Abstract
We investigated whether untriggered neuromuscular electrical stimulation (NMES) can increase the effectiveness of shoulder and elbow robotic training in patients with hemiparesis. Thirty subacute stroke patients were randomly equally allocated to robot only (RO) and robot and electrical stimulation (RE) groups. During training, shoulder and elbow movements were trained by operating the robotic arm with the paretic arm, and the robotic device helped to move the arm. In the RE group, the anterior deltoid and triceps brachii muscles were electrically stimulated at sub-motor threshold intensity. Training was performed (approximately 1 h/day, 5 days/week for 2 weeks) in addition to regular rehabilitation. Active range of motion (ROM) values of shoulder flexion and abduction, and Fugl-Meyer assessment (FMA) scores were measured before and after training. Active shoulder ROM was significantly better after than before training in the RE group; however, no such improvement was noted in the RO group. FMA scores were significantly better in both groups, and there was no significant difference between the groups. Untriggered NMES might increase the effectiveness of shoulder and elbow robotic training in patients with hemiparesis. Additionally, NMES at a sub-motor threshold during robotic training might facilitate activation of paretic muscles, resulting in paralysis improvement.
| Original language | English |
|---|---|
| Pages (from-to) | 1172-1175 |
| Number of pages | 4 |
| Journal | Medical Engineering and Physics |
| Volume | 38 |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - 01-11-2016 |
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All Science Journal Classification (ASJC) codes
- Biophysics
- Biomedical Engineering
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Ability of electrical stimulation therapy to improve the effectiveness of robotic training for paretic upper limbs in patients with stroke. / Miyasaka, Hiroyuki; Orand, Abbas; Ohnishi, Hitoshi; Tanino, Genichi; Takeda, Kotaro; Sonoda, Shigeru.
In: Medical Engineering and Physics, Vol. 38, No. 11, 01.11.2016, p. 1172-1175.Research output: Contribution to journal › Article
TY - JOUR
T1 - Ability of electrical stimulation therapy to improve the effectiveness of robotic training for paretic upper limbs in patients with stroke
AU - Miyasaka, Hiroyuki
AU - Orand, Abbas
AU - Ohnishi, Hitoshi
AU - Tanino, Genichi
AU - Takeda, Kotaro
AU - Sonoda, Shigeru
PY - 2016/11/1
Y1 - 2016/11/1
N2 - We investigated whether untriggered neuromuscular electrical stimulation (NMES) can increase the effectiveness of shoulder and elbow robotic training in patients with hemiparesis. Thirty subacute stroke patients were randomly equally allocated to robot only (RO) and robot and electrical stimulation (RE) groups. During training, shoulder and elbow movements were trained by operating the robotic arm with the paretic arm, and the robotic device helped to move the arm. In the RE group, the anterior deltoid and triceps brachii muscles were electrically stimulated at sub-motor threshold intensity. Training was performed (approximately 1 h/day, 5 days/week for 2 weeks) in addition to regular rehabilitation. Active range of motion (ROM) values of shoulder flexion and abduction, and Fugl-Meyer assessment (FMA) scores were measured before and after training. Active shoulder ROM was significantly better after than before training in the RE group; however, no such improvement was noted in the RO group. FMA scores were significantly better in both groups, and there was no significant difference between the groups. Untriggered NMES might increase the effectiveness of shoulder and elbow robotic training in patients with hemiparesis. Additionally, NMES at a sub-motor threshold during robotic training might facilitate activation of paretic muscles, resulting in paralysis improvement.
AB - We investigated whether untriggered neuromuscular electrical stimulation (NMES) can increase the effectiveness of shoulder and elbow robotic training in patients with hemiparesis. Thirty subacute stroke patients were randomly equally allocated to robot only (RO) and robot and electrical stimulation (RE) groups. During training, shoulder and elbow movements were trained by operating the robotic arm with the paretic arm, and the robotic device helped to move the arm. In the RE group, the anterior deltoid and triceps brachii muscles were electrically stimulated at sub-motor threshold intensity. Training was performed (approximately 1 h/day, 5 days/week for 2 weeks) in addition to regular rehabilitation. Active range of motion (ROM) values of shoulder flexion and abduction, and Fugl-Meyer assessment (FMA) scores were measured before and after training. Active shoulder ROM was significantly better after than before training in the RE group; however, no such improvement was noted in the RO group. FMA scores were significantly better in both groups, and there was no significant difference between the groups. Untriggered NMES might increase the effectiveness of shoulder and elbow robotic training in patients with hemiparesis. Additionally, NMES at a sub-motor threshold during robotic training might facilitate activation of paretic muscles, resulting in paralysis improvement.
UR - http://www.scopus.com/inward/record.url?scp=84994482712&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84994482712&partnerID=8YFLogxK
U2 - 10.1016/j.medengphy.2016.07.010
DO - 10.1016/j.medengphy.2016.07.010
M3 - Article
C2 - 27531071
AN - SCOPUS:84994482712
VL - 38
SP - 1172
EP - 1175
JO - Medical Engineering and Physics
JF - Medical Engineering and Physics
SN - 1350-4533
IS - 11
ER -