Rehabilitative effects of Transcutaneous Electric Nerve Stimulation on limb function in stroke patients: a systematic review and meta-analysis.

IF 2.1 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2025-02-11 DOI:10.1080/09638288.2025.2453640

Chengning Song, Weijie Wu, Nana Feng, Zhixian Li, Bo Lei

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引用次数: 0

Abstract

Purpose: We conducted a systematic review to assess the effectiveness of TENS in the rehabilitation of limb motor dysfunction following stroke.

Materials and methods: We collected data from three databases, PubMed, Embase, and Web of Science, covering the earliest available date to April 2024, with a focus on randomized controlled trials that utilized TENS as an intervention for limb motor dysfunction after stroke, and extracted the main evaluation indicators before and after treatment, including the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Functional Independence Measure (FIM), and Composite Spasticity Scale (CSS). Meta-analysis was conducted using Review Manager 5.4.1 software.

Results: This systematic review included a total of 513 participants from 10 studies. The analysis revealed that TENS was found to be statistically more effective than sham TENS in improving upper limb function, with a standardized mean difference (MD) of 3.58 (95% CI: 0.88, 6.27).

Conclusion: TENS has shown potential in improving limb motor function in post-stroke patients based on FMA-UE, FIM, and CSS scores. However, variations in stimulation frequency, sites, treatment schedules, and devices make the evidence insufficient for its reliable clinical use.

Registration: CRD42023421759.

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.