Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Neuromuscular Electrical Stimulation Versus Intermittent Pneumatic Compression on Hand Edema in Stroke Patients


Affiliations
1 Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, India
2 Department of Cardiopulmonary Rehabilitation and Geriatrics. Faculty of Physical Therapy, Cairo University, India
     

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Objective: the purpose of this study was to evaluate and compare between the effect of application of neuromuscular electrical stimulation and intermittent pneumatic compression on reducing hand edema in stroke patients.

Subjects: Thirty stroke patients of both sexes (18 females and 12 males).They assigned randomly into 2 study groups each one composed of 15 patients. Method: Group I received intermittent pneumatic compression therapy and group II received neuromuscular electrical stimulation three times per week for twelve weeks. The patients were assessed for hand volume by using the volumetric measurement and by hand held dynamometer to measure hand grip strength before and after the end of treatment period.

Results : The results of this study revealed that application of intermittent pneumatic compression therapy had a significant effect on reducing hand edema in stroke patients than receiving neuromuscular electrical stimulation .While hand function measured by hand grip strength was improved more significantly with receiving neuromuscular electrical stimulation than the group who received intermittent compression therapy.

Conclusion: Application of intermittent pneumatic compression therapy was more effective in reducing hand edema than neuromuscular electrical stimulation while application of neuromuscular electrical stimulation resulting in greater improvement in hand grip strength and hand function.


Keywords

Stroke, Hand Edema, Hand Function, Neuromuscular Electrical Stimulation and Intermittent Pneumatic Compression Therapy
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  • Roper TA, et al. Intermittent compression for the treatment of the edematous hand in hemiplegic stroke: a randomized controlled trial, Age and aging; 1999; 28:9-13.

  • Boomkamp k., et al: post stroke hand swelling and edema: prevalence and relationship with impairment and disability. Clinical rehabililtation; 2005; 19:552-559.

  • Wang JS, et al: Neuromuscular electric stimulation enhances endothelial vascular control and hemodynamic function in paretic upper extremities of patients with stroke. Arch Phys Med Rehabil; 2004; 85:1112-1116.

  • Leibovitz A, et al. Edema of the paretic hand in elderly poststroke nursing patients. Arch Gerontol Geriatr. ; 2007; 44:37-42.

  • Faghri PD, The effects of neuromuscular stimulation-induced muscle contraction versus elevation on hand edema in CVA patients. J Hand Ther; 1997; 10:29-34.

  • Chae J. A critical review of neuromuscular electrical stimulation for treatment of motor dysfunction in hemiplegia. Asst Technol; 2000; 12: 33-49.

  • Maram J, et al. Neuromuscular stimulation after stroke: from technology to clinical deployment. Expert. Rev. Neurother, 2009; 4-9.

  • Ashworth MS and Tardieu .Their Clinical Relevance for Measuring Spasticity in Adult and Pediatric Neurological Populations. Physical Therapy Reviews; 2002; 1: 53-62.

  • Griffin JW, et al .Reduction of post traumatic hand edema: A comparison of high voltage pulsed current, intermittent pneumatic compression and placebo treatments. Phys Ther; 1996; 70; 5:279-285.

  • Alan S. et al. Arm functions after Stroke .An evaluation of grip strength as a measure of recovery and a prognostic indicator. J Neurol, Neurosurg, and Psychiatry; 1989; 52:1267-1272.

  • Vowden K .The use of intermittent pneumatic compression in venous ulceration. Br. J. Nurs. ; 2001; 10; 8: 491-509.

  • Bemellen V, et al .Intermittent high-pressure compression in homeostasis. Arch Surg; 2001; 136:1280-1285.

  • Ziling L and Tiebin Y.Long term effectiveness of neuromuscular electrical stimulation for promoting motor recovery of the upper extremity after stroke. J Rehabil Med; 2011; 43:506–510.

  • Gad A.et al. A home based self administered stimulation program to improve selected hand functions of chronic stroke. Neuro Rehabilitation; 2003; 18:215–225.

  • Chae J, Yu D. A criical review of neuromuscular electrical stimulation for treatment of motor dysfunction in hemiplegia. Asst Techno; 2000; 12: 33-49.

  • Winsor T. et al .The effect of venous compression on the circulation of the extremities. Arch Phys Med Rehab; 1999; 34: 559-565.

  • Armstrong DG, Nguyen HC .Improvement in healing with aggressive edema reduction after debridement of foot infection in persons with diabetes. Arch Surg.; 2001; 135:1405-1409.

  • Boomkamp KH et al, Post stroke hand swelling and edema: prevalence and relationship with impairment and disability .Clinical Rehabilitation; 2005; 19:552-559.

  • Wilkerson J External compression for control of traumatic edema. Phys Sports Med.; 2001; 13(6):97-106.

  • Bettany JA,etal Influence of high voltage pulsed direct current on edema formation following impact injury. Phys Ther; 1990; 70(4):219-224.


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  • Neuromuscular Electrical Stimulation Versus Intermittent Pneumatic Compression on Hand Edema in Stroke Patients

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Authors

Eman S. M. Fayez
Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, India
Hala Ezz Eldeen
Department of Cardiopulmonary Rehabilitation and Geriatrics. Faculty of Physical Therapy, Cairo University, India

Abstract


Objective: the purpose of this study was to evaluate and compare between the effect of application of neuromuscular electrical stimulation and intermittent pneumatic compression on reducing hand edema in stroke patients.

Subjects: Thirty stroke patients of both sexes (18 females and 12 males).They assigned randomly into 2 study groups each one composed of 15 patients. Method: Group I received intermittent pneumatic compression therapy and group II received neuromuscular electrical stimulation three times per week for twelve weeks. The patients were assessed for hand volume by using the volumetric measurement and by hand held dynamometer to measure hand grip strength before and after the end of treatment period.

Results : The results of this study revealed that application of intermittent pneumatic compression therapy had a significant effect on reducing hand edema in stroke patients than receiving neuromuscular electrical stimulation .While hand function measured by hand grip strength was improved more significantly with receiving neuromuscular electrical stimulation than the group who received intermittent compression therapy.

Conclusion: Application of intermittent pneumatic compression therapy was more effective in reducing hand edema than neuromuscular electrical stimulation while application of neuromuscular electrical stimulation resulting in greater improvement in hand grip strength and hand function.


Keywords


Stroke, Hand Edema, Hand Function, Neuromuscular Electrical Stimulation and Intermittent Pneumatic Compression Therapy

References