PMID: 22572383May 11, 2012Paper

Effect of electrical stimulation therapy on upper extremity functional recovery and cerebral cortical changes in patients with chronic hemiplegia

Biomedical Research
Kana SasakiYoichi Shimada

Abstract

Hemiplegia is a common sequel of stroke and assisted living care is needed in many cases. The purpose of this study was to evaluate the effect of using surface electrode stimulation device in rehabilitation, in terms of functional improvement in upper limb and the changes in brain activation related to central nervous system reconstruction. Five patients with chronic hemiplegia received electrical stimulation therapy using the orthosis-type surface electrode stimulation device for 12 weeks. Training time was 30 min/day for the first weeks, and increased 30 min/day in every 4 weeks. Upper limb outcome measures included Brunnstrom stage, range of motion, Fugl-Meyer assessment and manual function test. Brain activation was measured using functional MRI. After therapy with therapeutic electrical stimulation (TES) for 12 weeks upper limb function improved in all cases. The results of brain activation showed two patterns. In the first, the stimulation produced an activity in the bilateral somatosensory cortices (SMC), which was seen to continue over time. The second, activation was bilateral and extensive before stimulation, but localized to the SMC after intervention. Treatment with TES using an orthosis-type electrode stimulation d...Continue Reading

References

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Citations

Sep 26, 2013·Journal of Neuroengineering and Rehabilitation·Giuliana GrimaldiMario Manto
Jul 6, 2015·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Jacqueline A PalmerStuart A Binder-Macleod
Jul 31, 2013·Topics in Stroke Rehabilitation·Barbara M Doucet, Lisa Griffin
Oct 25, 2016·Medical Engineering & Physics·Eukene Imatz-OjangurenThierry Keller
Oct 3, 2014·Experimental & Translational Stroke Medicine·Fanny Quandt, Friedhelm C Hummel
Jun 25, 2019·Neuromodulation : Journal of the International Neuromodulation Society·Edith Elgueta-CancinoPaul W Hodges
Jul 31, 2019·Disability and Rehabilitation. Assistive Technology·Guillaume Thomann, Vinicius A de Carvalho
Jun 5, 2016·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Ryo MomosakiMasahiro Abo
Jun 15, 2017·Frontiers in Neurology·Michelle L Harris-Love, Rachael M Harrington
Sep 14, 2019·Journal of Rehabilitation and Assistive Technologies Engineering·Eukene Imatz-OjangurenThierry Keller

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