Functional electrical stimulation and the reduction of co-contraction in spastic biceps brachii

Lagassé, Pierre P.; Roy, Michel-André

doi:10.1177/026921558900300205

Cited by 9 publications

(2 citation statements)

References 11 publications

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“…There is evidence that FES can reduce upper limb spasticity. In cohort studies of chronic stroke survivors with some residual elbow extension, FES intervention showed statistically significant reduction of abnormal biceps activation (EMG amplitude) during an elbow extension task [67,68], and either mean improvement or statistically significant improvement in Ashworth spasticity measures of shoulder, elbow, wrist, and finger muscles( [69,70], respectively).…”

Section: Response To Functional Electrical Stimulation (Fes)mentioning

confidence: 99%

Construction of Efficacious Gait and Upper Limb Functional Interventions Based on Brain Plasticity Evidence and Model-Based Measures For Stroke Patients

Daly

Ruff

2007

The Scientific World JOURNAL

129

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For neurorehabilitation to advance from art to science, it must become evidence-based. Historically, there has been a dearth of evidence from which to construct rehabilitation interventions that are properly framed, accurately targeted, and credibly measured. In many instances, evidence of treatment response has not been sufficiently robust to demonstrate a change in function that is clinically, statistically, and economically important. Research evidence of activity-dependent central nervous system (CNS) plasticity and the requisite motor learning principles can be used to construct an efficacious motor recovery intervention. Brain plasticity after stroke refers to the regeneration of brain neuronal structures and/or reorganization of the function of neurons. Not only can CNS structure and function change in response to injury, but also, the changes may be modified by "activity". For gait training or upper limb functional training for stroke survivors, the "activity" is motor behavior, including coordination and strengthening exercise and functional training that comprise motor learning. Critical principles of motor learning required for CNS activity-dependent plasticity include: close-to-normal movements, muscle activation driving practice of movement; focused attention, repetition of desired movements, and training specificity. The ultimate goal of rehabilitation is to restore function so that a satisfying quality of life can be experienced. Accurate measurement of dysfunction and its underlying impairments are critical to the development of accurately targeted interventions that are sufficiently robust to produce gains, not only in function, but also in quality of life. The Classification of Functioning, Disability, and Health Model (ICF) model of disablement, put forth by the World Health Organization, can provide not only some guidance in measurement level selection, but also can serve as a guide to incorporate function and quality of life enhancement as the ultimate goals of rehabilitation interventions. Based on the evidence and principles of activity-dependent plasticity and motor learning, we developed gait training and upper limb functional training protocols. Guided by the ICF model, we selected and developed measures with characteristics rendering them most likely to capture change in the targeted aspects of intervention, as well as measures having membership not only in the impairment, but also in the

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Section: Response To Functional Electrical Stimulation (Fes)mentioning

confidence: 99%

Construction of Efficacious Gait and Upper Limb Functional Interventions Based on Brain Plasticity Evidence and Model-Based Measures For Stroke Patients

Daly

Ruff

2007

The Scientific World JOURNAL

129

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“…FNS produced improvement in the impairment measures of upper-limb muscle tone [5][6], strength, and coordination [7][8]. Encouraging results were obtained for mildly to moderately involved subjects according to tests of simulated functional task movements of grasp and release of cylinders and short translational movements of the arm in the horizontal plane (Box and Blocks, Jebsen Light Cylinder, and Jebsen Heavy Cylinder subscales) [6,[9][10].…”

Section: Introductionmentioning

confidence: 99%

Response to upper-limb robotics and functional neuromuscular

Daly

Hogan

Perepezko³

et al. 2005

JRRD

156

120

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Abstract-Twelve moderately to severely involved chronic stroke survivors (>12 mo) were randomized to one of two treatments: robotics and motor learning (ROB-ML) or functional neuromuscular stimulation and motor learning (FNS-ML). Treatment was 5 h/d, 5 d/wk for 12 wk. ROB-ML group had 1.5 h per session devoted to robotics shoulder and elbow (S/E) training. FNS-ML had 1.5 h per session devoted to functional neuromuscular stimulation (surface electrodes) for wrist and hand (W/H) flexors/ extensors. The primary outcome measure was the functional measure Arm Motor Ability Test (AMAT). Secondary measures were AMAT-S/E and AMAT-W/H, Fugl-Meyer (FM) upper-limb coordination, and the motor control measures of target accuracy (TA) and smoothness of movement (SM). ROB-ML produced significant gains in AMAT, AMAT-S/E, FM upper-limb coordination, TA, and SM. FNS-ML produced significant gains in AMAT-W/H and FM upper-limb coordination.

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Modification of motor control of wrist extension by mesh-glove electrical afferent stimulation in stroke patients

Dimitrijevic

Stokié

Wawro

et al. 1996

Archives of Physical Medicine and Rehabilitation

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Functional electrical stimulation and the reduction of co-contraction in spastic biceps brachii

Cited by 9 publications

References 11 publications

Construction of Efficacious Gait and Upper Limb Functional Interventions Based on Brain Plasticity Evidence and Model-Based Measures For Stroke Patients

Construction of Efficacious Gait and Upper Limb Functional Interventions Based on Brain Plasticity Evidence and Model-Based Measures For Stroke Patients

Response to upper-limb robotics and functional neuromuscular

Modification of motor control of wrist extension by mesh-glove electrical afferent stimulation in stroke patients

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