Functional electrostimulation in poststroke rehabilitation: a meta-analysis of the randomized controlled trials
| Deutscher übersetzter Titel: | Funktionelle Elektrostimulation in der Rehabilitation nach Schlaganfall: eine Metaanalyse randomisierter kontrollierter Studien |
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| Autor: | Glanz, Morton; Klawansky, Sidney; Stason, William; Berkey, Catherine; Chalmers, Thomas C. |
| Erschienen in: | Archives of physical medicine and rehabilitation |
| Veröffentlicht: | 77 (1996), 6, S. 549-553, Lit. |
| Format: | Literatur (SPOLIT) |
| Publikationstyp: | Zeitschriftenartikel |
| Medienart: | Gedruckte Ressource |
| Sprache: | Englisch |
| ISSN: | 0003-9993, 1532-821X |
| Schlagworte: | |
| Online Zugang: | |
| Erfassungsnummer: | PU199611201027 |
| Quelle: | BISp |
Abstract des Autors
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 pulished 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% Cl: .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. Verf.-Referat