431 KB0 KB200820252023Hočevar, JanaPuh, Urškaštevilka:1letnik:22str. 49-55ISSN:1580-9315COBISSID_HOST:164273411URN:URN:NBN:SI:doc-4IU96EWFslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)Gaitgait speedhitrost hojehojamožganska kapStrokeTranscutaneous Electric Nerve Stimulationtranscutaneous electrical nerve stimulationtranskutana električna živčna stimulacijaUčinki transkutane električne živčne stimulacije na hitrost hoje pri pacientih po možganski kapi – pregled literature| Effects of transcutaneous electrical nerve stimulation on gait speed in patients after stroke – literature review|Background: Decreased walking speed is common in patients after stroke. In rehabilitation, transcutaneous electrical nerve stimulation (TENS) is used to improve sensorimotor functions. The purpose of this literature review was to investigate the effects of high-frequency TENS on walking speed in patients after stroke. Methods: The literature search was performed in the PubMed, PEDro, Cochrane Library, Embase, and CINAHL databases. In addition, the reference lists of included studies were reviewed. Randomised controlled trials that investigated the effects of TENS on walking speed of patients after stroke were included in the review. Results: Five studies that used TENS at rest in subacute and/or chronic stroke patients were included. Three studies found statistically significantly greater improvement in walking speed in the group of patients with TENS followed by conventional training compared with the groups of patients with TENS alone, placebo TENS followed by conventional training, or without treatment. Conclusion: Based on the reviewed literature, it appears that TENS for at least 30 minutes followed by functional training is an effective intervention to improve walking speed in patients with chronic stroke, whereas TENS alone is not effective. High-quality studies are needed to draw firm conclusions about the effectiveness of TENS in combination with training in the subacute phase after strokeUvod: Pri pacientih po možganski kapi je hitrost hoje pogosto znižana. Transkutana električna živčna stimulacija (TENS) se lahko uporablja tudi za spodbujanje senzorimotoričnih funkcij. Naš namen je bil pregledati literaturo o učinkih visokofrekvenčne TENS na hitrost hoje pri pacientih po možganski kapi. Metode: Literaturo smo iskali v podatkovnih zbirkah PubMed, PEDro, Cochrane Library, Embase in CINAHL. Dodatno smo pregledali tudi sezname literature vključenih raziskav. Vključili smo randomizirane kontrolirane poskuse, v katerih so avtorji preverili učinek uporabe TENS na hitrost hoje pri pacientih po možganski kapi. Rezultati: V pregled literature smo zajeli pet raziskav, v vseh so TENS uporabili pri paceintih v mirovanju. V treh so ugotovili statistično značilno večje izboljšanje hitrosti hoje pacientov v subakutnem in/ali kroničnem obdobju po možganski kapi v skupini s TENS, ki ji je sledila standardna vadba, v primerjavi s skupinami pacientov, ki so imeli le TENS, placebo TENS in standardno vadbo ali so bili brez obravnave. Zaključek: Glede na rezultate pregledane literature kaže, da ima vsaj 30-minutna TENS, ki ji sledi vsaj 30-minutna standardna vadba, pozitivne učinke na hitrost hoje pacientov v kroničnem obdobju po možganski kapi, medtem ko TENS kot samostojna obravnava ni učinkovita. Za oblikovanje trdnih zaključkov o učinkovitosti TENS v kombinaciji s standardno vadbo pri pacientih v subakutnem obdobju po možganski kapi so potrebne raziskave visoke kakovostiTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča