Effectiveness of Repetitive Facilitative Exercise Combined with Electrical Stimulation Therapy to Improve Very Severe Paretic Upper Limbs in with Stroke Patients: A Randomized Controlled Trial
Table 2
Clinical results.
NMES
RFE
NMES under RFE
CT
Pre
Post
Pre
Post
Pre
Post
Pre
Post
MAS biceps brachii (0/1/1+/2/3)
11/12/1/1
7/11/6/1
10/7/3/2
2/11/6/3
12/8/3/3
5/9/9/3
14/8/3/1
10/11/4/1
Wrist flexors (0/1/1+/2/3)
12/10/3/0
5/13/6/1
10/9/2/1
4/11/5/2
9/13/3/1
1/10/10/5
10/11/4/1
6/9/9/2
SIAS knee-mouth test
1.0 [0.0-1.0]
1.0 [1.0-2.0]
1.0 [0.3-2.0]
2.0 [1.0-2.0]
1.0 [0.0-1.0]
2.0 [1.0-2.0]
1.0 [0.0-1.0]
1.0 [0.0-2.0]
Finger-Function test
0.0 [0.0-0.0]
1.0 [0.0-1.0]
0.0 [0.0-1.0]
1.0 [0.0-2.0]
0.0 [0.0-1.0]
1.0 [0.3-2.0]
0.0 [0.0-0.0]
0.0 [0.0-1.0]
FMA upper limb total score
4.0 [4.0-9.0]
9.0 [5.0-18.0]
4.0 [4.0-8.8]
10.0 [8.3-18.8]
4.0 [3.0-8.8]
13.0 [9.3-22.0]
4.0 [4.0-5.8]
6.0 [4.0-10.8]
Shoulder/elbow
0.0 [0.0-4.0]
4.0 [0.0-12.0]
0.5 [0.0-5.0]
5.0 [4.0-11.8]
0.0 [0.0-0.8]
4.0 [1.3-9.5]
0.0 [0.0-2.0]
2.5 [0.0-6.0]
Wrist
0.0 [0.0-0.0]
0.0 [0.0-0.0]
0.0 [0.0-0.0]
0.0 [0.0-0.0]
0.0 [0.0-0.0]
0.5 [0.0-1.8]
0.0 [0.0-0.0]
0.0 [0.0-0.0]
Finger
0.0 [0.0-0.0]
1.0 [0.0-2.0]
0.0 [0.0-0.0]
1.0 [0.0-3.0]
0.0 [0.0-0.0]
2.0 [0.3-6.5]
0.0 [0.0-0.0]
0.0 [0.0-0.8]
FIM motor
53.0 [40.0-56.0]
69.0 [60.0-76.0]
47.0 [41.0-54.0]
65.0 [52.5-72.8]
37.5 [28.5-50.0]
52.0 [43.3-73.0]
35.5 [28.0-46.0]
57.5 [45.0-67.5]
Cognitive
27.0 [23.0-30.0]
29.0 [25.0-34.0]
29.0 [19.3-32.8]
29.0 [23.5-32.8]
24.0 [19.0-31.0]
28.0 [22.5-32.5]
24.5 [21.3-27.8]
25.5 [22.3-30.5]
Total
76.0 [64.0-90.0]
99.0 [84.0-109.0]
75.0 [65.3-83.3]
93.0 [81.8-101.8]
64.5 [51.3-73.8]
79.5 [68.0-104.3]
58.0 [51.0-72.0]
81.5 [70.0-98.0]
NMES: neuromuscular electrical stimulation; RFE: repetitive facilitative exercise; CT: conventional training; MAS: Modified Ashworth Scale; FMA: Fugl-Meyer Assessment; FIM: Functional Independence Measure. All data are presented as median [lower and upper quartile]. Significant improvement after 4 weeks of training (,).
