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Impact of intermittent pneumatic compression on cortical reorganization and functional outcome in patients with stroke
Kabbash SI, Ahmed GM, Zaki A, Alsaid HM, Yousef KH
NeuroQuantology 2022;20(9):2165-2171
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: The main feature of the cerebrovascular condition known as stroke is blood vessel obstruction. The third most common cause of disability worldwide is stroke. Lowering one's quality of life and adding to the burden that stroke survivors bear is upper limb motor dysfunction. Recovery of arm and hand function is a primary objective of rehabilitation programs since it is crucial to achieving independence in daily life. The goal of neurological treatment plans adopting inflatable pressure sleeves is to decrease spasticity and to enable normal movement and sensory input on the hemiplegic part. By attaching these inflatable splints to an intermittent pressure pump, the goal was to further increase sensory input. AIMS: The current study aims to determine and trace how intermittent pneumatic compression (IPC) affects the functional outcome of the upper extremity after a stroke and the occurring cerebral reorganization. METHODS AND PARTICIPANTS: In this study, 40 instances of left strokes and limb disability from both sexes were randomly split into two major domains. INTERVENTIONS: For 60 minutes, the study group received an upper extremity physical therapy plan along with intermittent pneumatic compression, whereas the control group received 60 minutes for the same selected physical therapy exercise only. There were 18 treatment sessions for each domain over the course of six weeks. The outcome measures: Using the wolf motor function scale (WMFT) and quantitative EEG (QEEG), which assesses brain activity, the upper limb motor function was assessed before and after therapy. RESULTS: There was no statistically significant difference between the two groups for any of the pre-treatment examined factors. IPC showed a significantly shorter performance time in the study group as well as a significantly improved motor outcome and functional outcome of the damaged upper extremity. The excitability of the brain's motor and sensory regions increased noticeably. CONCLUSIONS: IPC has a positive impact on stroke cases' cortical reconfiguration as well as the functional result and motor performance of the damaged upper extremity.

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