Background: Although various conventional approaches have been employed to reduce spasticity in neurological rehabilitation, only a few studies have shown scientific evidence for its effectiveness. Thus, we introduced a different concept (Ueda method) of rehabilitation therapy that can complement the limitations of conventional therapy. Objects: This study aimed to investigate the immediate effects of the application of the Ueda method on patients with spasticity after stroke via an electrophysiological study. Methods: We conducted a randomized double-blind pilot study in two rehabilitation hospitals involving 30 stroke patients who were randomly allocated to the Ueda (n = 15) and convention (n = 15) groups. Electromyographic data of six examined muscles in both upper extremities of all patients were recorded. The A-ApA index and activation ratios of upper extremity muscles were evaluated and compared between the groups to confirm post-intervention changes in upper-extremity flexor spasticity and flexion synergies. Repeated-measures analysis of variance was conducted to confirm the therapeutic effect (2 × 2) as a function of group (Ueda vs. convention) and time (pre-/post-intervention) on all outcome measures (p < 0.05). Results: In the Ueda group, the mean A-ApA index values differed significantly before and after the intervention (p = 0.041), indicating a weak evidence level; however, the effect size was medium (d = –0.503). The interaction effects of the A-ApA index between the Ueda and convention groups and between pre-intervention and post-intervention stages were significant (p = 0.012). The effect size was large (np 2 = 0.220). In the Ueda group, the activation ratios of the anterior deltoid fiber significantly decreased after the intervention in all reaching tasks. Conclusion: The Ueda method reduces upper-extremity flexor spasticity and changes its synergy in stroke patients and should be considered a rehabilitation therapy for spastic stroke patients.

This study was aimed to determine the effects of hybrid and inoculant on in vitro rumen digestibility and rumen fermentation indices of corn silage. Two corn hybrids(Kwangpyeongok (KW) vs. Pioneer 1543(PI)) were ensiled for 100 days with two inoculants(L. plantarum(LP) vs. L. buchneri(LB)) applied at 1.2 × 105 cfu/g of fresh forage. Silages were incubated in rumen fluid medium at 39℃ for 72 hours. Both of KW and PI had no difference(p>0.05) on in vitro digestibility of dry matter(IVDMD) and neutral detergent fiber(IVNDFD), while application of LB produced higher(p<0.05) IVDMD and IVNDFD than LP. Hybrid and inoculant applications did not affect(p>0.05) total gas volume, ammonia-N, total VFA, and acetate concentrations in the rumen. Applied LB was higher(p<0.05) propionate concentration than LP, while hybrids had no effect(p>0.05). Furthermore, the interaction effect(p<0.05) was occurred in propionate concentration. Butyrate concentration did not affected(p>0.05) by hybrid and inoculant applications, but there was an interaction effect between hybrid and inoculant(p<0.05). Applications of hybrid and inoculant had effects(p<0.05) on iso-butyrate and valerate, without any interaction effects(p>0.05). This study concluded that application of KW and PI has no effects on in vitro rumen digestibility and rumen fermentation indices of corn silage, while application of LB increase the rumen digestibility in both of corn hybrids.