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Effectiveness of static stretching positioning on post-stroke upper-limb spasticity and mobility: Systematic review with meta-analysis / Ana Paula Salazar in Annals of physical and rehabilitation medicine, Vol. 62, n°4 (Juillet 2019)
[article]
Titre : Effectiveness of static stretching positioning on post-stroke upper-limb spasticity and mobility: Systematic review with meta-analysis Type de document : texte imprimé Auteurs : Ana Paula Salazar ; Camila Pinto ; Joao Victor Ruschel Mossi ; Bruno Figueiro ; Janice Luisa Lukrafka ; Aline Souza Pagnussat Année de publication : 2019 Article en page(s) : p. 274-282 Note générale : doi.org/10.1016/j.rehab.2018.11.004 Langues : Anglais (eng) Mots-clés : Physical therapy modalities Physiotherapy Muscle stretching exercises Muscle spasticity Range of motion Rehabilitation Résumé : Objective
To systematically review the effects of static stretching with positioning orthoses or simple positioning combined or not with other therapies on upper-limb spasticity and mobility in adults after stroke.
Methods
This meta-analysis was conducted according to PRISMA guidelines and registered at PROSPERO. MEDLINE (Pubmed), Embase, Cochrane CENTRAL, Scopus and PEDro databases were searched from inception to January 2018 for articles. Two independent researchers extracted data, assessed the methodological quality and rated the quality of evidence of studies.
Results
Three studies (57 participants) were included in the spasticity meta-analysis and 7 (210 participants) in the mobility meta-analysis. Static stretching with positioning orthoses reduced wrist-flexor spasticity as compared with no therapy (mean difference [MD] = −1.89, 95% confidence interval [CI] −2.44 to −1.34; I2 79%, P < 0.001). No data were available concerning the spasticity of other muscles. Static stretching with simple positioning, combined or not with other therapies, was not better than conventional physiotherapy in preventing loss of mobility of shoulder external rotation (MD = 3.50, 95% CI −3.45 to 10.45; I2 54.7%, P = 0.32), shoulder flexion (MD = −1.20, 95% CI −8.95 to 6.55; I2 0%, P = 0.76) or wrist extension (MD = −0.32, 95% CI −6.98 to 5.75; I2 38.5%, P = 0.92). No data were available concerning the mobility of other joints.
Conclusion
This meta-analysis revealed very low-quality evidence that static stretching with positioning orthoses reduces wrist flexion spasticity after stroke as compared with no therapy. Furthermore, we found low-quality evidence that static stretching by simple positioning is not better than conventional physiotherapy for preventing loss of mobility in the shoulder and wrist. Considering the limited number of studies devoted to this issue in post-stroke survivors, further randomized clinical trials are still needed.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314970 Permalink : ./index.php?lvl=notice_display&id=84132
in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 274-282[article] Effectiveness of static stretching positioning on post-stroke upper-limb spasticity and mobility: Systematic review with meta-analysis [texte imprimé] / Ana Paula Salazar ; Camila Pinto ; Joao Victor Ruschel Mossi ; Bruno Figueiro ; Janice Luisa Lukrafka ; Aline Souza Pagnussat . - 2019 . - p. 274-282.
doi.org/10.1016/j.rehab.2018.11.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 274-282
Mots-clés : Physical therapy modalities Physiotherapy Muscle stretching exercises Muscle spasticity Range of motion Rehabilitation Résumé : Objective
To systematically review the effects of static stretching with positioning orthoses or simple positioning combined or not with other therapies on upper-limb spasticity and mobility in adults after stroke.
Methods
This meta-analysis was conducted according to PRISMA guidelines and registered at PROSPERO. MEDLINE (Pubmed), Embase, Cochrane CENTRAL, Scopus and PEDro databases were searched from inception to January 2018 for articles. Two independent researchers extracted data, assessed the methodological quality and rated the quality of evidence of studies.
Results
Three studies (57 participants) were included in the spasticity meta-analysis and 7 (210 participants) in the mobility meta-analysis. Static stretching with positioning orthoses reduced wrist-flexor spasticity as compared with no therapy (mean difference [MD] = −1.89, 95% confidence interval [CI] −2.44 to −1.34; I2 79%, P < 0.001). No data were available concerning the spasticity of other muscles. Static stretching with simple positioning, combined or not with other therapies, was not better than conventional physiotherapy in preventing loss of mobility of shoulder external rotation (MD = 3.50, 95% CI −3.45 to 10.45; I2 54.7%, P = 0.32), shoulder flexion (MD = −1.20, 95% CI −8.95 to 6.55; I2 0%, P = 0.76) or wrist extension (MD = −0.32, 95% CI −6.98 to 5.75; I2 38.5%, P = 0.92). No data were available concerning the mobility of other joints.
Conclusion
This meta-analysis revealed very low-quality evidence that static stretching with positioning orthoses reduces wrist flexion spasticity after stroke as compared with no therapy. Furthermore, we found low-quality evidence that static stretching by simple positioning is not better than conventional physiotherapy for preventing loss of mobility in the shoulder and wrist. Considering the limited number of studies devoted to this issue in post-stroke survivors, further randomized clinical trials are still needed.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314970 Permalink : ./index.php?lvl=notice_display&id=84132 Exemplaires (1)
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Exclu du prêtThe effects of preoperative neuromuscular electrical stimulation on the postoperative quadriceps muscle strength and functional status in patients with fast-track total knee arthroplasty / Raziya Savkin in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : The effects of preoperative neuromuscular electrical stimulation on the postoperative quadriceps muscle strength and functional status in patients with fast-track total knee arthroplasty Type de document : texte imprimé Auteurs : Raziya Savkin ; Nihal Buker ; Harun R. Güngör Année de publication : 2021 Article en page(s) : p. 735-744 Note générale : https://doi.org/10.52628/87.4.19 Langues : Anglais (eng) Mots-clés : knee arthroplasty neuromuscular electrical stimulation fast-track physiotherapy patient-reported outcomes quadriceps muscle strength Résumé : This study aimed to investigate the effect of pre- operative neuromuscular electrical stimulation (NMES) on postoperative quadriceps muscle strength, functional status, and quality of life in patients with fast-track total knee arthroplasty (TKA).
This prospective study was carried out at Orthopedics department from September 2017 to October 2018. A total of 40 patients were randomly divided into NMES (n=20) and control group (n=20). Patients in NMES group were asked to use home NMES device daily for 20 minutes, 5 times a day, for 6 weeks before surgery. The control group was placed on the 6-week waiting list for surgery without any preoperative intervention. Standard home exercise program was applied to both groups after discharge. The patients were evaluated baseline, preoperatively (6-weeks after baseline) and at the 4th and 12th weeks after surgery. Knee range of motion, quadriceps muscle strength, patient-reported (WOMAC and KOOS) and performance-based activity limitation (30-second chair-stand test, 40-meter fast-paced walk test, and stair-climb test) were evaluated at each visit.
Preoperative NMES resulted in significant improve- ment in KOOS-function in daily living and WOMAC total score (p≤0.05) but had a non-significant trend toward to improve quadriceps muscle strength, KOOS-pain and -other symptoms, performance- based activity limitation, and quality of life scores (p>0.05). However, there was no significant difference between groups in the postoperative period (p>0.05).
NMES has beneficial effects in terms of patient- reported and performance-based physical functions and quality of life in preoperative period ; however, it does not provide any additional benefit for post- operative outcomes in patients with fast-track TKA.Permalink : ./index.php?lvl=notice_display&id=102054
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 735-744[article] The effects of preoperative neuromuscular electrical stimulation on the postoperative quadriceps muscle strength and functional status in patients with fast-track total knee arthroplasty [texte imprimé] / Raziya Savkin ; Nihal Buker ; Harun R. Güngör . - 2021 . - p. 735-744.
https://doi.org/10.52628/87.4.19
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 735-744
Mots-clés : knee arthroplasty neuromuscular electrical stimulation fast-track physiotherapy patient-reported outcomes quadriceps muscle strength Résumé : This study aimed to investigate the effect of pre- operative neuromuscular electrical stimulation (NMES) on postoperative quadriceps muscle strength, functional status, and quality of life in patients with fast-track total knee arthroplasty (TKA).
This prospective study was carried out at Orthopedics department from September 2017 to October 2018. A total of 40 patients were randomly divided into NMES (n=20) and control group (n=20). Patients in NMES group were asked to use home NMES device daily for 20 minutes, 5 times a day, for 6 weeks before surgery. The control group was placed on the 6-week waiting list for surgery without any preoperative intervention. Standard home exercise program was applied to both groups after discharge. The patients were evaluated baseline, preoperatively (6-weeks after baseline) and at the 4th and 12th weeks after surgery. Knee range of motion, quadriceps muscle strength, patient-reported (WOMAC and KOOS) and performance-based activity limitation (30-second chair-stand test, 40-meter fast-paced walk test, and stair-climb test) were evaluated at each visit.
Preoperative NMES resulted in significant improve- ment in KOOS-function in daily living and WOMAC total score (p≤0.05) but had a non-significant trend toward to improve quadriceps muscle strength, KOOS-pain and -other symptoms, performance- based activity limitation, and quality of life scores (p>0.05). However, there was no significant difference between groups in the postoperative period (p>0.05).
NMES has beneficial effects in terms of patient- reported and performance-based physical functions and quality of life in preoperative period ; however, it does not provide any additional benefit for post- operative outcomes in patients with fast-track TKA.Permalink : ./index.php?lvl=notice_display&id=102054 Réservation
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