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Acupuncture and transcutaneous nerve stimulation in stroke rehabilitation: a randomized, controlled trial

Johansson, Barbro LU ; Haker, Eva; von Arbin, Magnus; Britton, Mona; Långström, Göran; Terent, Andreas; Ursing, Dag and Asplund, Kjell (2001) In Stroke; a journal of cerebral circulation 32(3). p.707-713
Abstract
BACKGROUND AND PURPOSE: In small trials with control groups that receive no intervention, acupuncture has been reported to improve functional outcome after stroke. We studied effects of acupuncture and transcutaneous electrical nerve stimulation on functional outcome and quality of life after stroke versus a control group that received subliminal electrostimulation. METHODS: In a multicenter randomized controlled trial involving 7 university and district hospitals in Sweden, 150 patients with moderate or severe functional impairment were included. At days 5 to 10 after acute stroke, patients were randomized to 1 of 3 intervention groups: (a) acupuncture, including electroacupuncture; (b) sensory stimulation with high-intensity,... (More)
BACKGROUND AND PURPOSE: In small trials with control groups that receive no intervention, acupuncture has been reported to improve functional outcome after stroke. We studied effects of acupuncture and transcutaneous electrical nerve stimulation on functional outcome and quality of life after stroke versus a control group that received subliminal electrostimulation. METHODS: In a multicenter randomized controlled trial involving 7 university and district hospitals in Sweden, 150 patients with moderate or severe functional impairment were included. At days 5 to 10 after acute stroke, patients were randomized to 1 of 3 intervention groups: (a) acupuncture, including electroacupuncture; (b) sensory stimulation with high-intensity, low-frequency transcutaneous electrical nerve stimulation that induces muscle contractions; and (c) low-intensity (subliminal) high-frequency electrostimulation (control group). A total of 20 treatment sessions were performed over a 10-week period. Outcome variables included motor function, activities of daily living function, walking ability, social activities, and life satisfaction at 3-month and 1-year follow-up. RESULTS: At baseline, patients in each group were closely similar in all important prognostic variables. At 3-month and 1-year follow-ups, no clinically important or statistically significant differences were observed between groups for any of the outcome variables. The 3 treatment modalities were all conducted without major adverse effects. CONCLUSIONS: When compared with a control group that received subliminal electrostimulation, treatment during the subacute phase of stroke with acupuncture or transcutaneous electrical nerve stimulation with muscle contractions had no beneficial effects on functional outcome or life satisfaction. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
acupuncture, activities of daily living, trancutaneous electric nerve stimulation, quality of life, outcome
in
Stroke; a journal of cerebral circulation
volume
32
issue
3
pages
707 - 713
publisher
American Heart Association
external identifiers
  • pmid:11239191
  • scopus:0034745238
ISSN
1524-4628
language
English
LU publication?
yes
id
674c826d-54a9-426a-8aa7-1ed60e2c7824 (old id 1121952)
date added to LUP
2008-07-01 09:26:05
date last changed
2018-05-29 10:57:26
@article{674c826d-54a9-426a-8aa7-1ed60e2c7824,
  abstract     = {BACKGROUND AND PURPOSE: In small trials with control groups that receive no intervention, acupuncture has been reported to improve functional outcome after stroke. We studied effects of acupuncture and transcutaneous electrical nerve stimulation on functional outcome and quality of life after stroke versus a control group that received subliminal electrostimulation. METHODS: In a multicenter randomized controlled trial involving 7 university and district hospitals in Sweden, 150 patients with moderate or severe functional impairment were included. At days 5 to 10 after acute stroke, patients were randomized to 1 of 3 intervention groups: (a) acupuncture, including electroacupuncture; (b) sensory stimulation with high-intensity, low-frequency transcutaneous electrical nerve stimulation that induces muscle contractions; and (c) low-intensity (subliminal) high-frequency electrostimulation (control group). A total of 20 treatment sessions were performed over a 10-week period. Outcome variables included motor function, activities of daily living function, walking ability, social activities, and life satisfaction at 3-month and 1-year follow-up. RESULTS: At baseline, patients in each group were closely similar in all important prognostic variables. At 3-month and 1-year follow-ups, no clinically important or statistically significant differences were observed between groups for any of the outcome variables. The 3 treatment modalities were all conducted without major adverse effects. CONCLUSIONS: When compared with a control group that received subliminal electrostimulation, treatment during the subacute phase of stroke with acupuncture or transcutaneous electrical nerve stimulation with muscle contractions had no beneficial effects on functional outcome or life satisfaction.},
  author       = {Johansson, Barbro and Haker, Eva and von Arbin, Magnus and Britton, Mona and Långström, Göran and Terent, Andreas and Ursing, Dag and Asplund, Kjell},
  issn         = {1524-4628},
  keyword      = {acupuncture,activities of daily living,trancutaneous electric nerve stimulation,quality of life,outcome},
  language     = {eng},
  number       = {3},
  pages        = {707--713},
  publisher    = {American Heart Association},
  series       = {Stroke; a journal of cerebral circulation},
  title        = {Acupuncture and transcutaneous nerve stimulation in stroke rehabilitation: a randomized, controlled trial},
  volume       = {32},
  year         = {2001},
}