TY - JOUR
T1 - Intramuscular neuromuscular electric stimulation for poststroke shoulder pain
T2 - A multicenter randomized clinical trial
AU - Yu, David T.
AU - Chae, John
AU - Walker, Maria E.
AU - Kirsteins, Andrew
AU - Elovic, Elie P.
AU - Flanagan, Steven R.
AU - Harvey, Richard L.
AU - Zorowitz, Richard D.
AU - Frost, Frederick S.
AU - Grill, Julie H.
AU - Feldstein, Michael
AU - Fang, Zi Ping
N1 - Funding Information:
We thank the clinical coordinators, clinical assessors, and research assistants at each clinical site: Charlotte Institute for Rehabilitation: Mary Andrews, Karyn Grattan, Todd Misura, Rose Harris, David Levi; MetroHealth Medical Center: Catherine Corrigan, Theresa Fitzgerald; Kessler Medical Rehabilitation Education and Research Corp: Stephen Page, Sue Ann Sisto, Ramon Lansang; Mt. Sinai Medical School: Anousheh Behnegar, Leslie Kane, Lori McKenna; Rehabilitation Institute of Chicago: Florence Denby, Kari Sheridan, Ela N. Benz, Michele Zygman; University of Pennsylvania: Lilia Faust, Colleen Gownley, Tami Berdosh; and Cleveland Clinic Foundation: Joe Endredi, Michelle Marcus, Terry Palmer. We also thank Mindy Liss of Medical Devices Consultants Inc, North Attleburo, MA, for her assistance with data management and statistical analysis.
Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2004/5
Y1 - 2004/5
N2 - Yu DT, Chae J, Walker ME, Kirsteins A, Elovic EP, Flanagan SR, Harvey RL, Zorowitz RD, Frost FS, Grill JH, Feldstein M, Fang Z-P. Intramuscular neuromuscular electric stimulation for poststroke shoulder pain: a multicenter randomized clinical trial. Arch Phys Med Rehabil 2004;85:695-704. Objective To assess the effectiveness of intramuscular neuromuscular electric stimulation (NMES) in reducing poststroke shoulder pain. Design Multicenter, single-blinded, randomized clinical trial. Setting Ambulatory centers of 7 academic rehabilitation centers in the United States. Participants Volunteer sample of 61 chronic stroke survivors with shoulder pain and subluxation. Intervention Treatment subjects received intramuscular NMES to the supraspinatus, posterior deltoid, middle deltoid, and trapezius for 6 hours a day for 6 weeks. Control subjects were treated with a cuff-type sling for 6 weeks. Main outcome measure Brief Pain Inventory question 12 (BPI 12), an 11-point numeric rating scale administered in a blinded manner at the end of treatment, and at 3 and 6 months posttreatment. Results The NMES group exhibited significantly higher proportions of success based on the 3-point or more reduction in BPI 12 success criterion at the end of treatment (65.6% vs 24.1%, P<.01), at 3 months (59.4% vs 20.7%, P<.01), and at 6 months (59.4% vs 27.6%, P<.05). By using the most stringent "no pain" criterion, the NMES group also exhibited significantly higher proportions of success at the end of treatment (34.4% vs 3.4%, P<.01), at 3 months (34.4% vs 0.0%, P<.001), and at 6 months (34.4% vs 10.3%, P<.05). Conclusions Intramuscular NMES reduces poststroke shoulder pain among those with shoulder subluxation and the effect is maintained for at least 6 months posttreatment.
AB - Yu DT, Chae J, Walker ME, Kirsteins A, Elovic EP, Flanagan SR, Harvey RL, Zorowitz RD, Frost FS, Grill JH, Feldstein M, Fang Z-P. Intramuscular neuromuscular electric stimulation for poststroke shoulder pain: a multicenter randomized clinical trial. Arch Phys Med Rehabil 2004;85:695-704. Objective To assess the effectiveness of intramuscular neuromuscular electric stimulation (NMES) in reducing poststroke shoulder pain. Design Multicenter, single-blinded, randomized clinical trial. Setting Ambulatory centers of 7 academic rehabilitation centers in the United States. Participants Volunteer sample of 61 chronic stroke survivors with shoulder pain and subluxation. Intervention Treatment subjects received intramuscular NMES to the supraspinatus, posterior deltoid, middle deltoid, and trapezius for 6 hours a day for 6 weeks. Control subjects were treated with a cuff-type sling for 6 weeks. Main outcome measure Brief Pain Inventory question 12 (BPI 12), an 11-point numeric rating scale administered in a blinded manner at the end of treatment, and at 3 and 6 months posttreatment. Results The NMES group exhibited significantly higher proportions of success based on the 3-point or more reduction in BPI 12 success criterion at the end of treatment (65.6% vs 24.1%, P<.01), at 3 months (59.4% vs 20.7%, P<.01), and at 6 months (59.4% vs 27.6%, P<.05). By using the most stringent "no pain" criterion, the NMES group also exhibited significantly higher proportions of success at the end of treatment (34.4% vs 3.4%, P<.01), at 3 months (34.4% vs 0.0%, P<.001), and at 6 months (34.4% vs 10.3%, P<.05). Conclusions Intramuscular NMES reduces poststroke shoulder pain among those with shoulder subluxation and the effect is maintained for at least 6 months posttreatment.
KW - Electric stimulation
KW - Rehabilitation
KW - Shoulder pain
KW - Stroke
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U2 - 10.1016/j.apmr.2003.07.015
DO - 10.1016/j.apmr.2003.07.015
M3 - Article
C2 - 15129391
AN - SCOPUS:18144434877
SN - 0003-9993
VL - 85
SP - 695
EP - 704
JO - Archives of physical medicine and rehabilitation
JF - Archives of physical medicine and rehabilitation
IS - 5
ER -