%0 Journal Article
%T Electrical Stimulation in Addition to Passive Exercise Has a Small Effect on Spasticity and Range of Motion in Bedridden Elderly Patients: A Pilot Randomized Crossover Study
%A Hideki Kataoka
%A Shunpei Nakashima
%A Hideki Aoki
%A Kyo Goto
%A Junichiro Yamashita
%A Yuichiro Honda
%A Yasutaka Kondo
%A Tatsuya Hirase
%A Junya Sakamoto
%A Minoru Okita
%J Health
%P 1072-1086
%@ 1949-5005
%D 2019
%I Scientific Research Publishing
%R 10.4236/health.2019.118084
%X <strong>Purpose: </strong>Belt electrode skeletal muscle electrical stimulation (B-SES) can stimulate large portions of muscles including deep sites without localisation of the stimulation area. The purpose of this study is to investigate both immediate treatment effects of B-SES and long-term treatment effects of B-SES with passive exercise on range of motion (ROM) and muscle tone of lower extremities in bedridden elderly patients. <strong>Methods:</strong> Outcome measures before and after B-SES treatment alone (4 Hz, 20 min, both lower extremities) were examined for the immediate effect. Outcome measures were: ROM and Modified Ashworth scale (MAS) of hip flexion and adduction; knee flexion and extension; and knee joint distance at position of flexion abduction in hip (distance of knee). A randomized crossover trial was conducted to examine the long-term effect of adding B-SES to passive exercise on ROM and MAS. <strong>Results and Discussion:</strong> The immediate effect study had 18 patients. ROM and MAS of 4 joint angles in 2 joints and distance of knee significantly improved after B-SES treatment. The long-term effect study had 11 patients. Friedman test revealed ROM and MAS of 4 joint angles in 2 joints and distance of knee significantly improved during B-SES intervention but not control intervention. B-SES in addition to passive stretch has a more statistically significant effect on contracture and spasticity in large portions of the lower extremities of bedridden elderly patients than passive stretching alone. <strong>Conclusions:</strong> We consider B-SES a useful tool to improve the ROM in lower extremities of bedridden patients.
%K Bedridden Patients
%K Belt Electrode Skeletal Muscle Electrical Stimulation
%K Lower Extremity
%K Muscle Tone
%K Restriction of Range of Joint Motion
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=94437