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Immediate effects of TECAR therapy on lower limb to decrease hypertonia in chronic stroke survivors: a randomized

Laura García-Rueda1, Rosa Cabanas-Valdés2, Carina Salgueiro2,3

  • 1Universitat Internacional de Catalunya, Barcelona, Spain.

Disability and Rehabilitation
|July 3, 2024
PubMed
Summary

TECAR therapy (TT) combined with functional massage (FM) offers immediate benefits for stroke survivors, significantly reducing lower limb hypertonia and improving ankle dorsiflexion. This approach enhances mobility and function post-stroke.

Keywords:
TECAR therapycapacitive resistive electric transferelectrotherapyfunctional massagemuscle hypertoniaspasticitystroke

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Area of Science:

  • Rehabilitation Medicine
  • Neurology
  • Physical Therapy

Background:

  • Lower limb hypertonia and impaired functionality are common challenges for chronic stroke survivors.
  • Existing treatments for post-stroke spasticity and functional deficits often require prolonged intervention.
  • Exploring novel, immediate-acting therapeutic modalities is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the immediate effects of TECAR therapy (TT) on reducing lower limb hypertonia in chronic stroke survivors.
  • To assess the impact of TT on improving functional parameters of the lower limb post-stroke.

Main Methods:

  • A single-blind randomized controlled trial involving 36 chronic stroke survivors.
  • Participants were assigned to either TT with functional massage (FM) or a sham treatment group.
  • Primary outcome: hypertonia (Modified Ashworth Scale). Secondary outcomes: gait speed, knee-flexion, ankle dorsiflexion (Ankle Lunge Test), and lower limb strength (5-Times Sit-to-Stand Test).

Main Results:

  • The experimental group showed significant improvements in MAS for knee and ankle, and in ALT immediately following TT and FM.
  • A significant increase in ankle dorsiflexion (ALT) was observed in the control group between baseline and immediately post-treatment.
  • Group-time interactions indicated a more pronounced effect of TT plus FM on hypertonia and ankle mobility compared to sham treatment.

Conclusions:

  • A single session of TECAR therapy (TT) concurrently with functional massage (FM) provides immediate reduction in plantar-flexor and knee-extensor hypertonia.
  • This combined therapy also leads to an immediate increase in weight-bearing ankle dorsiflexion in chronic stroke survivors.
  • TT offers a promising, rapid intervention for managing spasticity and enhancing lower limb function after stroke.