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The influence of functional electrical stimulation on hand motor recovery in stroke patients: a review.
| Content Provider | Europe PMC |
|---|---|
| Author | Quandt, Fanny Hummel, Friedhelm C |
| Copyright Year | 2014 |
| Abstract | Neuromuscular stimulation has been used as one potential rehabilitative treatment option to restore motor function and improve recovery in patients with paresis. Especially stroke patients who often regain only limited hand function would greatly benefit from a therapy that enhances recovery and restores movement. Multiple studies investigated the effect of functional electrical stimulation on hand paresis, the results however are inconsistent. Here we review the current literature on functional electrical stimulation on hand motor recovery in stroke patients. We discuss the impact of different parameters such as stage after stoke, degree of impairment, spasticity and treatment protocols on the functional outcome. Importantly, we outline the results from recent studies investigating the cortical effects elicited by functional electrical stimulation giving insights into the underlying mechanisms responsible for long-term treatment effects. Bringing together the findings from present research it becomes clear that both, treatment outcomes as well as the neurophysiologic mechanisms causing functional recovery, vary depending on patient characteristics. In order to develop unified treatment guidelines it is essential to conduct homogenous studies assessing the impact of different parameters on rehabilitative success. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC4178310&blobtype=pdf |
| Volume Number | 6 |
| DOI | 10.1186/2040-7378-6-9 |
| PubMed Central reference number | PMC4178310 |
| PubMed reference number | 25276333 |
| Journal | Experimental & Translational Stroke Medicine [Exp Transl Stroke Med] |
| e-ISSN | 20407378 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2014-08-21 |
| Access Restriction | Open |
| Rights License | This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Copyright © 2014 Quandt and Hummel; licensee BioMed Central Ltd. |
| Subject Keyword | Functional electrical stimulation FES Neuromuscular electrical stimulation NMES Stroke Rehabilitation Upper extremity Hand Neuroprothesis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Cognitive Neuroscience Neuroscience |