Abstract

Objective. To investigate the effect of burst mode TENS (TENSb) on spasticity and mobility in patients with hemiparesis after stroke. Method. We selected nine subjects (6 males) with a mean age of 61.3±9.3 years, who presented chronic spastic hemiparesis. The spas­ticity of the quadriceps muscle was assessed by the Modified Ashworth Scale, the pendulum test and its corrected relaxation index (CRI), and the Duncan-Ely test (DET). Mobility was assessed by the Time Up and Go (TUG). The application of TENSb (frequency of 100Hz and pulse duration of 120μs) lasted 30 minutes per session for four consec­utive days. Assessments were performed before and after four TENSb applications and after 72 hours of the end of the intervention. Results. There was a increase of the CRI from 0.4±0.2 to 0.9±0.3 (p<0.05), de­crease of the DET from 10.8±3.1 to 7.7±2.7 (p<0.05), and decrease of the Modified Ashworth Scale from 2.0±0.6 to 1.0±0.4. There was decrease in the time of performance of the TUG from 19.4±0.6 to 15.2±5.9 (p<0.05). Conclusion. The TENSb decreased quadriceps muscle spasticity after application and after 72 hours and improved mobility in patients following stroke.

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