuroscience (2023)
32. Antispasmodic Effect of Botulinum Toxin Type a on Spastic Hemiplegia Due to Cerebrovascular Accident, Archives of Iranian Medicine (2003)
33. The Effect of Quadriceps Kinesiotaping on the Dynamic Balance of Young Healthy Women After Fatigue: A Randomized Controlled Trial, Journal of Bodywork and Movement Therapies (2020)
34. The Correlation Between the Standing Stability and Fear of Falling in Patients With Stroke, Journal of Isfahan Medical School (2016)
35. The Comparison of the Effects of Flexible Vs Rigid Ankle-Foot Orthoses on Balance and Walking Performance in Individuals With Multiple Sclerosis: A Crossover Study, Iranian Rehabilitation Journal (2021)
36. The Effects of Rollover Shoes on Instability During Prolonged Standing, Journal of Isfahan Medical School (2015)
37. The Effect of Shock Wave Therapy on Improving the Symptoms and Function of Patients With Dupuytren's Contracture, Advanced Biomedical Research (2022)
38. Gastrocnemius Kinesiotaping to Improve Dynamic Balance Performance in Middle-Age Healthy Men: Protocol of Randomized Controlled Trial, Muscles, Ligaments and Tendons Journal (2020)
39. Comparing the Immediate Effects of Kinesiotaping and Stretching of Gastrocnemius on Balance in Elderly, Journal of Mazandaran University of Medical Sciences (2017)
40. What Are the Next Steps in Designing an Orthosis for Paraplegic Subjects?, International Journal of Preventive Medicine (2012)
41. A Study on the Effects of Dry Needling in Multiple Sclerosis Patients With Spasticity: Protocol of a Randomized Waitlist-Controlled Trial, JAMS Journal of Acupuncture and Meridian Studies (2021)
42. The Effect of a Powered Ankle Foot Orthosis on Walking in a Stroke Subject: A Case Study, Journal of Physical Therapy Science (2016)
43. The Relationship Between Parameters of Static and Dynamic Stability Tests, Journal of Research in Medical Sciences (2011)
44. Foot Posture After Stroke: Frequency, Nature and Clinical Significance, Clinical Rehabilitation (2011)
45. Evaluation of the Performance of Paraplegic Subjects During Walking With a New Design of Reciprocal Gait Orthosis, Disability and Rehabilitation: Assistive Technology (2016)
46. The Effect of Total Body Resistance Exercise on Mobility, Proprioception, and Muscle Strength of the Knee in People With Multiple Sclerosis, Journal of Sport Rehabilitation (2020)
47. Evaluation of Static and Dynamic Stability of Spinal Cord Injuries: What Are the Gaps?, Ortopedia Traumatologia Rehabilitacja (2020)
48. The Effect of Stroke on Foot Kinematics and the Functional Consequences, Gait and Posture (2014)
49. Effects of Soft and Semi-Rigid Ankle Orthoses on Postural Sway in People With and Without Functional Ankle Instability, Journal of Science and Medicine in Sport (2011)
50. Comparison of the Effects of Pneumatic Ankle-Foot Orthosis and Posterior Leaf Spring Ankle-Foot Orthosis on Spatiotemporal Parameters of Gait and Ankle Range of Motion in Patients With Stroke: A Preliminary Study, Journal of Rehabilitation Sciences and Research (2020)