Neuromuscular Electrical Stimulation Improves Severe Hand Dysfunction for Individuals With Chronic Stroke

2006 ◽  
Vol 30 (4) ◽  
pp. 175-183 ◽  
Author(s):  
Marcio Santos ◽  
Laura H. Zahner ◽  
Brian J. McKiernan ◽  
Jonathan D. Mahnken ◽  
Barbara Quaney
Keyword(s):  
Electrical Stimulation ◽  
Neuromuscular Electrical Stimulation ◽  
Chronic Stroke

Effectiveness of neuromuscular electrical stimulation for management of shoulder subluxation post-stroke: a systematic review with meta-analysis

2017 ◽  
Vol 31 (11) ◽  
pp. 1431-1444 ◽  
Author(s):  
Jae-Hyoung Lee ◽  
Lucinda L Baker ◽  
Robert E Johnson ◽  
Julie K Tilson
Keyword(s):  
Electrical Stimulation ◽  
Shoulder Pain ◽  
Treatment Duration ◽  
Meta Analysis ◽  
Neuromuscular Electrical Stimulation ◽  
Chronic Stroke ◽  
Daily Treatment ◽  
Post Stroke ◽  
Subacute Stroke ◽  
Arm Function

Objectives: To examine the effectiveness of neuromuscular electrical stimulation (NMES) for the management of shoulder subluxation after stroke including assessment of short (1 hour or less) and long (more than one hour) daily treatment duration. Data sources: MEDLINE, CENTRAL, CINAHL, WOS, KoreaMed, RISS and reference lists from inception to January 2017 Review methods: We considered randomized controlled trials that reported neuromuscular electrical stimulation for the treatment of shoulder subluxation post-stroke. Two reviewers independently selected trials for inclusion, assessed trial quality, and extracted data. Results: Eleven studies were included (432 participants); seven studies were good quality, four were fair. There was a significant treatment effect of neuromuscular electrical stimulation for reduction of subluxation for persons with acute and subacute stroke (SMD:–1.11; 95% CI:–1.53, –0.68) with either short (SMD:–0.91; 95% CI:–1.43, –0.40) or long (SMD:–1.49; 95% CI:–2.31, –0.67) daily treatment duration. The effect for patients with chronic stroke was not significant (SMD:–1.25; 95% CI:–2.60, 0.11). There was no significant effect of neuromuscular electrical stimulation on arm function or shoulder pain. Conclusion: This meta-analysis suggests a beneficial effect of neuromuscular electrical stimulation, with either short or long daily treatment duration, for reducing shoulder subluxation in persons with acute and subacute stroke. No significant benefits were observed for persons with chronic stroke or for improving arm function or reducing shoulder pain.

Effectiveness of Neuromuscular Electrical Stimulation on Lower Limbs of Patients With Hemiplegia After Chronic Stroke: A Systematic Review

2018 ◽  
Vol 99 (5) ◽  
pp. 1011-1022.e1 ◽  
Author(s):  
Zhongqiu Hong ◽  
Minghong Sui ◽  
Zhiqiang Zhuang ◽  
Huihua Liu ◽  
Xiuyuan Zheng ◽  
...  
Keyword(s):  
Systematic Review ◽  
Electrical Stimulation ◽  
Neuromuscular Electrical Stimulation ◽  
Chronic Stroke ◽  
Lower Limbs

P1-15-06. The effect of combination of Neuromuscular Electrical Stimulation and botulinum toxin injection in chronic stroke patients

2019 ◽  
Vol 130 (10) ◽  
pp. e213
Author(s):  
Koshiro Haruyama ◽  
Michiyuki Kawakami ◽  
Takuya Nakamura ◽  
Osamu Oshima ◽  
Nanako Hijikata ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Botulinum Toxin ◽  
Botulinum Toxin Injection ◽  
Neuromuscular Electrical Stimulation ◽  
Chronic Stroke ◽  
Stroke Patients

scholarly journals Combination of Transcranial Direct Current Stimulation and Neuromuscular Electrical Stimulation Improves Gait Ability in a Patient in Chronic Stage of Stroke

2016 ◽  
Vol 8 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Takeshi Satow ◽  
Tomotaka Kawase ◽  
Atsushi Kitamura ◽  
Yuki Kajitani ◽  
Takuya Yamaguchi ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Direct Current ◽  
Transcranial Direct Current Stimulation ◽  
Neuromuscular Electrical Stimulation ◽  
Chronic Stroke ◽  
Walking Ability ◽  
Stroke Patients ◽  
Chronic Stage ◽  
Direct Current Stimulation ◽  
Tibialis Muscle

Background: Walking ability is important in stroke patients to maintain daily life. Nevertheless, its improvement is limited with conventional physical therapy in chronic stage. We report the case of a chronic stroke patient showing a remarkable improvement in gait function after a new neurorehabilitation protocol using transcranial direct current stimulation (tDCS) and neuromuscular electrical stimulation (NMES). Case Presentation: A 62-year-old male with left putaminal hemorrhage suffered from severe right hemiparesis. He could move by himself with a wheelchair 1 year after the ictus. Anodal tDCS at the vertex (2 mA, 20 min) with NMES at the anterior tibialis muscle had been applied for 3 weeks. The Timed Up and Go test and 10-meter walk test improved after the intervention, which had been maintained for at least 1 month. Conclusion: This single case suggests the possibility that tDCS with NMES could be a new rehabilitation approach to improve the gait ability in chronic stroke patients.

scholarly journals Neuromuscular electrical stimulation-enhanced rehabilitation is associated with not only motor but also somatosensory cortical plasticity in chronic stroke patients: an interventional study

2019 ◽  
Vol 10 ◽  
pp. 204062231988925 ◽  
Author(s):  
Syoichi Tashiro ◽  
Katsuhiro Mizuno ◽  
Michiyuki Kawakami ◽  
Osamu Takahashi ◽  
Takuya Nakamura ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Cortical Plasticity ◽  
Neuromuscular Electrical Stimulation ◽  
Chronic Stroke ◽  
Interventional Study ◽  
Sensorimotor Processing ◽  
Primary Sensory Cortex ◽  
Plastic Changes ◽  
Monofilament Test ◽  
Somatosensory Function

Background: Somatosensory function has been frequently overlooked in clinics and research in the field of chronic stroke. The effects of neurorehabilitation interventions on sensory processing have still to be investigated using electrophysiological means. This study investigated the effect of hybrid assistive neuromuscular dynamic stimulation (HANDS) therapy utilizing closed-loop electromyography-controlled neuromuscular electrical stimulation (NMES), on sensory changes and cortical plasticity among patients with chronic stroke. Methods: This study was a prespecified analysis of 23 participants involved in an ongoing large interventional study. Patients with severe upper limb hemiplegia dues to chronic stroke underwent 3 weeks of inpatient HANDS therapy, where daily treatment consisted of 8 h of NMES combined with wrist splinting, 90 min of comprehensive occupational therapy, and the practice of bimanual activities of daily living. Somatosensory evoked potentials (SEPs) and functional sensory assessments, including the Semmes–Weinstein monofilament test (SWMT) and thumb localizing test (TLT), were compared pre and post-treatment. Results: While no significant recovery of tactile sensation was observed, significant improvements in proprioception and motor function were induced. The number of cortical peaks significantly increased in the median nerve, but not in the tibial nerve. A total of 9 out of 11 participants who initially lacked certain peaks responded to treatment. Further analysis revealed a significant improvement in latency and amplitude of SEP peaks. Conclusions: Our results suggest that NMES-based neurorehabilitation induces certain plastic changes in the primary sensory cortex and in cortices associated with sensorimotor processing in people with chronic stroke sequelae, which may explain the observed improvements in proprioception.

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