Session Title: Section Info: Annual Assembly Posters (Non Presentations)
Session Time: 11:15am-12:45pm
Location: Research Hub - Kiosk 8
Disclosures: Chan Chen, MD: Nothing to disclose
Objective: To compare the effect of contralaterally controlled functional electrical stimulation versus neuromuscular electrical stimulation on the motor recovery of the hemiplegic upper limb in sub-acute stroke patients.
Design: Randomized, controlled study.
Setting: Hemiplegic upper limb in sub-acute stroke patients (duration < 6 months).
Participants: 42 subjects stroke patients randomly assigned to the study group (contralaterally controlled functional electrical stimulation therapy, CCFES, n=21) and the control group (neuromuscular electrical stimulation therapy, NMES, n=21).
Interventions: Both groups underwent routine structured rehabilitation plus 20-minute electrical stimulation on the hemiplegic wrist extensors per day, 5 days a week, and lasted for 3 weeks. Assessments were made before and after therapies at 3 weeks. The activities of daily living were assessed by the Barthel index. The motor function of the hemiplegic upper limb was evaluated by the Fugl-Meyer Assessment (FMA) and the Arm Research Action Test (ARAT). Surface EMG was applied to detect the muscle excitability of the hemiplegic wrist extensors.
Main Outcome Measures: FMA score of the upper limb and ARAT score.
Results: The FMA score of the upper limb and the Barthel index were not significantly improved by CCFES. While the ARAT score was largely improved after CCFES (11.47 ± 16.74 vs 7.28 ± 16.13, P<.05). Meanwhile, the change of RMS ratio of the hemiplegic wrist extensors increased after CCFES therapy versus NMES therapy (0.09 ± 0.13 vs 0.01 ± 0.09, P<.05).
Conclusions: CCFES offers potential therapeutic effect for motor function of the hemiplegic upper limb in sub-acute stroke.
Level of Evidence: Level II
To cite this abstract in AMA style:Chen C, Huang S. Effect of Contralaterally Controlled Functional Electrical Stimulation versus Neuromuscular Electrical Stimulation on the Motor Recovery of the Hemiplegic Upper Limb in Sub-acute Stroke Patients [abstract]. PM R. 2019; 11(S2)(suppl 2). https://pmrjabstracts.org/abstract/effect-of-contralaterally-controlled-functional-electrical-stimulation-versus-neuromuscular-electrical-stimulation-on-the-motor-recovery-of-the-hemiplegic-upper-limb-in-sub-acute-stroke-patients/. Accessed September 28, 2023.
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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/effect-of-contralaterally-controlled-functional-electrical-stimulation-versus-neuromuscular-electrical-stimulation-on-the-motor-recovery-of-the-hemiplegic-upper-limb-in-sub-acute-stroke-patients/