Electrically Assisted Movement Therapy in Chronic Stroke Patients With Severe Upper Limb Paresis: A Pilot, Single-Blind, Randomized Crossover Study

Archives of Physical Medicine and Rehabilitation
Stefano CardaJosé Del R Millán

Abstract

To evaluate the effects of electrically assisted movement therapy (EAMT) in which patients use functional electrical stimulation, modulated by a custom device controlled through the patient's unaffected hand, to produce or assist task-specific upper limb movements, which enables them to engage in intensive goal-oriented training. Randomized, crossover, assessor-blinded, 5-week trial with follow-up at 18 weeks. Rehabilitation university hospital. Patients with chronic, severe stroke (N=11; mean age, 47.9y) more than 6 months poststroke (mean time since event, 46.3mo). Both EAMT and the control intervention (dose-matched, goal-oriented standard care) consisted of 10 sessions of 90 minutes per day, 5 sessions per week, for 2 weeks. After the first 10 sessions, group allocation was crossed over, and patients received a 1-week therapy break before receiving the new treatment. Fugl-Meyer Motor Assessment for the Upper Extremity, Wolf Motor Function Test, spasticity, and 28-item Motor Activity Log. Forty-four individuals were recruited, of whom 11 were eligible and participated. Five patients received the experimental treatment before standard care, and 6 received standard care before the experimental treatment. EAMT produced higher i...Continue Reading

Associated Clinical Trials

Sep 30, 2015·Stefano Carda

Citations

Jul 2, 2019·Brain : a Journal of Neurology·Martina CosciaFriedhelm C Hummel
Jul 2, 2020·Disability and Rehabilitation. Assistive Technology·Rosa Dam Waerling, Troels Wesenberg Kjaer
Jun 6, 2018·Journal of Neuroengineering and Rehabilitation·Roger Gassert, Volker Dietz
Feb 23, 2020·Neuron·Silvestro MiceraAlessandra Pedrocchi
Aug 15, 2021·BMJ Case Reports·Aitor Martín-OdriozolaHaritz Zabaleta-Rekondo

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