Electrophysiological and clinical evaluation of the effects of transcutaneous electrical nerve stimulation on the spasticity in the hemiplegic stroke patients

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dc.contributor.authorKarakoyun, Ahmet
dc.contributor.authorBoyraz, İsmail
dc.contributor.authorGündüz, Ramazan
dc.contributor.authorKaramercan, Ayşe
dc.contributor.authorÖzgırgın, Neşe
dc.date.accessioned13.07.201910:50:10
dc.date.accessioned2019-07-16T08:22:20Z
dc.date.available13.07.201910:50:10
dc.date.available2019-07-16T08:22:20Z
dc.date.issued2015
dc.departmentTıp Fakültesi
dc.description.abstract[Purpose] To investigate whether transcutaneous electrical nerve stimulation (TENS) mitigates the spasticity of hemiplegic stroke patients, as assessed by electrophysiological variables, and the effects, if any, on the clinical appearance of spasticity. [Subjects and Methods] Twenty-seven subjects who had acute hemiplegia and 24 healthy people as the control group, were enrolled in this study. Some of the acute cerebrovascular disease patients could walk. Subjects who did not have spasticity, who were taking antispasticity medicine, or had a previous episode of cerebrovascular disease were excluded. The walking speed of the patients was recorded before and after TENS. EMG examinations were performed on the healthy controls and in the affected side of the patients. A 30-minute single session of TENS was applied to lower extremity. At 10 minutes after TENS, the EMG examinations were repeated. [Results] A statistically significant decrease in the spasticity variables, and increased walking speed were found post-TENS. The lower M amplitude and higher H reflex amplitude, H/M maximum amplitude ratio, H slope, and H slope/M slope ratio on the spastic side were found to be statistically significant. [Conclusion] TENS application for hemiplegic patients with spastic lower extremities due to cerebrovascular disease resulted in marked improvement in clinical scales of spasticity and significant changes in the electrophysiological variables. © 2015 The Society of Physical Therapy Science.
dc.identifier.doi10.1589/jpts.27.3407
dc.identifier.endpage3411en_US
dc.identifier.issn0915-5287
dc.identifier.issue11en_US
dc.identifier.scopusqualityN/A
dc.identifier.startpage3407en_US
dc.identifier.urihttps://dx.doi.org/10.1589/jpts.27.3407
dc.identifier.urihttps://hdl.handle.net/20.500.12451/2536
dc.identifier.volume27en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSociety of Physical Therapy Science (Rigaku Ryoho Kagakugakkai)
dc.relation.ispartofJournal of Physical Therapy Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHemiplegia
dc.subjectSpasticity
dc.subjectTranscutaneous Electric Nerve Stimulation
dc.titleElectrophysiological and clinical evaluation of the effects of transcutaneous electrical nerve stimulation on the spasticity in the hemiplegic stroke patients
dc.typeArticle

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