Effect of Functional Electrical Stimulation with Mirror Therapy on Upper Extremity Motor Function in Poststroke Patients

2014 ◽  
Vol 23 (4) ◽  
pp. 655-661 ◽  
Author(s):  
HyunJin Kim ◽  
GyuChang Lee ◽  
ChangHo Song
Keyword(s):  
Electrical Stimulation ◽  
Upper Extremity ◽  
Motor Function ◽  
Functional Electrical Stimulation ◽  
Mirror Therapy

Effects of Mirror Therapy Combined With EMG-triggered Functional Electrical Stimulation to Improve on Upper Extremity Function in Patient with Chronic Stroke

2020 ◽  
Author(s):  
Joo Yeol Jung ◽  
Pong Sub Youn ◽  
Dong Hoon Kim
Keyword(s):  
Electrical Stimulation ◽  
Physical Therapy ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Functional Electrical Stimulation ◽  
Chronic Stroke ◽  
Mirror Therapy ◽  
Extremity Function ◽  
Upper Extremity Function

AbstractThis study was performed to evaluate the effects of Mirror therapy combined with EMG-triggered Functional Electrical Stimulation on upper extremity function in patient with Chronic Stroke. A total of 24 chronic stroke patients were divided into 3 groups. Group I (n=8) was given with traditional physical therapy (TPT), group II (n=7) was given with traditional physical therapy and mirror therapy (MT), and group III (n=9) was given with traditional physical therapy and mirror therapy in conjunction with EMG-triggered Functional Electrical Stimulation (EMGFES-MT). Each group performed one hour a day 5 times a week for 6 weeks.We obtained the following result between before and after treatments about changes of elbow flexion muscle strength (EFMS), elbow extension muscle strength (EEMS), wrist flexion muscle strength (WFMS), wrist extension muscle strength (WEMS), elbow flexion range of motion (EFROM), elbow extension range of motion (EEROM), wrist flexion range of motion (WFROM), wrist extension range of motion (WEROM), grip strength (GS) and upper extremity function.Each group showed a significant difference in EFMS, EEMS, WFMS, WEMS, EFROM, EEROM, WFROM, WEROM, GS and upper extremity function (p<0.05) EMFES-MT group revealed significant differences in EEMS, WEROM, grip strength and upper extremity function as compared to the other groups (p<0.05). No difference was found in the change of spasticity among the 3 groups.Our results showed that EMFES-MT was more effective on elbow, WFMS, WEMS, AROM, grip strength and upper extremity function in patients with chronic stroke. We suggest that this study will be able to be used as an intervention data for recovering upper extremity function in chronic stroke patients

Functional Electrical Stimulation (FES) Control for Restoration and Rehabilitation of Motor Function

2012 ◽  
pp. 80-93
Author(s):  
Takashi Watanabe ◽  
Naoto Miura
Keyword(s):  
Electrical Stimulation ◽  
Motor Function ◽  
Functional Electrical Stimulation ◽  
Wearable Sensors ◽  
Integrated System ◽  
Rehabilitation Training ◽  
Cord Injury ◽  
Feedback Error Learning ◽  
Feedback Error ◽  
Functional Movements

Functional electrical stimulation (FES) has been studied and clinically applied to restoring or assisting motor functions lost due to spinal cord injury or cerebrovascular disease. Electrical stimulation without control of functional movements is also used for therapy or in rehabilitation training. In recent years, one of the main focuses of FES studies has been its application for rehabilitation of motor function. In this review, the authors first present the basics of applying electrical stimulation to the neuromuscular system for motor control. Then, two methods of FES control are discussed: controllers for FES based on feedback error learning (FEL) and on cycle-to-cycle control of limb movements. The FEL-FES controller can be practical in FES applications that need to control the musculoskeletal system that involves various nonlinear characteristics and delay in its responses to electrical stimulation. The cycle-to-cycle control is expected to be effective in controlling repetitive movements for rehabilitation training. Finally, a study on ankle dorsiflexion control during the swing phase using an integrated system of FES control and motion measurement with wearable sensors for rehabilitation is presented.

scholarly journals Ability of people with post-stroke hemiplegia to self-administer FES-assisted hand therapy video games at home: An exploratory case series

2019 ◽  
Vol 6 ◽  
pp. 205566831985400 ◽  
Author(s):  
Michael J Fu ◽  
Mary Y Harley ◽  
Terri Hisel ◽  
Robyn Busch ◽  
Richard Wilson ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Video Games ◽  
Upper Extremity ◽  
Functional Electrical Stimulation ◽  
Video Game ◽  
Cognitive Outcomes ◽  
Hand Therapy ◽  
Post Stroke ◽  
Game Therapy ◽  
At Home

Introduction This article describes the development and initial clinical testing of an innovative home-based treatment for upper extremity hemiplegia that integrates contralaterally controlled functional electrical stimulation with hand therapy video games. Methods We explored the ability of seven participants with moderate-to-severe hand impairment to self-administer 12 weeks of contralaterally controlled functional electrical stimulation video game therapy at home for 10 h/week and in-lab with a therapist for four h/week. Clinical suitability was assessed by device usage logs, qualitative surveys, and clinical motor and cognitive outcomes. Results Three participants completed the study with > 95% compliance and four did not. Factors linked to incompletion included development of trigger finger in the non-paretic hand, acceptance of a new full-time job, residence relocation, and persistence of drowsiness from anti-spasticity medication. Those who completed the treatment perceived qualitative benefits and experienced gains in motor and cognitive outcomes. Conclusion Individuals with moderate-to-severe chronic post-stroke upper extremity hemiplegia can self-administer contralaterally controlled functional electrical stimulation video game therapy for up to 90 min/day at home. We also identified social and physiological factors that may preclude its use for daily home treatment. Further studies are warranted and are in progress to estimate treatment effect and optimal dose of this intervention.

Mirror therapy simultaneously combined with electrical stimulation for upper limb motor function recovery after stroke: a systematic review and meta-analysis of randomized controlled trials

2020 ◽  
pp. 026921552095193
Author(s):  
Alberto Saavedra-García ◽  
Jose A Moral-Munoz ◽  
David Lucena-Anton
Keyword(s):  
Systematic Review ◽  
Electrical Stimulation ◽  
Motor Function ◽  
Upper Limb ◽  
Meta Analysis ◽  
Mean Difference ◽  
Current Evidence ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Mirror Therapy

Objective: To evaluate the current evidence on the effectiveness of simultaneous combination of mirror therapy and electrical stimulation in the recovery of upper limb motor function after stroke, compared with conventional therapy, mirror therapy or electrical stimulation isolated. Data sources: Articles published in PubMed, Web of Science, Scopus, Physiotherapy Evidence Database (PEDro), Cochrane Central register of controlled trials and ScienceDirect up to July 2020. Review methods: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed. Methodological quality was assessed using the PEDro tool. The RevMan 5.4 statistical software was used to obtain the meta-analysis, through the standardized mean difference and 95% confidence intervals (CI), and to evaluate the risk of bias. The GRADE approach was employed to assess the certainty of evidence. Results: Eight articles were included in this systematic review, seven were included in the meta-analysis. A total of 314 participants were analyzed. The overall quality of the articles included in this review was good. There was no overall significant mean difference on upper limb motor function after stroke using the Upper-Extremity Fugl-Meyer Assessment by 1.56 (95% CI = –2.08, 5.20; P = 0.40; moderate-certainty evidence) and the Box and Block Test results by 1.39 (95% CI = –2.14, 4.92; P = 0.44; high-certainty evidence). There was overall significant difference in the Action Research Arm Test by 3.54 (95% CI = 0.18, 6.90; P = 0.04; high-certainty evidence). Conclusion: Direct scientific evidence about the effectiveness of the combined therapy of mirror therapy and electrical stimulation simultaneously for the improvement of the upper limb motor function after stroke is lacking. Further high-quality and well-designed research is needed.

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