Effects of repetitive electrical stimulation to treat sensory loss in persons poststroke

Autor: Tobias Kalisch, Patricia S. Smith, Delaina Walker-Batson, Hubert R. Dinse, Mark D. Johnson
Rok vydání: 2009
Předmět:
Zdroj: Archives of physical medicine and rehabilitation. 90(12)
ISSN: 1532-821X
Popis: Smith PS, Dinse HR, Kalisch T, Johnson M, Walker-Batson D. Effects of repetitive electrical stimulation to treat sensory loss in persons poststroke. Arch Phys Med Re- habil 2009;90:2108-11. Objective: To explore the effectiveness of repetitive elec- trical stimulation referred to here as tactile coactivation and to improve sensory discrimination and function in the most in- volved hand of a person recovering from stroke. Design: Pre-experimental 1-group (n4) design with mul- tiple measures. Setting: Outpatient stroke treatment center. Participants: Subjects with 6 months or longer poststroke with self-reported sensory loss and a mild motor impairment in the most involved hand. Intervention: Electrical stimulation (coactivation) of the fingers of the involved hand for 90 minutes 4 days a week for 6 weeks. Main Outcome Measures: Primary-dependent measures in- cluded touch threshold, tactile acuity, haptic object recognition, motor tapping task, pegboard activities, and functional tasks from the Wolf Motor Function Test. Results: Posttreatment assessments revealed improvements in sensory discrimination and motor task performance in all subjects in varying degrees; these results held 4 weeks posttreatment. Conclusions: The type of repetitive electrical stimulation or tactile coactivation used in this study has not been ex- plored previously in subjects with sensory loss caused by stroke. The results of this pilot study suggest that coactiva- tion may have the potential to be a useful therapeutic mo- dality for this population.
Databáze: OpenAIRE