Cargando…
Efficacy of Four-Channel Functional Electrical Stimulation on Moderate Arm Paresis in Subacute Stroke Patients—Results from a Randomized Controlled Trial
This preliminary randomized clinical trial explores the efficacy of task-oriented electromyography (EMG)-triggered multichannel functional electrical stimulation (EMG-MES) compared to single-channel cyclic neuromuscular electrical stimulation (cNMES) on regaining control of voluntary movements (CVM)...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9028466/ https://www.ncbi.nlm.nih.gov/pubmed/35455881 http://dx.doi.org/10.3390/healthcare10040704 |
_version_ | 1784691624908947456 |
---|---|
author | Schick, Thomas Kolm, Daniela Leitner, Andreas Schober, Sandra Steinmetz, Maria Fheodoroff, Klemens |
author_facet | Schick, Thomas Kolm, Daniela Leitner, Andreas Schober, Sandra Steinmetz, Maria Fheodoroff, Klemens |
author_sort | Schick, Thomas |
collection | PubMed |
description | This preliminary randomized clinical trial explores the efficacy of task-oriented electromyography (EMG)-triggered multichannel functional electrical stimulation (EMG-MES) compared to single-channel cyclic neuromuscular electrical stimulation (cNMES) on regaining control of voluntary movements (CVM) and the ability to execute arm-hand-activities in subacute stroke patients with moderate arm paresis. Twelve ischemic stroke patients (Fugl-Meyer Assessment Arm Section (FMA-AS) score: 19–47) with comparable demographics were block-randomized to receive 15 sessions of cNMES or EMG-MES over three weeks additionally to a conventional neurorehabilitation program including task-oriented arm training. FMA-AS, Box-and-Block Test (BBT), and Stroke-Impact-Scale (SIS) were recorded at baseline and follow-up. All participants demonstrated significant improvement in FMA-AS and BBT. Participants treated with EMG-MES had a higher mean gain in FMA-AS than those treated with cNMES. In the SIS daily activities domain, both groups improved non-significantly; participants in the EMG-MES group had higher improvement in arm-hand use and stroke recovery. EMG-MES treatment demonstrated a higher gain of CVM and self-reported daily activities, arm-hand use, and stroke recovery compared to cNMES treatment of the wrist only. The protocol of this proof-of-concept study seems robust enough to be used in a larger trial to confirm these preliminary findings. |
format | Online Article Text |
id | pubmed-9028466 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-90284662022-04-23 Efficacy of Four-Channel Functional Electrical Stimulation on Moderate Arm Paresis in Subacute Stroke Patients—Results from a Randomized Controlled Trial Schick, Thomas Kolm, Daniela Leitner, Andreas Schober, Sandra Steinmetz, Maria Fheodoroff, Klemens Healthcare (Basel) Article This preliminary randomized clinical trial explores the efficacy of task-oriented electromyography (EMG)-triggered multichannel functional electrical stimulation (EMG-MES) compared to single-channel cyclic neuromuscular electrical stimulation (cNMES) on regaining control of voluntary movements (CVM) and the ability to execute arm-hand-activities in subacute stroke patients with moderate arm paresis. Twelve ischemic stroke patients (Fugl-Meyer Assessment Arm Section (FMA-AS) score: 19–47) with comparable demographics were block-randomized to receive 15 sessions of cNMES or EMG-MES over three weeks additionally to a conventional neurorehabilitation program including task-oriented arm training. FMA-AS, Box-and-Block Test (BBT), and Stroke-Impact-Scale (SIS) were recorded at baseline and follow-up. All participants demonstrated significant improvement in FMA-AS and BBT. Participants treated with EMG-MES had a higher mean gain in FMA-AS than those treated with cNMES. In the SIS daily activities domain, both groups improved non-significantly; participants in the EMG-MES group had higher improvement in arm-hand use and stroke recovery. EMG-MES treatment demonstrated a higher gain of CVM and self-reported daily activities, arm-hand use, and stroke recovery compared to cNMES treatment of the wrist only. The protocol of this proof-of-concept study seems robust enough to be used in a larger trial to confirm these preliminary findings. MDPI 2022-04-10 /pmc/articles/PMC9028466/ /pubmed/35455881 http://dx.doi.org/10.3390/healthcare10040704 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Schick, Thomas Kolm, Daniela Leitner, Andreas Schober, Sandra Steinmetz, Maria Fheodoroff, Klemens Efficacy of Four-Channel Functional Electrical Stimulation on Moderate Arm Paresis in Subacute Stroke Patients—Results from a Randomized Controlled Trial |
title | Efficacy of Four-Channel Functional Electrical Stimulation on Moderate Arm Paresis in Subacute Stroke Patients—Results from a Randomized Controlled Trial |
title_full | Efficacy of Four-Channel Functional Electrical Stimulation on Moderate Arm Paresis in Subacute Stroke Patients—Results from a Randomized Controlled Trial |
title_fullStr | Efficacy of Four-Channel Functional Electrical Stimulation on Moderate Arm Paresis in Subacute Stroke Patients—Results from a Randomized Controlled Trial |
title_full_unstemmed | Efficacy of Four-Channel Functional Electrical Stimulation on Moderate Arm Paresis in Subacute Stroke Patients—Results from a Randomized Controlled Trial |
title_short | Efficacy of Four-Channel Functional Electrical Stimulation on Moderate Arm Paresis in Subacute Stroke Patients—Results from a Randomized Controlled Trial |
title_sort | efficacy of four-channel functional electrical stimulation on moderate arm paresis in subacute stroke patients—results from a randomized controlled trial |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9028466/ https://www.ncbi.nlm.nih.gov/pubmed/35455881 http://dx.doi.org/10.3390/healthcare10040704 |
work_keys_str_mv | AT schickthomas efficacyoffourchannelfunctionalelectricalstimulationonmoderatearmparesisinsubacutestrokepatientsresultsfromarandomizedcontrolledtrial AT kolmdaniela efficacyoffourchannelfunctionalelectricalstimulationonmoderatearmparesisinsubacutestrokepatientsresultsfromarandomizedcontrolledtrial AT leitnerandreas efficacyoffourchannelfunctionalelectricalstimulationonmoderatearmparesisinsubacutestrokepatientsresultsfromarandomizedcontrolledtrial AT schobersandra efficacyoffourchannelfunctionalelectricalstimulationonmoderatearmparesisinsubacutestrokepatientsresultsfromarandomizedcontrolledtrial AT steinmetzmaria efficacyoffourchannelfunctionalelectricalstimulationonmoderatearmparesisinsubacutestrokepatientsresultsfromarandomizedcontrolledtrial AT fheodoroffklemens efficacyoffourchannelfunctionalelectricalstimulationonmoderatearmparesisinsubacutestrokepatientsresultsfromarandomizedcontrolledtrial |