Functional electrical stimulation improves reaching movement in the shoulder and elbow muscles of stroke patients: A three-dimensional motion analysis

Restor Neurol Neurosci. 2019;37(3):231-238. doi: 10.3233/RNN-180884.

Abstract

Background: Recovery of motor function following stroke is essential to restore adequate functionality. The use of functional electrical stimulation (FES) technology as a neuroprosthesis to enhance the motor function of the UL, and thus facilitate the performance of ADL, could lead to a stroke patient's greater activity and participation in daily life.

Objective: The aim of the present study was to establish whether the application of FES in patients who have suffered a stroke with UL motor impairment is able to modify and facilitate their reaching patterns, measured by a three-dimensional motion capture system.

Methods: 20 patients with chronic stroke participated in this study. For muscle stimulation, the electrical stimulator Compex® was used. Motion analysis was performed using the VICON Motion System®. Joint movements of the thorax, shoulder and elbow were analyzed in the sagittal plane, during the reaching movement under two different conditions of stimulation: FES condition and placebo condition.

Results: Differences between FES condition and placebo condition were observed. In the FES condition it was recorded: an increased shoulder flexion and elbow extension in the reaching movement.

Conclusions: Functional electrical stimulation improved reaching movement in stroke patients with upper limb impairment.

Keywords: Electric Stimulation Therapy, Movement disorders, Paresis, Range of Motion, Stroke, Upper extremity..

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Aged
  • Chronic Disease
  • Elbow / physiopathology*
  • Electric Stimulation Therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Muscle, Skeletal / physiopathology*
  • Paresis / etiology
  • Paresis / physiopathology
  • Paresis / rehabilitation*
  • Recovery of Function / physiology*
  • Shoulder / physiopathology*
  • Stroke / complications
  • Stroke / physiopathology
  • Stroke / therapy*
  • Stroke Rehabilitation*
  • Treatment Outcome