Jane E Sullivan1, Lois D Hedman. 1. Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, 645 N Michigan Ave, Suite 1100, Chicago, IL 60611, USA. j-sullivan@northwestern.edu
Abstract
BACKGROUND AND PURPOSE: This case report describes a person with upper-extremity (UE) hemiparesis who participated in a home program that included sensory amplitude electrical stimulation (SES) to his involved arm and performance of task-specific exercises with the assistance of neuromuscular electrical stimulation (NMES). CASE DESCRIPTION: The patient was a 67-year-old man with stable sensory and motor deficits 5 years after a stroke. Sensory amplitude electrical stimulation was delivered for 2 hours per day. A daily, 15-minute course of NMES was used to help him perform UE tasks. This home program was carried out for 18 weeks and included 6 physical therapist home visits. OUTCOMES: The patient's UE score on the Stroke Rehabilitation Assessment of Movement (STREAM) improved from 10/20 to 17/20. The score on the Action Research Arm Test (ARAT) improved from 27/57 to 42/57. The patient reported that he was now able to button buttons, use a knife and fork, and tie simple fishing knots. DISCUSSION: A home program combining SES and NMES may be an effective method to increase UE function even 5 years after a stroke.
BACKGROUND AND PURPOSE: This case report describes a person with upper-extremity (UE) hemiparesis who participated in a home program that included sensory amplitude electrical stimulation (SES) to his involved arm and performance of task-specific exercises with the assistance of neuromuscular electrical stimulation (NMES). CASE DESCRIPTION: The patient was a 67-year-old man with stable sensory and motor deficits 5 years after a stroke. Sensory amplitude electrical stimulation was delivered for 2 hours per day. A daily, 15-minute course of NMES was used to help him perform UE tasks. This home program was carried out for 18 weeks and included 6 physical therapist home visits. OUTCOMES: The patient's UE score on the Stroke Rehabilitation Assessment of Movement (STREAM) improved from 10/20 to 17/20. The score on the Action Research Arm Test (ARAT) improved from 27/57 to 42/57. The patient reported that he was now able to button buttons, use a knife and fork, and tie simple fishing knots. DISCUSSION: A home program combining SES and NMES may be an effective method to increase UE function even 5 years after a stroke.
Authors: Adriana B Conforto; André G Machado; Nathalia H V Ribeiro; Ela B Plow; Sook-Lei Liew; Claudia da Costa Leite; Artemis Zavaliangos-Petropulu; Isabella Menezes; Sarah M Dos Anjos; Rafael Luccas; Paul Hunter Peckham; Leonardo G Cohen Journal: Neurorehabil Neural Repair Date: 2021-09-29 Impact factor: 3.919
Authors: Ryanne J M Lemmens; Annick A A Timmermans; Yvonne J M Janssen-Potten; Rob J E M Smeets; Henk A M Seelen Journal: BMC Neurol Date: 2012-04-12 Impact factor: 2.474