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Effect of peripheral pulsed electromagnetic stimulation versus neuromuscular stimulation on stroke-induced shoulder subluxation
Alazab IM, Fayez ES, El-Deen AG, Khalaf M, El-Kassas TA, Said SM, Abdelmonem AF, Salem S
NeuroQuantology 2022;20(9):1596-1602
clinical trial
2/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To determine and compare the efficacy of peripheral pulsed magnetic stimulation with the efficacy of neuromuscular stimulation on shoulder subluxation because of stroke. MATERIALS AND METHODS: sixty stroke patients from both sexes suffering from shoulder subluxation participated in this study and randomly allocated into three parallel groups; the control group (GI) received selected physical therapy schedule, group (GII) received identical physical therapy program in addition to neuromuscular electrical stimulation and group (GIII) received selected physical therapy program plus repetitive pulsed electromagnetic stimulation. The physical therapy program conducted two times per week, for two months. Pre and post treatment evaluation was done by, Fugl-Meyer upper extremity scale and sEMG device to determine upper extremity function ability and supraspinatus and deltoid muscles maximum amplitude. The level of significance was set at p < 0.05 for statistical tests. RESULTS: showed a significant improvement in function ability of upper extremity post treatment in compared with pre-treatment in all groups, with a significant difference for group (GIII) compared with other groups post treatment. A significant increase in supraspinatus and deltoid muscle contraction amplitude measured for (GII) and (GIII), with more significant increase for (GIII). CONCLUSIONS: Repetitive pulsed electromagnetic stimulation is superior on neuromuscular electrical stimulation and both are better than selected physical therapy program in treating shoulder subluxation induced by stroke and other related complications.

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