The influence of functional electrical stimulation on hand motor recovery in stroke patients: a review

Experimental & Translational Stroke Medicine

Friedhelm C Hummel¹  Fanny Quandt² 

[1] Favaloro University Av, Belgrano 1746, Buenos Aires C1093AAS, Argentina;Brain Imaging and Neurostimulation (BINS) Labor, Department of Neurology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, Hamburg W34 20246, Germany

关键词: Neuroprothesis;    Hand;    Upper extremity;    Rehabilitation;    Stroke;    NMES;    Neuromuscular electrical stimulation;    FES;    Functional electrical stimulation;   

Others  :  1093167
DOI  :  10.1186/2040-7378-6-9

 received in 2014-05-19, accepted in 2014-07-29,  发布年份 2014

【 摘 要 】

Neuromuscular stimulation has been used as one potential rehabilitative treatment option to restore motor function and improve recovery in patients with paresis. Especially stroke patients who often regain only limited hand function would greatly benefit from a therapy that enhances recovery and restores movement. Multiple studies investigated the effect of functional electrical stimulation on hand paresis, the results however are inconsistent. Here we review the current literature on functional electrical stimulation on hand motor recovery in stroke patients. We discuss the impact of different parameters such as stage after stoke, degree of impairment, spasticity and treatment protocols on the functional outcome. Importantly, we outline the results from recent studies investigating the cortical effects elicited by functional electrical stimulation giving insights into the underlying mechanisms responsible for long-term treatment effects. Bringing together the findings from present research it becomes clear that both, treatment outcomes as well as the neurophysiologic mechanisms causing functional recovery, vary depending on patient characteristics. In order to develop unified treatment guidelines it is essential to conduct homogenous studies assessing the impact of different parameters on rehabilitative success.

【 授权许可】

   
2014 Quandt and Hummel; licensee BioMed Central Ltd.

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