Pilot Study Combining Electrical Stimulation and a Dynamic Hand Orthosis for Functional Recovery in Chronic Stroke
We investigated the effect of a combined neuromuscular electrical stimulation (ES) and dynamic hand orthosis (DHO) regimen with a group of people with chronic stroke to improve performance on specific daily tasks. Four people with chronic stroke participated in an ES-DHO regimen using the affected u...
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| Veröffentlicht in: | The American journal of occupational therapy 2018-03, Vol.72 (2), p.7202345030p1-7202345030p6 |
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| container_title | The American journal of occupational therapy |
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| creator | Doucet, Barbara M Mettler, Joni A |
| description | We investigated the effect of a combined neuromuscular electrical stimulation (ES) and dynamic hand orthosis (DHO) regimen with a group of people with chronic stroke to improve performance on specific daily tasks.
Four people with chronic stroke participated in an ES-DHO regimen using the affected upper extremity 5×/wk for 6 wk. Outcome measures included grip strength, range of motion (ROM), and analysis of muscle activation-deactivation during release of grasp through electromyography. Ability to perform specific daily living tasks was assessed using the Assessment of Motor and Process Skills (AMPS).
Results suggested that improvements in strength, ROM, and grasp deactivation are possible with the combined ES-DHO regimen. All participants' AMPS motor scores improved.
An ES-DHO regimen may improve motor skills needed for functional task performance in people with chronic stroke. Results should be interpreted cautiously because of the pilot nature of the study and the small sample size. |
| doi_str_mv | 10.5014/ajot.2018.025007 |
| format | Article |
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Four people with chronic stroke participated in an ES-DHO regimen using the affected upper extremity 5×/wk for 6 wk. Outcome measures included grip strength, range of motion (ROM), and analysis of muscle activation-deactivation during release of grasp through electromyography. Ability to perform specific daily living tasks was assessed using the Assessment of Motor and Process Skills (AMPS).
Results suggested that improvements in strength, ROM, and grasp deactivation are possible with the combined ES-DHO regimen. All participants' AMPS motor scores improved.
An ES-DHO regimen may improve motor skills needed for functional task performance in people with chronic stroke. Results should be interpreted cautiously because of the pilot nature of the study and the small sample size.</description><identifier>ISSN: 0272-9490</identifier><identifier>EISSN: 1943-7676</identifier><identifier>DOI: 10.5014/ajot.2018.025007</identifier><identifier>PMID: 29426393</identifier><language>eng</language><publisher>United States: American Occupational Therapy Association</publisher><subject>Activities of daily living ; Activity Units ; Analysis ; Archives & records ; Biomechanics ; Care and treatment ; Columns: Brief Report ; Electrical stimulation ; Electromyography ; Manipulative therapy ; Medical equipment ; Medicine ; Muscle contraction ; Neurology ; Neurosciences ; Object Manipulation ; Occupational therapy ; Outcome Measures ; Patients ; Pretests Posttests ; Recovery ; Recovery (Medical) ; Rehabilitation ; Singers ; Stroke ; Teaching Methods</subject><ispartof>The American journal of occupational therapy, 2018-03, Vol.72 (2), p.7202345030p1-7202345030p6</ispartof><rights>Copyright © 2018 by the American Occupational Therapy Association, Inc.</rights><rights>COPYRIGHT 2018 American Occupational Therapy Association</rights><rights>Copyright American Occupational Therapy Association, Inc. Mar/Apr 2018</rights><rights>Copyright © 2018 by the American Occupational Therapy Association, Inc. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c522t-43f84a05b508aee004b676d1217d2ea3141228cd699270001fb490d92cc9cf8b3</citedby><cites>FETCH-LOGICAL-c522t-43f84a05b508aee004b676d1217d2ea3141228cd699270001fb490d92cc9cf8b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,12825,27901,27902,30976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29426393$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Doucet, Barbara M</creatorcontrib><creatorcontrib>Mettler, Joni A</creatorcontrib><title>Pilot Study Combining Electrical Stimulation and a Dynamic Hand Orthosis for Functional Recovery in Chronic Stroke</title><title>The American journal of occupational therapy</title><addtitle>Am J Occup Ther</addtitle><description>We investigated the effect of a combined neuromuscular electrical stimulation (ES) and dynamic hand orthosis (DHO) regimen with a group of people with chronic stroke to improve performance on specific daily tasks.
Four people with chronic stroke participated in an ES-DHO regimen using the affected upper extremity 5×/wk for 6 wk. Outcome measures included grip strength, range of motion (ROM), and analysis of muscle activation-deactivation during release of grasp through electromyography. Ability to perform specific daily living tasks was assessed using the Assessment of Motor and Process Skills (AMPS).
Results suggested that improvements in strength, ROM, and grasp deactivation are possible with the combined ES-DHO regimen. All participants' AMPS motor scores improved.
An ES-DHO regimen may improve motor skills needed for functional task performance in people with chronic stroke. Results should be interpreted cautiously because of the pilot nature of the study and the small sample size.</description><subject>Activities of daily living</subject><subject>Activity Units</subject><subject>Analysis</subject><subject>Archives & records</subject><subject>Biomechanics</subject><subject>Care and treatment</subject><subject>Columns: Brief Report</subject><subject>Electrical stimulation</subject><subject>Electromyography</subject><subject>Manipulative therapy</subject><subject>Medical equipment</subject><subject>Medicine</subject><subject>Muscle contraction</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Object Manipulation</subject><subject>Occupational therapy</subject><subject>Outcome Measures</subject><subject>Patients</subject><subject>Pretests Posttests</subject><subject>Recovery</subject><subject>Recovery (Medical)</subject><subject>Rehabilitation</subject><subject>Singers</subject><subject>Stroke</subject><subject>Teaching Methods</subject><issn>0272-9490</issn><issn>1943-7676</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><recordid>eNptksFrFDEUxgdR7Fq9e5KAIF5mfUlmJpmLUNbWCoWK1XPIZDI7WTNJTTKF_e_NsLV2RXIISX7f93gvX1G8xrCuAVcf5M6nNQHM10BqAPakWOG2oiVrWPO0WAFhpGyrFk6KFzHuAEjLKXlenJC2Ig1t6aoIX431Cd2kud-jjZ8644zbonOrVQpGSZufzDRbmYx3SLoeSfRp7-RkFLpcjtchjT6aiAYf0MXs1AJm2Tet_J0Oe2Qc2ozBuyy4ScH_1C-LZ4O0Ub-630-LHxfn3zeX5dX15y-bs6tS1YSksqIDryTUXQ1cag1QdbmrHhPMeqIlxRUmhKu-aVvCAAAPXe60b4lSrRp4R0-Ljwff27mbdK-0S0FacRvMJMNeeGnE8Yszo9j6O1FzYBVU2eD9vUHwv2Ydk5hMVNpa6bSfoyC5KDSMUZLRt_-gOz-HPIcDRRllmP-lttJqYdzgc121mIqzmjaUc44hU-v_UHn1Ok_dOz2YfH8kePdIMGpp0xi9nZefiMcgHEAVfIxBDw_DwCCWQIklUGIJlDgEKkvePB7ig-BPguhvc-zFgw</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Doucet, Barbara M</creator><creator>Mettler, Joni A</creator><general>American Occupational Therapy Association</general><general>American Occupational Therapy Association, Inc</general><general>The American Occupational Therapy Association, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4T-</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88C</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180301</creationdate><title>Pilot Study Combining Electrical Stimulation and a Dynamic Hand Orthosis for Functional Recovery in Chronic Stroke</title><author>Doucet, Barbara M ; 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Four people with chronic stroke participated in an ES-DHO regimen using the affected upper extremity 5×/wk for 6 wk. Outcome measures included grip strength, range of motion (ROM), and analysis of muscle activation-deactivation during release of grasp through electromyography. Ability to perform specific daily living tasks was assessed using the Assessment of Motor and Process Skills (AMPS).
Results suggested that improvements in strength, ROM, and grasp deactivation are possible with the combined ES-DHO regimen. All participants' AMPS motor scores improved.
An ES-DHO regimen may improve motor skills needed for functional task performance in people with chronic stroke. Results should be interpreted cautiously because of the pilot nature of the study and the small sample size.</abstract><cop>United States</cop><pub>American Occupational Therapy Association</pub><pmid>29426393</pmid><doi>10.5014/ajot.2018.025007</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | The American journal of occupational therapy, 2018-03, Vol.72 (2), p.7202345030p1-7202345030p6 |
| issn | 0272-9490 1943-7676 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection |
| subjects | Activities of daily living Activity Units Analysis Archives & records Biomechanics Care and treatment Columns: Brief Report Electrical stimulation Electromyography Manipulative therapy Medical equipment Medicine Muscle contraction Neurology Neurosciences Object Manipulation Occupational therapy Outcome Measures Patients Pretests Posttests Recovery Recovery (Medical) Rehabilitation Singers Stroke Teaching Methods |
| title | Pilot Study Combining Electrical Stimulation and a Dynamic Hand Orthosis for Functional Recovery in Chronic Stroke |
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