Alternating Hot-Cold Water Immersion Facilitates Motor Function Recovery in the Paretic Upper Limb After Stroke: A Pilot Randomized Controlled Trial
Chiu YT, Liang CC, Yu Cheng H, Lin CH, Chen JC
Archives of physical medicine and rehabilitation · 0 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Universidad u hospital
- Tzu Chi University
- Organización sin fines de lucro
- Buddhist Tzu Chi Medical Foundation
- Universidad u hospital
- Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation
- Universidad u hospital
- Hualien Tzu Chi Hospital Buddhist Tzu Chi Medical Foundation
- Subvenciones
- Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation (TCRD 102-24)
Según 4 financiadores declarados.
Publicación
- Publicado
- 2024-05-10 · Arch Phys Med Rehabil · vol. 105 · número 9 · págs. 1642–1648
- Editorial
- Elsevier BV
- Citado
- 2 citas · más que el 56% de estudios similares · 0.3× el promedio de su campo
- Referencias
- 42 trabajos
- Acceso
- De pago
- Áreas de investigación
- Stroke Rehabilitation and Recovery · Transcranial Magnetic Stimulation Studies · Spinal Cord Injury Research
- Palabras clave
- stroke rehabilitation, paretic upper limb, arm paresis, motor recovery, Fugl-Meyer Assessment, Motricity Index, balance, activities of daily living, muscle tone
- MeSH
- upper extremity, humans, paresis, treatment outcome, hydrotherapy, pilot projects, single-blind method, immersion, recovery of function, aged, middle aged, female, male, stroke, cold temperature, hot temperature, stroke rehabilitation
5 autores
- Yu‐Ting Chiu🇹🇼Tzu Chi Foundation; Hualien Tzu Chi Medical Center
- Chung‐Chao Liang🇹🇼Tzu Chi University; Tzu Chi Foundation; Hualien Tzu Chi Medical Center
- Hung- Yu Cheng🇹🇼Tzu Chi Foundation; Hualien Tzu Chi Medical Center
- Chun-Hsiang Lin🇹🇼Tzu Chi University; Tzu Chi Foundation; Hualien Tzu Chi Medical Center
- Jia-Ching Chen🇹🇼 · autor de correspondenciaTzu Chi University; Tzu Chi Foundation; Hualien Tzu Chi Medical Center
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To assess the effectiveness of alternating hot-cold water immersion (AHCWI) in patients with acute stroke.
Design
A single-blind pilot randomized controlled trial.
Setting
Department of Rehabilitation Medicine of a medical center.
Participants
Early stroke survivors (N=24) with moderate-to-severe arm paresis.
Interventions
In addition to conventional rehabilitation, eligible patients were randomly assigned to an AHCWI group (n=12, for AHCWI) or a control group (n=12, for upper limb [UL] cycling exercises) 5 times per week for 6 weeks.
Main outcome measures
The Fugl-Meyer Assessment motor-UL (FMA-UL) score, Motricity Index-UL (MI-UL) score, modified Motor Assessment Scale (MMAS; including its UL sections, MMAS-UL) score, Berg Balance Scale score, Barthel Index (BI), and modified Ashworth Scale score were assessed by the same uninvolved physical therapist at baseline and after 4 and 6 weeks of intervention.
Results
Compared with the control group, the AHCWI group performed better, with significant group effects (P<.05), and exhibited significant improvements in FMA-UL, MI-UL, and MMAS-UL scores at 4 and 6 weeks (P<.05). Although the remaining outcomes were not significantly different, they favored the AHCWI group. Notably, a significant difference was observed in the BI at 4 weeks (P=.032). Significant changes in the muscle tone or adverse effects were not observed in either group after the intervention.
Conclusions
AHCWI with stroke rehabilitation is feasible and may facilitate motor function recovery of the paretic UL after a stroke.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
Confianza de la comunidad
Cargando…
¿Cuánto confías en los hallazgos de este estudio?
Comentarios
¿Algo está mal aquí?
Señala este estudio si su información, etiquetas o financiación parecen incorrectas. Un editor revisa cada señalamiento.
Información educativa sobre investigación publicada. No es consejo médico ni una recomendación para empezar o dejar nada.