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

doi:10.1589/jpts.27.2947

Original Article

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

Author information

Kenji Kawakami
Fujita Health University Nanakuri Sanatorium: 424-1 Ohdori, Tsu-shi, Mie 514-1295, Japan
Hiroyuki Miyasaka
Fujita Health University Nanakuri Sanatorium: 424-1 Ohdori, Tsu-shi, Mie 514-1295, Japan
Division of Rehabilitation, Fujita Memorial Nanakuri Institute, Japan
Sayaka Nonoyama
Fujita Health University Core Center of The Regional Comprehensive Care, Japan
Kazuya Hayashi
Fujita Health University Hospital, Japan
Yusuke Tonogai
Fujita Health University Nanakuri Sanatorium: 424-1 Ohdori, Tsu-shi, Mie 514-1295, Japan
Genichi Tanino
Fujita Health University Nanakuri Sanatorium: 424-1 Ohdori, Tsu-shi, Mie 514-1295, Japan
Division of Rehabilitation, Fujita Memorial Nanakuri Institute, Japan
Yosuke Wada
Tsujimura Surgical Hospital, Japan
Akihisa Narukawa
Zenjyokai Rehabilitation Hospital, Japan
Yuko Okuyama
Fujita Health University Nanakuri Sanatorium: 424-1 Ohdori, Tsu-shi, Mie 514-1295, Japan
Yutaka Tomita
Division of Rehabilitation, Fujita Memorial Nanakuri Institute, Japan
Shigeru Sonoda
Fujita Health University Nanakuri Sanatorium: 424-1 Ohdori, Tsu-shi, Mie 514-1295, Japan
Division of Rehabilitation, Fujita Memorial Nanakuri Institute, Japan

Keywords: Stroke, Motor paralysis, Intervention

JOURNAL FREE ACCESS

2015 Volume 27 Issue 9 Pages 2947-2950

DOI https://doi.org/10.1589/jpts.27.2947

Details

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.

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