To compare two types of therapies for upper extremity hemiparesis: conventional physiotherapy and occupationaltherapy to a neuroprosthesis that applies functional electrical stimulation (FES) therapy.
- Occupational therapy Behavioral
- Physical therapy Behavioral
- Electrical stimulation Device
Intervention Desc: This category includes any form of electrical stimulation intended to improve motor function or pain after stroke.
Randomized, controlled trial.
Patients were randomly assigned to two groups: Group A: the control group who were administered only standard physiotherapy and occupational therapy; and Group B: the treatment group who were trained with the neuroprosthesis in addition to standard physiotherapy and occupational therapy. The Compex Motion electric stimulator (a fully programmable FES system with standard self-adhesive surface stimulation electrodes) was used as a hardware platform for the neuroprosthesis for reaching and grasping. The neuroprosthesis treatment consisted of a functional training program carried out by asking the patient to execute a task with the impaired arm unassisted. The components/sequences of the task the patient was unable to carry out him/her self were assisted with the neuroprosthesis. Patients received treatments of 45 minutes daily, 3 to 5 times per week, for 12 to 16 weeks.
|Type||Measure||Time Frame||Safety Issue|
|Primary||Chedoke McMaster Stages of Motor Recovery (CMSMR) test, pertaining to arm and hand functions of the hemiparetic arm. Parts of the Fugl-Meyer Assessment (FMA) pertaining to shoulder, elbow, forearm, wrist, and hand functions of the hemiparetic arm. Functional Independence Measure (FIM) and the Barthel Index (BI).|
|Secondary||Rehabilitation Engineering Laboratory Hand Function Test for Functional Electrical Stimulation Assisted Grasping (REL Test).|