Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Transcranial Electromagnetic Stimulation on Modulation of Wrist Flexors Spasticity in Stroke Patients


Affiliations
1 Department of Physical Therapy for Neuromuscular Disorders and its surgery-Faculty of Physical Therapy, Cairo University, India
     

   Subscribe/Renew Journal


Purpose: To determine the effect of rhythmical transcranial low frequency electromagnetic stimulation on wrist flexors spasticity and hand function in Stroke patients.

Subjects: 30 Stroke patients of ages ranged from 50 to 77 years with mean age of (56.±6.6) years were randomly participated and divided into two equal groups of 15.

Method: Group I received a designed program of physical therapy, as control group. Group II received the same designed program of physical therapy of group 1 in addition to transcranial low frequency electromagnetic stimulation as study group. Both groups were clinically assessed through Modified Ashworth Scale for degree of wrist flexor spasticity, Digital goniometer for wrist flexion and extension range of movement, and assessed electrophysiolgically for activity of flexor carpi radialis longus and hand functions through Purdue pegboard device before and after treatment program.

Results: There was statistical significant difference between both groups with GII best results, regarding to clinical and electrophysiological parameters.

Conclusion: Low frequency transcranial electromagnetic stimulation is considered more effective in rehabilitating wrist flexors spasticity and hand functions in Stroke patients.


Keywords

Spasticity, Wrist Joint Range of Motion, Hand Function, Electromagnetic stimulation, Stroke
Subscription Login to verify subscription
User
Notifications
Font Size


  • Lance JW. Symposium synopsis. In: Feldman RG, Yound RR, Koella WP, eds. Spasticity: Disordered Motor Control. Chicago: Year Book Medical; 1980:485-494.

  • O’Dwyer NJ, Ada L, Neilson PD Spasticity and muscle contracture following stroke. Brain1996; 119: 1737-49.

  • Nagasaki H., Kosaka K. and Nakamura R. (2003): Distribution of rhythm formation in patients with hemispheric lesion. Journal of Experimental Medicine, (135):231-236.

  • Napier J.R. The prehensile movements of the human hand. J. Bone. Int. Surg 1986 ;( 38): 2-13.

  • Olney S.J., Costigan P.A. and Hedden D.M. Mechanical energy patterns in gait of cerebral palsied children with hemiplegia. phys. Ther. 1989 ;( 67): 13-15.

  • Ryerson S. and Levit K. The shoulder in hemiplegia. In the shoulder in Physical Therapy. By Donatellik R.2nded., Churchill livingstone, New York, 1997; 720-50.

  • Stern PH, McDowell F, Miller JM, Robinson M. Effects of facilitation exercise techniques in stroke rehabilitation. Arch Phys Med Rehabil 1970; 51: 526–531.

  • Basmajian JV, Gowland C, Brandstater ME, Swanson L, TrotterJ. EMG feedback treatment of upper limb in hemiplegic stroke patients: a pilot study. Arch Phys Med Rehabil 1982; 63:613–616.

  • Glanz M, Klawansky S, Stason W, Berkey C.Functional electrostimulation in poststroke rehabilitation: a meta-analysis of the randomized controlled trials. Arch Phys Med Rehabil 1996; 77: 549–553.

  • W olf SL, Winstein CJ, Miller JP, Taub E, Uswatte G, Morris D,et al. Effects of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke. JAMA 2006; 296:2095– 2104.

  • H ummel FC, Cohen LG. Non-invasive brain stimulation: a new strategy to improve neurorehabilitation after stroke? Lancet Neurol 2006; 5: 708–712.

  • Classen J, Liepert J, Wise SP, Hallett M, Cohen LG. Rapid plasticityof human cortical movement representation induced by practice.J Neurophysiol 1998; 79: 1117–1123.

  • Chebotar I. L. Use of low-power electromagnetic therapy in diabetic polyneuropathy, J. Fiziol 2003; (49):.85-90.

  • Barker A.T., Freeston I.L., Jalinous R. and Jarratt J.A. Clinical evaluation of conduction time measurements in central motor pathways using magnetic stimulation of the human brain. J. Neurol. 2000 ;( 10):1325-1326.

  • Reiter R. J. Static and extremely low frequency electromagnetic field exposure: Reported effects on the circadian production of melatonin. Journal of Cellular biochemistry 1993 ;( 51):394-403.

  • Rosen A. D. Magnetic field influence on acetylcholine release at the neuromuscular junction. American Journal of Physiology 2002;(262):1418-1422.

  • Rothwell J.C. Physiological studies of electric and magnetic stimulation of the human brain. J. Physiol 2001 ;( 43):29-35.

  • Myers D.E., German D.M. and Palmer D.G. Hand grip function in patients with rheumatoid arthritis . Arch. Phys. Med. Rehabil 1990; (67):69- 72.

  • Olney S.J., Costigan P.A. and Hedden D.M. Mechanical energy patterns in gait of cerebral palsied children with hemiplegia. phys. Ther 1989; (67):13-15.

  • Bohannon, R. and Smith, M. Interrater reliability of a modified Ashworth scale of muscle spasticity.” Physical Therapy 1987; 67(2): 206.

  • Halaney E. M. and Carey R.J. Tracking ability of hemiparetic and healthy subjects. Archi. phys. Ther 1999; (69):42-48.

  • Tiffin J. Pardue pegboard examiner. Manual Lafayette, IL Lafayette Instruments Co. 1988

  • Pohl P., Duncan P., Perera S. long J., Liu W., Zhou and Kautz S. Rate of isometric knee extension strength development and walking Speed.J., Rehabil. Research and Development2002; (39):651 – 658.

  • Behrman S., Carroll I.D. and Janota I. Progressive supranuclear palsy. Clinico-pathological study for four cases. Brain 2005 ;( 92):663-678.

  • Bliss V. L. and Heppner F. H. Circadian activity rhythms influenced by near zero magnetic fields. Nature 2005;261):411-412.

  • Agostino R. Sequential arm movements in patients with Parkinson’s disease. Huntington’s disease and dystonia, Brain 1992; (15):111-148.

  • Gruber R.A., Marinus A. and Visser M. Inter and intra-rater reliability and discriminative ability in subjects with and without neurologic disease. Mov. Disord., 2002; 5 (17): 19-25.

  • Colebatch J.G., Findley L.J. and Frackowiak R.S.J. Preliminary report: Activation of the cerebellum in essential tremor. Lancet 2001; (336):1028-1030.

  • Kozel F.A., George M.S. and Simpson K. N. Decision analysis of the cost-effectiveness of repetitive transcranial magnetic stimulation versus electroconvulsive therapy for treatment of nonpsychotic severe depression. CNS. Spectr 2004; 9 (6):476- 482.

  • Tarsy D. Neuroleptic induced movement disorders. In: Disorders of movement. By Quinn N.P. and Jenner P.G., 1sted., London, Academic Press 2002;361-93.

  • Robertson C. and Flowers K.A. Motor set in hemiplegic disease. J. Neurol. Neurosurg. Psychait 1990 ;( 53):583-590.

  • Uozumi T., Tsuji S. and Murai Y. Motor potentials evoked by magnetic stimulation of the motor cortex in normal subjects and patients with motor disorders, electroencephalogr. Clin., Neurophysiol2000; 81 (4):251-256.

  • Rajput A.H. Clinical features of spasticity in pyramidal syndromes. In: Handbook of tremor disorder by friendly L.J. and Kaller W.C. ,1sted., Chapter 9, New York, Marcel Dekker2004; 275-292.

  • Aldegunde M., Miguez I. and Veria J. Effects of pinealectomy on regional brain metabolism. International Journal of Neuroscience 2005;(26): 9-13


Abstract Views: 455

PDF Views: 0




  • Effect of Transcranial Electromagnetic Stimulation on Modulation of Wrist Flexors Spasticity in Stroke Patients

Abstract Views: 455  |  PDF Views: 0

Authors

I. Seada Yasser
Department of Physical Therapy for Neuromuscular Disorders and its surgery-Faculty of Physical Therapy, Cairo University, India
M. Sayed Hayam
Department of Physical Therapy for Neuromuscular Disorders and its surgery-Faculty of Physical Therapy, Cairo University, India
M. Talat Waleed
Department of Physical Therapy for Neuromuscular Disorders and its surgery-Faculty of Physical Therapy, Cairo University, India

Abstract


Purpose: To determine the effect of rhythmical transcranial low frequency electromagnetic stimulation on wrist flexors spasticity and hand function in Stroke patients.

Subjects: 30 Stroke patients of ages ranged from 50 to 77 years with mean age of (56.±6.6) years were randomly participated and divided into two equal groups of 15.

Method: Group I received a designed program of physical therapy, as control group. Group II received the same designed program of physical therapy of group 1 in addition to transcranial low frequency electromagnetic stimulation as study group. Both groups were clinically assessed through Modified Ashworth Scale for degree of wrist flexor spasticity, Digital goniometer for wrist flexion and extension range of movement, and assessed electrophysiolgically for activity of flexor carpi radialis longus and hand functions through Purdue pegboard device before and after treatment program.

Results: There was statistical significant difference between both groups with GII best results, regarding to clinical and electrophysiological parameters.

Conclusion: Low frequency transcranial electromagnetic stimulation is considered more effective in rehabilitating wrist flexors spasticity and hand functions in Stroke patients.


Keywords


Spasticity, Wrist Joint Range of Motion, Hand Function, Electromagnetic stimulation, Stroke

References