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Article

Post-Stroke Treatment with Neuromuscular Functional Electrostimulation of Antagonistic Muscles and Kinesiotherapy Evaluated with Electromyography and Clinical Studies in a Two-Month Follow-Up

1
Department of Pathophysiology of Locomotor Organs, University of Medical Sciences, 28 Czerwca 1956 No 135/137, 60-545 Poznan, Poland
2
Neurology Ward, Pomeranian District Hospital, 75-581 Koszalin, Poland
3
Department of Organization and Management in Health Care, University of Medical Sciences, 60-545 Poznan, Poland
*
Author to whom correspondence should be addressed.
Academic Editors: Markus Tilp and Annika Kruse
Int. J. Environ. Res. Public Health 2022, 19(2), 964; https://doi.org/10.3390/ijerph19020964
Received: 19 December 2021 / Revised: 11 January 2022 / Accepted: 12 January 2022 / Published: 15 January 2022
(This article belongs to the Special Issue Exercises and Musculoskeletal Disorders)
The aim of this study was to determine the sustained influence of personalized neuromuscular functional electrical stimulation (NMFES) combined with kinesiotherapy (mainly, proprioceptive neuromuscular facilitation (PNF)) on the activity of muscle motor units acting antagonistically at the wrist and the ankle in a large population of post-stroke patients. Clinical evaluations of spasticity (Ashworth scale), manual muscle testing (Lovett scale), and surface electromyography recordings at rest (rEMG) and during attempts of maximal muscle contraction (mcEMG) were performed three times in 120 post-stroke patients (T0: up to 7 days after the incidence; T1: after 21 days of treatment; T2: after 60 days of treatment). Patients (N = 120) were divided into two subgroups—60 patients received personalized NMFES and PNF treatment (NMFES+K), and the other 60 received only PNF (K). The NMFES+K therapy resulted in a decrease in spasticity and an increase in muscle strength of mainly flexor muscles, in comparison with the K group. A positive correlation between the increase of rEMG amplitudes and high Ashworth scale scores and a positive correlation between low amplitudes of mcEMG and low Lovett scale scores were found in the wrist flexors and calf muscles on the paretic side. Negative correlations were found between the rEMG and mcEMG amplitudes in the recordings. The five-grade alternate activity score of the antagonists’ actions improved in the NMFES+K group. These improvements in the results of controlled NMFES treatment combined with PNF in patients having experienced an ischemic stroke, in comparison to the use of kinesiotherapy alone, might justify the application of conjoined rehabilitation procedures based on neurophysiological approaches. Considering the results of clinical and neurophysiological studies, we suppose that NMFES of the antagonistic muscle groups acting at the wrist and the ankle may evoke its positive effects in post-stroke patients by the modulation of the activity more in the spinal motor centers, including the level of Ia inhibitory neurons, than only at the muscular level. View Full-Text
Keywords: ischemic stroke; rehabilitation; kinesiotherapy; neuromuscular electrical stimulation; wrist and ankle antagonistic muscles; electromyography; Ashworth scale; Lovett scale ischemic stroke; rehabilitation; kinesiotherapy; neuromuscular electrical stimulation; wrist and ankle antagonistic muscles; electromyography; Ashworth scale; Lovett scale
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MDPI and ACS Style

Huber, J.; Kaczmarek, K.; Leszczyńska, K.; Daroszewski, P. Post-Stroke Treatment with Neuromuscular Functional Electrostimulation of Antagonistic Muscles and Kinesiotherapy Evaluated with Electromyography and Clinical Studies in a Two-Month Follow-Up. Int. J. Environ. Res. Public Health 2022, 19, 964. https://doi.org/10.3390/ijerph19020964

AMA Style

Huber J, Kaczmarek K, Leszczyńska K, Daroszewski P. Post-Stroke Treatment with Neuromuscular Functional Electrostimulation of Antagonistic Muscles and Kinesiotherapy Evaluated with Electromyography and Clinical Studies in a Two-Month Follow-Up. International Journal of Environmental Research and Public Health. 2022; 19(2):964. https://doi.org/10.3390/ijerph19020964

Chicago/Turabian Style

Huber, Juliusz, Katarzyna Kaczmarek, Katarzyna Leszczyńska, and Przemysław Daroszewski. 2022. "Post-Stroke Treatment with Neuromuscular Functional Electrostimulation of Antagonistic Muscles and Kinesiotherapy Evaluated with Electromyography and Clinical Studies in a Two-Month Follow-Up" International Journal of Environmental Research and Public Health 19, no. 2: 964. https://doi.org/10.3390/ijerph19020964

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