Abstract：
UNASSIGNED: To analyze immediate effects of TECAR therapy (TT) to reduce lower limb hypertonia and improve functionality in chronic post-stroke.
UNASSIGNED: It is a single-blind randomized controlled clinical trial. A total of 36 chronic stroke survivors were divided into two groups. The experimental group received a single 30-minute session of TT with functional massage (FM) on lower limb. The control group received a single 30-minute session sham treatment of TT plus FM. The primary outcome measure was hypertonia (Modified Ashworth Scale, MAS). Secondary outcomes were gait speed (4-Meter Walk-Test), standing knee-flexion (Fugl-Meyer Assessment Scale IV-item), change in weight bearing ankle dorsiflexion (Ankle Lunge Test, ALT), and functional lower limb strength (5-Times Sit-to-Stand Test). All measurements were performed at baseline, immediately and 30-minutes after treatment.
UNASSIGNED: There was a group-time interaction in MAS-knee (p = 0.044), MAS-ankle (p = 0.018) and ALT (p = 0.016) between T1 and T0 (p<.0001) and T2 and T0 (p<.0001) for the experimental group. There was a significant increase in ALT between T1 and T0 (p = 0.003) in the control group.
UNASSIGNED: A single session of TT performed at the same time as FM immediately reduces plantar-flexors and knee-extensor muscle hypertonia and increases change in weight bearing ankle dorsiflexion in chronic stroke survivors.
Capacitive and resistive electric transfer (TECAR) therapy may improve ankle mobility in stroke survivors.TECAR therapy may improve knee mobility in post-stroke.TECAR therapy may reduce lower limb muscle tone in stroke survivors.TECAR therapy could be used in combination with physiotherapy as a safe technique for the immediate reduction of hypertonia in stroke survivors.
UNASSIGNED: It is a single-blind randomized controlled clinical trial. A total of 36 chronic stroke survivors were divided into two groups. The experimental group received a single 30-minute session of TT with functional massage (FM) on lower limb. The control group received a single 30-minute session sham treatment of TT plus FM. The primary outcome measure was hypertonia (Modified Ashworth Scale, MAS). Secondary outcomes were gait speed (4-Meter Walk-Test), standing knee-flexion (Fugl-Meyer Assessment Scale IV-item), change in weight bearing ankle dorsiflexion (Ankle Lunge Test, ALT), and functional lower limb strength (5-Times Sit-to-Stand Test). All measurements were performed at baseline, immediately and 30-minutes after treatment.
UNASSIGNED: There was a group-time interaction in MAS-knee (p = 0.044), MAS-ankle (p = 0.018) and ALT (p = 0.016) between T1 and T0 (p<.0001) and T2 and T0 (p<.0001) for the experimental group. There was a significant increase in ALT between T1 and T0 (p = 0.003) in the control group.
UNASSIGNED: A single session of TT performed at the same time as FM immediately reduces plantar-flexors and knee-extensor muscle hypertonia and increases change in weight bearing ankle dorsiflexion in chronic stroke survivors.
Capacitive and resistive electric transfer (TECAR) therapy may improve ankle mobility in stroke survivors.TECAR therapy may improve knee mobility in post-stroke.TECAR therapy may reduce lower limb muscle tone in stroke survivors.TECAR therapy could be used in combination with physiotherapy as a safe technique for the immediate reduction of hypertonia in stroke survivors.
摘要：
■分析TECAR治疗（TT）减轻下肢高张力和改善慢性卒中后功能的直接效果。
■这是一项单盲随机对照临床试验。将36例慢性卒中幸存者分为两组。实验组接受30分钟的TT和下肢功能按摩（FM）。对照组接受一次30分钟的TT加FM假治疗。主要结局指标是高张力(改良的Ashworth量表，MAS）。次要结果是步态速度（4米步行测试），站立膝关节屈曲（Fugl-Meyer评估量表IV-项目），负重踝关节背屈的变化(踝关节运动测试，ALT),和功能性下肢力量（5次坐立试验）。所有测量均在基线进行，治疗后立即和30分钟。
■在MAS-膝盖中存在小组时间相互作用（p=0.044），实验组在T1和T0（p<.0001）以及T2和T0（p<.0001）之间的MAS-踝关节（p=0.018）和ALT（p=0.016）。对照组在T1和T0之间ALT显著增加(p=0.003)。
■与FM同时进行的一次TT可立即减少足底屈肌和膝伸肌张力增高，并增加慢性中风幸存者负重踝关节背屈的变化。
电容和电阻电转移（TECAR）治疗可以改善中风幸存者的踝关节活动能力。TECAR治疗可以改善中风后的膝关节活动度。TECAR治疗可能会降低中风幸存者的下肢肌张力。TECAR疗法可与物理疗法结合使用，作为一种安全的技术，可立即减少中风幸存者的高张力。
■这是一项单盲随机对照临床试验。将36例慢性卒中幸存者分为两组。实验组接受30分钟的TT和下肢功能按摩（FM）。对照组接受一次30分钟的TT加FM假治疗。主要结局指标是高张力(改良的Ashworth量表，MAS）。次要结果是步态速度（4米步行测试），站立膝关节屈曲（Fugl-Meyer评估量表IV-项目），负重踝关节背屈的变化(踝关节运动测试，ALT),和功能性下肢力量（5次坐立试验）。所有测量均在基线进行，治疗后立即和30分钟。
■在MAS-膝盖中存在小组时间相互作用（p=0.044），实验组在T1和T0（p<.0001）以及T2和T0（p<.0001）之间的MAS-踝关节（p=0.018）和ALT（p=0.016）。对照组在T1和T0之间ALT显著增加(p=0.003)。
■与FM同时进行的一次TT可立即减少足底屈肌和膝伸肌张力增高，并增加慢性中风幸存者负重踝关节背屈的变化。
电容和电阻电转移（TECAR）治疗可以改善中风幸存者的踝关节活动能力。TECAR治疗可以改善中风后的膝关节活动度。TECAR治疗可能会降低中风幸存者的下肢肌张力。TECAR疗法可与物理疗法结合使用，作为一种安全的技术，可立即减少中风幸存者的高张力。
