Contralaterally controlled functional electrical stimulation immediately improves hand function

  • Murata Shohei
    Department of Orthopedic Surgery, Kakunodate General Hospital Department of Orthopedic Surgery, Akita University Graduate School of Medicine
  • Koike Yasuharu
    Institute of Innovative Research, Tokyo Institute of Technology
  • Kasukawa Yuji
    Department of Orthopedic Surgery, Akita University Graduate School of Medicine
  • Saito Kimio
    Department of Rehabilitation Medicine, Akita University Hospital
  • Okada Koki
    Institute of Innovative Research, Tokyo Institute of Technology
  • Kudo Daisuke
    Department of Orthopedic Surgery, Akita University Graduate School of Medicine
  • Shimada Yoichi
    Independent Administrative Institution Akita Prefectural Development and Disability Organization
  • Miyakoshi Naohisa
    Department of Orthopedic Surgery, Akita University Graduate School of Medicine

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<p>Murata S, Koike Y, Kasukawa Y, Saito K, Okada K, Kudo D, Shimada Y, Miyakoshi N. Contralaterally controlled functional electrical stimulation immediately improves hand function. Jpn J Compr Rehabil Sci 2022; 13: 26-30.</p><p>Objective: The purpose of this study was to investigate the immediate effects of contralaterally controlled functional electrical stimulation (CCFES) on upper limb function in stroke patients.</p><p>Methods: CCFES and mirror therapy (MT) exercises were conducted for 13 stroke patients at least 4 weeks post-onset. A sufficient interval of at least 24 hours was left between the two types of rehabilitation exercises. Before treatment and immediately after each training session, grip strength, Fugl-Meyer Assessment for Upper Extremity (FMA-UE) score and FMA-UE subscores for the shoulder/elbow/forearm, wrist, hand, and coordination were evaluated.</p><p>Results: Grip strength, FMA-UE and FMA-UE shoulder/elbow/forearm, wrist, and coordination did not differ significantly after CCFES and MT compared to before therapy. FMA-UE hand did not change significantly after MT compared to before therapy, but it improved significantly after CCFES (p = 0.013).</p><p>Conclusion: CCFES for the upper extremities immediately improves hand function and may be effective in maintaining and improving patients' motivation for rehabilitation treatment.</p>

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