Randomized controlled comparative study on effect of training to improve lower limb motor paralysis in convalescent patients with post-stroke hemiplegia

Kenji Kawakami, Hiroyuki Miyasaka, Sayaka Nonoyama, Kazuya Hayashi, Yusuke Tonogai, Genichi Tanino, Yosuke Wada, Akihisa Narukawa, Yuko Okuyama, Yutaka Tomita, Shigeru Sonoda

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

[Purpose] The motor paralysis-improving effect on the hemiplegic lower limb was compared among mirror therapy, integrated volitional-control electrical stimulation, therapeutic electrical stimulation, repetitive facilitative exercises, and the standard training method in post-stroke hemiplegia patients. [Subjects and Methods] Eighty one stroke patients admitted to a convalescent rehabilitation ward were randomly allocated to the above 5 treatment groups. Each patient performed functional training of the paralytic lower limb for 20 minutes a day for 4 weeks, and changes in the lower limb function were investigated using the Stroke Impairment Assessment Set. [Results] The hip and knee joint functions did not significantly improve in the standard training control group, but significant improvements were observed after 4 weeks in the other intervention groups. Significant improvement was noted in the ankle joint function in all groups. [Conclusion] Although the results were influenced by spontaneous recovery and the standard training in the control group, the hip and knee joints were more markedly improved by the interventions in the other 4 groups of patients with moderate paralysis, compared to the control group.

Original languageEnglish
Pages (from-to)2947-2950
Number of pages4
JournalJournal of Physical Therapy Science
Volume27
Issue number9
DOIs
Publication statusPublished - 30-09-2015

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Hemiplegia
Paraplegia
Stroke
Lower Extremity
Hip Joint
Knee Joint
Paralysis
Control Groups
Electric Stimulation Therapy
Ankle Joint
Electric Stimulation
Rehabilitation
Exercise
Therapeutics

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Kawakami, Kenji ; Miyasaka, Hiroyuki ; Nonoyama, Sayaka ; Hayashi, Kazuya ; Tonogai, Yusuke ; Tanino, Genichi ; Wada, Yosuke ; Narukawa, Akihisa ; Okuyama, Yuko ; Tomita, Yutaka ; Sonoda, Shigeru. / Randomized controlled comparative study on effect of training to improve lower limb motor paralysis in convalescent patients with post-stroke hemiplegia. In: Journal of Physical Therapy Science. 2015 ; Vol. 27, No. 9. pp. 2947-2950.
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Kawakami, K, Miyasaka, H, Nonoyama, S, Hayashi, K, Tonogai, Y, Tanino, G, Wada, Y, Narukawa, A, Okuyama, Y, Tomita, Y & Sonoda, S 2015, 'Randomized controlled comparative study on effect of training to improve lower limb motor paralysis in convalescent patients with post-stroke hemiplegia', Journal of Physical Therapy Science, vol. 27, no. 9, pp. 2947-2950. https://doi.org/10.1589/jpts.27.2947

Randomized controlled comparative study on effect of training to improve lower limb motor paralysis in convalescent patients with post-stroke hemiplegia. / Kawakami, Kenji; Miyasaka, Hiroyuki; Nonoyama, Sayaka; Hayashi, Kazuya; Tonogai, Yusuke; Tanino, Genichi; Wada, Yosuke; Narukawa, Akihisa; Okuyama, Yuko; Tomita, Yutaka; Sonoda, Shigeru.

In: Journal of Physical Therapy Science, Vol. 27, No. 9, 30.09.2015, p. 2947-2950.

Research output: Contribution to journalArticle

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AU - Kawakami, Kenji

AU - Miyasaka, Hiroyuki

AU - Nonoyama, Sayaka

AU - Hayashi, Kazuya

AU - Tonogai, Yusuke

AU - Tanino, Genichi

AU - Wada, Yosuke

AU - Narukawa, Akihisa

AU - Okuyama, Yuko

AU - Tomita, Yutaka

AU - Sonoda, Shigeru

PY - 2015/9/30

Y1 - 2015/9/30

N2 - [Purpose] The motor paralysis-improving effect on the hemiplegic lower limb was compared among mirror therapy, integrated volitional-control electrical stimulation, therapeutic electrical stimulation, repetitive facilitative exercises, and the standard training method in post-stroke hemiplegia patients. [Subjects and Methods] Eighty one stroke patients admitted to a convalescent rehabilitation ward were randomly allocated to the above 5 treatment groups. Each patient performed functional training of the paralytic lower limb for 20 minutes a day for 4 weeks, and changes in the lower limb function were investigated using the Stroke Impairment Assessment Set. [Results] The hip and knee joint functions did not significantly improve in the standard training control group, but significant improvements were observed after 4 weeks in the other intervention groups. Significant improvement was noted in the ankle joint function in all groups. [Conclusion] Although the results were influenced by spontaneous recovery and the standard training in the control group, the hip and knee joints were more markedly improved by the interventions in the other 4 groups of patients with moderate paralysis, compared to the control group.

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