{"id":4560,"date":"2007-08-01T15:18:29","date_gmt":"2007-08-01T23:18:29","guid":{"rendered":"http:\/\/gql.fus.mybluehost.me\/en\/archives\/31"},"modified":"2007-08-01T15:18:29","modified_gmt":"2007-08-01T23:18:29","slug":"neuromuscular-electrical-stimulation-improves-severe-hand-dysfunction-for-individuals-with-chronic-stroke-a-pilot-study","status":"publish","type":"post","link":"https:\/\/neuroft.com\/en\/neuromuscular-electrical-stimulation-improves-severe-hand-dysfunction-for-individuals-with-chronic-stroke-a-pilot-study\/","title":{"rendered":"Neuromuscular Electrical Stimulation Improves Severe Hand Dysfunction for Individuals With Chronic Stroke: A Pilot Study."},"content":{"rendered":"<p class=\"MsoNormal\"><strong>Neuromuscular Electrical Stimulation Improves Severe Hand Dysfunction for Individuals With Chronic Stroke: A Pilot Study.<\/strong><\/p>\n<p class=\"ptarticletocsection\"><strong>RESEARCH ARTICLE<\/strong><\/p>\n<p class=\"MsoNormal\">Journal of Neurologic Physical Therapy. 30(4):175-183, December 2006. <em>Santos, Marcio MS, PT 2; Zahner, Laura H. PT 1; McKiernan, Brian J. PT, PhD 5; Mahnken, Jonathan D. PhD 1,3; Quaney, Barbara PT, PhD 1,2,4 <\/em>  <strong>Abstract:<\/strong> Restoring hand function is difficult post-stroke. We sought to determine if applying neuromuscular electrical stimulation (NMES) was beneficial for reducing severe hand impairments. Subjects with chronic stroke (N=8; 3 Fe, 5 M; 58.3 +\/- 6.9 y\/o) received 10 sessions of NMES using two different methods applied in a counterbalanced order. In one intervention, we applied NMES (&#8216;active&#8217;) in a novel fashion using multiple stimulators on the forearm flexors and extensors to assist subjects with grasping and releasing a tennis ball. In the other intervention, the NMES (&#8216;passive&#8217;) stimulated repeated wrist extension and flexion. Motor performance was assessed prior to and immediately following the interventions and at retention. Upper extremity (UE) Fugl-Myer scores significantly improved (p &lt; 0.002) immediately following either intervention. Significant improvement was also observed in the Modified Ashworth Spasticity Scale (MASS) (p &lt; 0.03), immediately following intervention, primarily due to the NMESpassive treatment (p &lt; 0.034). Subjects performed grasping tasks significantly faster (p &lt; 0.0433) following interventions, with performance speeds on dexterous manipulation increasing ~10% for NMESactive immediately following intervention, compared to only 0.1% improvement following NMESpassive. Generally, improvements in motor speed remained 10 days following NMESactive intervention, although slightly diminished. In conclusion, severe hand impairment was reduced after a short duration of NMES therapy in this pilot data set for individuals with chronic stroke. NMES-assisted grasping trended towards greater functional benefit than traditional NMES-activation of wrist flexors\/extensors.  (C) 2006 Neurology Section, APTA  To obtain full text:  <a href=\"https:\/\/neuroft.com\/en\/http:www.jnpt.org\/pt\/re\/jnpt\/userlogin.html\" title=\"JNPT\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.jnpt.org\/pt\/re\/jnpt\/userLogin.htm<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Neuromuscular Electrical Stimulation Improves Severe Hand Dysfunction for Individuals With Chronic Stroke: A Pilot Study. RESEARCH ARTICLE Journal of Neurologic Physical  [&#8230;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[559,532,538,564,545],"tags":[700,745,746,747,874,880,992],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v16.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Neuromuscular Electrical Stimulation Improves Severe Hand Dysfunction for Individuals With Chronic Stroke: A Pilot Study. - Terapia F\u00edsica Costa Rica y Rehabilitaci\u00f3n Neurol\u00f3gica - Dra. Lisa Riggioni<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/neuroft.com\/en\/neuromuscular-electrical-stimulation-improves-severe-hand-dysfunction-for-individuals-with-chronic-stroke-a-pilot-study\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neuromuscular Electrical Stimulation Improves Severe Hand Dysfunction for Individuals With Chronic Stroke: A Pilot Study. - Terapia F\u00edsica Costa Rica y Rehabilitaci\u00f3n Neurol\u00f3gica - Dra. Lisa Riggioni\" \/>\n<meta property=\"og:description\" content=\"Neuromuscular Electrical Stimulation Improves Severe Hand Dysfunction for Individuals With Chronic Stroke: A Pilot Study. 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