Effectiveness of Repetitive Facilitative Exercise Combined with Electrical Stimulation Therapy to Improve Very Severe Paretic Upper Limbs in with Stroke Patients: A Randomized Controlled Trial.

Publisher: Wiley Country of Publication: United States NLM ID: 9433361 Publication Model: eCollection Cited Medium: Internet ISSN: 1557-0703 (Electronic) Linking ISSN: 09667903 NLM ISO Abbreviation: Occup Ther Int Subsets: MEDLINE

Publication: Hoboken, NJ : Wiley
Original Publication: London : Whurr Publishers, c1994-

Electric Stimulation Therapy* ; Occupational Therapy* ; Stroke*/complications ; Stroke Rehabilitation*; Humans ; Paresis/etiology ; Paresis/therapy ; Pilot Projects ; Recovery of Function/physiology ; Treatment Outcome ; Upper Extremity

Background: The difference in the effects of combined therapy with repetitive facilitative exercise (RFE) and neuromuscular electrical stimulation (NMES) on stroke upper limb paralysis was only reported by a pilot study; it has not been investigated in many patients.
Objective: We investigated the effect of combined therapy with RFE and NMES on stroke patients with severe upper paresis.
Methods: This study included 99 of the very severe paresis stroke patients with scores of zero or 1a in the Finger-Function test of the Stroke Impairment Assessment Set (SIAS). We randomly divided the patients into four groups, namely, NMES, RFE, RFE under NMES, and conventional training (CT) groups. A total of 20 min of group-specific training in addition to 40 min of conventional exercise per day, seven times a week for 4 weeks after admission, was performed. The upper extremity items of the Fugl-Meyer Assessment (FMA) were evaluated before and after the training period.
Results: The total score gains of the FMA, FMA wrist item, and FMA finger item were significantly larger in the RFE under NMES group than those in the CT group ( p < 0.05).
Conclusion: The combination of voluntary movement and electrical stimulation may promote the activation of paralyzed muscles and improve distal function for very severe paralyzed upper limbs.
Competing Interests: The authors declare that there is no conflict of interest regarding the publication of this paper.
(Copyright © 2022 Hitoshi Ohnishi et al.)

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Date Created: 20220516 Date Completed: 20220519 Latest Revision: 20220716

20250114

PMC9068343

10.1155/2022/4847363

35572164