Authors' objectives:

This study aims to determine the safety and effectiveness of using electrical stimulate (ES) in the treatment of stroke patients in improving muscle function, gaining motor function and improving quality of life..

Authors' results and conclusions: There is sufficient evidence that electrical stimulation (ES) is a relatively safe modality, though there is a possibility of triggering epileptic fits with trans-cutaneous electrical nerve stimulation (TENS) in susceptible patients. For shoulder subluxation and pain, there is sufficient evidence that both TENS and functional electrical stimulation (FES) are effective in promoting improvement in shoulder dysfunction and providing pain relief. There is also sufficient evidence that Electrical stimulation in Stroke promotes recovery of muscle strength and improves motor function. There is also some evidence to support the effectiveness of the ES combined with other conventional therapies. There is also some evidence that ES is a relatively low-cost intervention.

Authors' recommendations: Electrical stimulation for the treatment of selected stroke patient is safe, low cost, and is advocated for use selectively in the early rehabilitation of stroke patients for the beneficial effect of the hemiplegic shoulder, restoration of motor function and quality of life. However, it is recommended that centers utilizing this modality have trained personnel involved and also involves training care givers utilizing this modality in home rehabilitation programs. Appropriate protocols and monitoring should be developed and utilized, as well as reviewed on a regular basis.

Authors' methods: Systematic review

Project Status: Completed

URL for project: http://www.moh.gov.my/

Year Published: 2006

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Malaysia

Organisation Name: Malaysian Health Technology Assessment Unit

Contact Address: Health Technology Assessment Unit, Medical Development Division, Ministry of Health Malaysia, Level 21, PERKIM Building, Jalan Ipoh, 51200 Kuala Lumpur, Malaysia. Tel: 603 4045 7781, Fax: 603 4045 77 40

Copyright: Malaysian Health Technology Assessment Unit (MHTAU)