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- W3186181945 abstract "OBJECTIVES:To compare the effect of repetitive low-threshhold afferent electrical stimulation of the Posterior Tibial Nerve against the standard treatment in the management of gastrosoleusspasticity in patients surviving cerebrovascular accidents.Objective measurement of the change in gastrosoleus spasticity using an electrodiagnostic technique, namely the H:M Ratio and comparing the same with the Modified Ashworth Scale.METHODOLOGY:Patients attending the weekly stroke clinic were screened and out of the 24 who were enrolled in the study, 4 dropped out, leaving 11 patients in the sham stimulation arm and 9 in the active intervention arm. Baseline values of the levels of spasticity as per the Modified Ashworth Scale (MAS) and H-max/M-max ratio were recorded. A trained physiotherapist administered the electrical stimulation on a daily basis for 2 weeks, with each session lasting 30 minutes. The electrical stimulation was administered over the Posterior Tibial Nerve at the medial malleolus, on the paretic lower limb. Following 2 weeks of electrical stimulation, levels of spasticity were re-assessed using the MAS and H-max/M-max ratio.RESULTS:The change in the median H/M ratio value from pre-intervention (0.72) to post-intervention (0.56) within the sham arm was not statistically significant (p=0.62). Likewise the change in the median H/M ratio value from pre-intervention (0.52) to post-intervention (0.53) in theactive intervention arm was also not statistically significant (p=0.10).For the sham arm, the median percentage increase after the intervention is 7.46% while in the active intervention group, it is 27.87%, where the difference between the two arms is not statistically significant (p=0.38).With regard to the Modified Ashworth Scale scores, clonus which was observed prior to starting the intervention was observed even after the two weeks of electrical stimulation." @default.
- W3186181945 created "2021-08-02" @default.
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- W3186181945 date "2015-03-01" @default.
- W3186181945 modified "2023-09-26" @default.
- W3186181945 title "Effect of Tibial Nerve Stimulation on Gastrosoleus Spasticity:A Randomized Controlled Trial" @default.
- W3186181945 hasPublicationYear "2015" @default.
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