Efeitos da estimulação elétrica funcional nos músculos do punho e dedos em indivíduos hemiparéticos: uma revisão sistemática da literatura

Arantes, NF; Vaz, Daniela Virgínia; Mc, Mancini; Pereira, Msdc; Pinto, FP; Pinto, Tps

doi:10.1590/s1413-35552007000600002

Cited by 23 publications

(24 citation statements)

References 17 publications

(49 reference statements)

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“…It is important to use these upper limb dexterity tests, for they are quick, simple, and give an estimation of the functionality of the upper limb. 8,23 Despite the study sample having slight spasticity initially, a significant reduction…”

Section: Discussionmentioning

confidence: 93%

“…Although some studies have demonstrated the effects of electrical stimulation reducing spasticity, 8 some others did not compare their findings with other therapeutic interventions. 13,30,31 The Barthel Index is frequently used to evaluate the functional independence of neurological patients.…”

Section: Resultsmentioning

confidence: 99%

“…4 A stroke can be caused by hypertension and age, the main risk factors, 5 resulting in paresis or paralysis of the side opposite to the injury, 6,7 and manifested in muscle weakness, spasticity, and atypical motor patterns, disabling its victims or hampering the functionality of the upper limb. 8,9 Recovering movement and function of the upper limb is a concern for individuals who have suffered paresis after a stroke. [10][11][12] Among survivors, 80% of the victims suffer from acute paresis of the upper limb after a stroke, and only a third of them recover full function.…”

Section: Introductionmentioning

confidence: 99%

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Functional electrical stimulation in upper extremity recovery of hemiparetic patients after stroke

Soares¹,

Poluceno²,

Cremonini³

et al. 2012

Acta Fisiátrica

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The rehabilitation of the upper limb of hemiparetic patients by stroke is a major challenge. Among the various therapeutic resources used, functional electrical stimulation (FES) has been a popular avenue explored in treatment programs for these patients. Objective: To evaluate the effects of FES on wrist and finger extensors in a specific task (ST). Methods: We conducted a pre-experimental study (pre and post-tests) with eight chronic patients with a mean age of 63.4 years (± 6.1). The evaluation parameters were for manual mobility by the hand movement scale (EMM), grip strength by dynamometry (Din), dexterity of the upper limb by the box and blocks test (CB) and the 9-pin and holes test (9PB), spasticity by the modified Ashworth scale (MAS), and functional independence by the Barthel index (BI). The ST chosen was performing the movement of reaching and grasping plastic bottles of different sizes with the affected upper limb in different combinations of positions for a total maximum of 54 repetitions per session. FES was used to assist the hand in grabbing and holding the object during the ST. There was a mean of 20 sessions with attendance twice a week. Results: The results showed improvement in all parameters, the difference was statistically significant in all the tests, except for Din. Conclusion: In this sample, FES in the proposed ST resulted in improved performance in the upper limb function of patients undergoing treatment.

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Section: Discussionmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Functional electrical stimulation in upper extremity recovery of hemiparetic patients after stroke

Soares¹,

Poluceno²,

Cremonini³

et al. 2012

Acta Fisiátrica

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show abstract

“…2 In the therapeutic rehabilitation arsenal for individuals with stroke sequelae, functional electrical stimulation (FES) has stood out recently. Functional Electrical Stimulation consists of an electrical current that provokes action potentials in the motor nerve, 3 and may cause strengthening, decrease in spasticity (by reciprocal inhibition), and muscular relaxation, depending on the frequency used and on other parameters (pulse width, time on/off, and area stimulated).…”

Section: Introductionmentioning

confidence: 99%

“…3 The parameters normally used in producing scientific articles are: frequency of 20 to 100 hz, amplitude of 14 to 60 mA, and pulse width of 200 to 300 μs. 3 For muscle strength and muscle tone, there is strong evidence of positive effects, emphasizing that, for the effect of diminishing tone, this is limited to patients with active wrist extension greater than 20° before intervention.As for the range of active movement (ROM) and in the group of patients with active extension between 10° and 20°, there were no significant gains. 3 The duration of the interventions varies on average from 10 to 15 sessions.…”

Section: Introductionmentioning

confidence: 99%

Functional electrical stimulation optimized in patients with hemiparesis due to cerebrovascular disease

et al. 2012

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Functional Electrical Stimulation (FES) is one of the techniques used on patients with motor sequelae such as hemiparesis after a stroke (CVA). Recent studies show positive results for the use of FES in the increase of isometric muscular strength for wrist extensors and reduction of tonus for patients with active extension of upper wrist at 20° before the intervention. Objective: As for the amplitude of movement and reduction of tonus in patients with 10° and 20° of active extension of the wrist, no significant gains were observed. Method: This study evaluated the efficiency of optimized functional electrical stimulation (O-FES) for two weeks on the manual dexterity and range of movement (ROM) of three individuals showing hemiparesis due to a stroke. Results: All the patients improved in one or more items of the evaluation (manual dexterity and ROM). Conclusion:We can conclude that the application of stimulation according to this new parameter showed benefits with a short time of stimulation on those patients with only a hint of finger movement.

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Peripheral electrical stimulation on neuroplasticity and motor function in stroke patients: a systematic review and meta-analysis

Beijora,

Back,

Fréz

et al. 2023

Neurological Research

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Efeitos da estimulação elétrica funcional nos músculos do punho e dedos em indivíduos hemiparéticos: uma revisão sistemática da literatura

Cited by 23 publications

References 17 publications

Functional electrical stimulation in upper extremity recovery of hemiparetic patients after stroke

Functional electrical stimulation in upper extremity recovery of hemiparetic patients after stroke

Functional electrical stimulation optimized in patients with hemiparesis due to cerebrovascular disease

Peripheral electrical stimulation on neuroplasticity and motor function in stroke patients: a systematic review and meta-analysis

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