Functional electrostimulation in poststroke rehabilitation: a meta-analysis of the randomized controlled trials.

Abstract:

OBJECTIVE:To assess the efficacy of functional electrical stimulation (FES) in the rehabilitation of hemiparesis in stroke. DESIGN:A meta-analysis combined the reported randomized controlled trials of FES in stroke, using the effect size method of Glass, and the DerSimonian-Laird Random Effects Method for pooling studies. SETTING:The included studies were published between 1978 and 1992. They were conducted in academic rehabilitation medicine settings. PATIENTS:In all included studies, patients were in poststroke rehabilitation. The mean time after stroke varied from 1.5 to 29.2 months. INTERVENTION:FES applied to a muscle or associated nerve in a hemiparetic extremity was compared to No FES. MAIN OUTCOME MEASURE:Change in paretic muscle force of contraction following FES was compared to change without FES. RESULTS:For the four included studies, the mean effect size was .63 (95% CI: .29, .98). This result was statistically significant (p < .05). CONCLUSION:Pooling from randomized trials supports FES as promoting recovery of muscle strength after stroke. This effect is statistically significant. There is a reasonable likelihood of clinical significance as well.

journal_name

Arch Phys Med Rehabil

authors

Glanz M,Klawansky S,Stason W,Berkey C,Chalmers TC

doi

10.1016/s0003-9993(96)90293-2

subject

Has Abstract

pub_date

1996-06-01 00:00:00

pages

549-53

issue

6

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(96)90293-2

journal_volume

77

pub_type

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