Meta-Analysis Examining the Effectiveness of Electrical Stimulation in Improving Functional Use of the Upper Limb in Stroke Patients

Handy, Jarrod; Salinas, Steven; Blanchard, Shirley; Aitken, Marlene J.

doi:10.1300/j148v21n04_05

Cited by 3 publications

(3 citation statements)

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“…Although, electrical stimulation has had varied results (Handy et al, 2003), this study suggests that it may be effective. Previous studies that have not been effective might be due to limited knowledge about the technique or the subsequent lack of standardization of treatment approaches for applying it.…”

Section: Discussionmentioning

confidence: 73%

“…Electrical stimulation has been shown to assist with neural recovery and improve functional recovery to varying degrees (de Kroon, van der Lee, Ijzerman, & Lankhorst, 2002). Despite a demonstrated effectiveness of electrotherapy there continues a paucity in the literature in terms of standardized application, treatment protocols, and discourse regarding electrotherapy for the treatment of specific impairments (Handy, Salinas, Blanchard, & Aitken, 2003). Therefore, the purpose of this article is to present the results of a new standardized, evidence-based treatment protocol with neuromuscular electrical stimulation (NMES) and somatosensory stimulation (SS) on an individual with chronic stroke sequela.…”

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confidence: 99%

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Recovery 9 Years Post Stroke with Standardized Electrical Stimulation

Merring

Gobert

2011

Occupational Therapy In Health Care

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This case report summarizes results of a new standardized evidence-based treatment protocol regarding neuromuscular electrical stimulation (NMES) and somatosensory stimulation (SS) for a chronic stroke patient. The protocol included treatment five times per week, up to 3 hr per day for 20 months. Treatment included 20 min active NMES followed by two to three hr of SS. Repetitive task practice activities were performed during SS for targeted muscle groups. Remarkable functional recovery was noted with all outcome measures, including the Chedoke-McMaster Stroke Assessment and the Action Research Arm Test, suggesting prolonged NMES and SS therapy should be investigated further.

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Section: Discussionmentioning

confidence: 73%

mentioning

confidence: 99%

Recovery 9 Years Post Stroke with Standardized Electrical Stimulation

Merring

Gobert

2011

Occupational Therapy In Health Care

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“…Several research groups have suggested that electrical stimulation of peripheral sensory-motor systems contributes to the facilitation of voluntary movement as well as to strengthening of atrophied muscles, changes in muscle length and bulk, type and function, interactions between agonist and antagonist muscles, increase of the range of movement, and moderation of spasticity [7,21,34,35,43,46,57,79,101,117,118].…”

Section: Electrical Stimulation Of Peripheral Nervesmentioning

confidence: 99%

Electrical stimulation as a means for achieving recovery of function in stroke patients

Popović

Sinkjær

Popović

2009

NRE

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This review presents technologies used in and assesses the main clinical outcomes of electrical therapies designed to speed up and increase functional recovery in stroke patients. The review describes methods which interface peripheral systems (e.g., cyclic neural stimulation, stimulation triggered by electrical activity of muscles, therapeutic functional electrical stimulation) and transcranial brain stimulation with surface and implantable electrodes. Our conclusion from reviewing these data is that integration of electrical therapy into exercise-active movement mediated by electrical activation of peripheral and central sensory-motor mechanisms enhances motor re-learning following damage to the central nervous system. Motor re-learning is considered here as a set of processes associated with practice or experience that leads to long-term changes in the capability for movement. An important suggestion is that therapeutic effects are likely to be much more effective when treatment is applied in the acute, rather than in the chronic, phase of stroke.

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Interventions for improving upper limb function after stroke

Pollock

Farmer

Brady

et al. 2014

Cochrane Database of Systematic Reviews

601

529

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Large numbers of overlapping reviews related to interventions to improve upper limb function following stroke have been identified, and this overview serves to signpost clinicians and policy makers toward relevant systematic reviews to support clinical decisions, providing one accessible, comprehensive document, which should support clinicians and policy makers in clinical decision making for stroke rehabilitation.Currently, no high-quality evidence can be found for any interventions that are currently used as part of routine practice, and evidence is insufficient to enable comparison of the relative effectiveness of interventions. Effective collaboration is urgently needed to support large, robust RCTs of interventions currently used routinely within clinical practice. Evidence related to dose of interventions is particularly needed, as this information has widespread clinical and research implications.

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Meta-Analysis Examining the Effectiveness of Electrical Stimulation in Improving Functional Use of the Upper Limb in Stroke Patients

Cited by 3 publications

References 0 publications

Recovery 9 Years Post Stroke with Standardized Electrical Stimulation

Recovery 9 Years Post Stroke with Standardized Electrical Stimulation

Electrical stimulation as a means for achieving recovery of function in stroke patients

Interventions for improving upper limb function after stroke

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