Relation between stimulation characteristics and clinical outcome in studies using electrical stimulation to improve motor control of the upper extremity in stroke
TLDR
It appears that the specific stimulus parameters may not be crucial in determining the effect of electrical stimulation, and triggered electrical stimulation may be more effective than non-triggered electrical stimulation in facilitating upper extremity motor recovery following stroke.Abstract:
Objective: Electrical stimulation can be applied in a variety of ways to the hemiparetic upper extremity following stroke. The aim of this review is to explore the relationship between characteristics of stimulation and the effect of electrical stimulation on the recovery of upper limb motor control following stroke. Methods: A systematic literature search was performed to identify clinical trials evaluating the effect of electrical stimulation on motor control. The reported outcomes were examined to identify a possible relationship between the reported effect and the following characteristics: duration of stimulation, method of stimulation, setting of stimulation parameters, target muscles and stage after stroke. Results: Nineteen clinical trials were included, and the results of 22 patient groups were evaluated. A positive effect of electrical stimulation was reported for 13 patient groups. Positive results were more common when electrical stimulation was triggered by voluntary movement rather than when non-triggered electrical stimulation was used. There was no relation between the effect of electrical stimulation and the other characteristics examined. Conclusion: Triggered electrical stimulation may be more effective than non-triggered electrical stimulation in facilitating upper extremity motor recovery following stroke. It appears that the specific stimulus parameters may not be crucial in determining the effect of electrical stimulation.read more
Citations
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Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke.
Grada Berendina Prange,Michiel J. A. Jannink,Catharina G.M. Groothuis-Oudshoorn,Hermanus J. Hermens,Maarten Joost IJzerman +4 more
TL;DR: It is found that robot-aided therapy of the proximal upper limb improves short- and long-term motor control of the paretic shoulder and elbow in subacute and chronic patients; however, it is found no consistent influence on functional abilities.
Journal ArticleDOI
Interventions for improving upper limb function after stroke
Alex Pollock,Sybil E. Farmer,Marian C. Brady,Peter Langhorne,Gillian Mead,Jan Mehrholz,Frederike van Wijck +6 more
TL;DR: A Cochrane overview of systematic reviews of interventions provided to improve upper limb function after stroke found moderate-quality evidence showed a beneficial effect of constraint-induced movement therapy, mental practice, mirror therapy, interventions for sensory impairment, virtual reality and a relatively high dose of repetitive task practice, suggesting that these may be effective interventions.
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Neuromuscular electrical stimulation for skeletal muscle function.
TL;DR: This review covers the aspects of electrical stimulation used for rehabilitation and functional purposes, including frequency, pulse width/duration, duty cycle, intensity/amplitude, ramp time, pulse pattern, program duration, program frequency, and muscle group activated, and how they affect fatigue in the stimulated muscle.
Journal ArticleDOI
Rehabilitation of arm function after stroke. Literature review.
TL;DR: It is shown that exercising the hemiparetic hand and wrist is essential in all stages of a stroke rehabilitation program and new data stemming from neurosciences suggest that ipsilesional corticospinal excitability should be a priority.
Journal ArticleDOI
Iterative Learning Control in Health Care: Electrical Stimulation and Robotic-Assisted Upper-Limb Stroke Rehabilitation
TL;DR: A person who relearns skills after a stroke goes through the same process as someone learning to play tennis or a baby learning to walk, requiring sensory feedback during the repeated practice of a task.
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