Cross-Education Effects of Motor-Level Transcutaneous Electrical Nerve Stimulation on Quadriceps Motor Function Recovery Among Stroke Survivours
Pathology and Laboratory Medicine
Volume 2, Issue 2, December 2018, Pages: 35-40
Received: Oct. 24, 2018; Accepted: Nov. 16, 2018; Published: Dec. 19, 2018
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Ayodele Teslim Onigbinde, Department of Medical Rehabilitation, Obafemi Awolowo University, Ile-Ife, Nigeria
Adeola Godwin Olubukola, Department of Medical Rehabilitation, Obafemi Awolowo University, Ile-Ife, Nigeria
Nwosu Ifeoma Blessing, Department of Medical Rehabilitation, Nnamdi Azikiwe University, Nnewi Campus, Awka, Nigeria
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There has been speculation that stronger limbs of stroke survivors can be used to strengthen the homologous muscles on the weaker side through cross education using Motor-level Transcutaneous Electrical Nerve Stimulator (M-LTENS). Recently, there are demonstrations on apparently healthy individuals but there is dearth of empirical data to support this effect in stroke patients. The study aimed to investigate the cross education effects of M-LTENS on the affected knee extensors of stroke survivors when the unaffected homologous muscle group was stimulated. Twenty stroke survivors were recruited using purposive sampling technique. M-LTENS was used to stimulate the quadriceps group of muscles of the unaffected lower extremity for 6 weeks (85Hz and 100 microseconds). Strength values were quantified using the modified sphygmomanometer. The data were analysed using descriptive analysis and Inferential Statistics (paired t-test and Chi-square test of Association). The mean muscle strength of the unaffected quadriceps muscle at baseline was 471.96 ± 74.70N while that of affected was 167.83 ± 6.38N and the values significantly increased to 505.40 ± 83.50N and 191.96 ± 60.90N. (t=-6.23, P-value = 0.001; t=-8.71; P-value=0.001) respectively at the 6th week. There was also significant difference between the unaffected and affected muscle group strength; both at baseline and after 6 weeks (t=16.89; P-value=0.001; t=14.951; P-value=0.001). It was concluded that there was cross education effect in contralateral (affected) quadriceps group of muscles in stroke survivors after the unaffected quadriceps muscle group was stimulated using motor-level Transcutaneous Electrical Nerve Stimulator for 6 weeks.
Cross-Education, Motor-TENS, Quadriceps Motor Function, Stroke Survivours
To cite this article
Ayodele Teslim Onigbinde, Adeola Godwin Olubukola, Nwosu Ifeoma Blessing, Cross-Education Effects of Motor-Level Transcutaneous Electrical Nerve Stimulation on Quadriceps Motor Function Recovery Among Stroke Survivours, Pathology and Laboratory Medicine. Vol. 2, No. 2, 2018, pp. 35-40. doi: 10.11648/j.plm.20180202.12
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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