Effects of Different Amounts of Electrical Stimulation + Bilateral Practice on Improving Hand Function After Stroke
| Status: | Archived |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 7/1/2011 |
Subacute Stroke Recovery (Upper Extremity Motor Function): Bimanual Coordination Training
The purpose of this study is to compare how well providing 2 different amounts of therapy,
electrical stimulation to the arm/hand muscles plus bilateral practice using the arms/hands,
for the weaker arm and hand after stroke facilitates arm and hand function.
"Intense skill practice with the affected arm after stroke has the potential to improve
upper extremity (UE) function resulting from neuroplastic changes in the motor cortex.
However, the necessary and sufficient parameters of this therapy in humans have not been
fully investigated. Delineation of the most efficacious and efficient therapy for promoting
UE recovery post-stroke is necessary before effective clinical implementation of this
therapy. In this study, using parallel group design methodology, we will compare the
effects on motor function of 2 doses of neuromuscular electric stimulation coupled with
bilateral motor practice. During the subacute recovery phase (3 - 6 months), patients who
meet motor capabilities criteria will be randomly assigned to one of three groups: (a) low
intensity (90 minutes/session, 2 sessions/week 2 weeks) bilateral movement training coupled
with active neuromuscular stimulation on the impaired wrist/fingers (b) high intensity (90
minutes/session, 4 sessions/week for 2 weeks) bilateral movement training coupled with
active stimulation on the impaired wrist/finger extensors, and (c) control group (sham
active stimulation). Patients' UE motor skills will be tested prior to therapy, within the
first week after the therapy program and 2 months after treatment ends.
"
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