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Transcutaneous electrical stimulation on acupoints, Chronic CVA

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    Transcutaneous electrical stimulation on acupoints, Chronic CVA

    J Neurol Phys Ther. 2010 Dec;34(4):208-13.

    Transcutaneous electrical stimulation on acupoints combined with task-related training to improve motor function and walking performance in an individual 7 years poststroke: a case study.

    Ng SS, Hui-Chan CW.

    The Hong Kong Polytechnic University, Hong Kong.

    Comment in:

    * J Neurol Phys Ther. 2010 Dec;34(4):214-5.


    BACKGROUND AND PURPOSE: Impaired walking function and spasticity are common sequelae of stroke. Prior studies have shown that a rehabilitation program combining transcutaneous electrical stimulation (TES) with task-related training (TRT) improves motor function in individuals with stroke. However, it is unclear if this approach is beneficial for individuals with long-standing stroke.

    CASE DESCRIPTION: The subject of this case study was a 61-year-old man who was 7 years poststroke. He exhibited limitations of walking function, impaired strength of the ankle muscles, and severe plantarflexor spasticity.

    INTERVENTIONS: For 4 weeks, the patient performed a 5-day/wk home program consisting of 60 minutes of TES (below motor threshold) to the acupoints in the affected lower leg, followed by 60 minutes of TRT. He documented his daily home program activities in a log, and 3 times a week he received a call from the therapist to verify his adherence. The patient also had 8 clinic visits, which focused on instruction to ensure adherence to the (TES + TRT) protocol and progression of the program.

    OUTCOMES: After the 4-week program, plantarflexor spasticity decreased and ankle dorsi- and plantarflexor strength improved. More important, there were notable improvements in gait velocity, walking endurance, and functional mobility. These gains were maintained at 4 weeks posttreatment.

    DISCUSSION: This accessible home program was safe and effective for decreasing impairment and improving function in an individual with long-term, chronic stroke. The gains were maintained 4 weeks posttreatment. Details are provided for developing a home program integrating somatosensory TES and TRT.
    “As the cast of villains in SCI is vast and collaborative, so too must be the chorus of hero's that rise to meet them” Ramer et al 2005

    Interesting article on Transcutaneous Electrical Stimulation over the spine can be found here. It looks pretty promising and looks like most therapy would have the capability to do it.