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Neuromodulation of effects of upper limb motor function and shoulder range of motion by functional electric stimulation (FES)

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Operative Neuromodulation

Part of the book series: Acta Neurochirurgica Supplements ((NEUROCHIRURGICA,volume 97/1))

Summary

Upper extremity motor impairment is a major contributing factor to functional disability of stroke patients. Functional electric stimulation (FES) is one of the therapeutic regimens for the management of upper extremity dysfunction after stroke. This review shows that therapeutic FES intervention on supraspinatus and posterior deltoid muscles for 6 weeks is effective to speed up upper limb motor recovery in hemiplegia of short-duration after stroke or less severely affected symptoms. The positive effect of FES could be attributable to neural mechanisms including: an enhanced information flow from the joint and muscle afferents, a better visual perception of the movement produced, and a stronger muscle contraction due to direct stimulation of the motor neuron. However, FES was demonstrated as not being effective in reducing the shoulder range of motion of external rotation in patients with either short- or long-duration hemiplegia. In order to offer better management in maintaining or improving limited shoulder range of motion, other types of electrical stimulation should be considered.

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References

  1. Ada L, Foongchomcheay A (2002) Efficacy of electrical stimulation in preventing or reducing subluxation of the shoulder after stroke: a meta-analysis. Aust J Physiother 48: 257–267 (review)

    PubMed  Google Scholar 

  2. Albert A, Andre JM (1984) State of the art of functional electrical stimulation in France. Int Rehabil Med 6: 13–18

    PubMed  CAS  Google Scholar 

  3. Anderson LT (1985) Shoulder pain in hemiplegia. Am J Occup Ther 39: 1–19

    Google Scholar 

  4. Anderson M (1993) The role of cerebellum in motor control and motor learning. Phys Med Rehabil Clin North Am 4: 623–636

    Google Scholar 

  5. Asanuma H, Keller A (1991) Neuronal mechanisms of motor learning in mammals. Neuroreport 2: 217–224

    Article  PubMed  CAS  Google Scholar 

  6. Asanuma H, Keller A (1991) Neurobiological basis of motor learning and memory. Conc Neurosci 2: 1130

    Google Scholar 

  7. Baker LL, Parker K (1986) Neuromuscular electrical stimulation of the muscles surrounding the shoulder. Phys Ther 66: 1930–1937

    PubMed  CAS  Google Scholar 

  8. Bender L, MaKenna K (2001) Hemiplegic shoulder pain: defining the problem and its management. Disabil Rehabil 23: 698–705

    Article  PubMed  CAS  Google Scholar 

  9. Caldwell CB, Wilson DJ, Braun RM (1969) Evaluation and treatment of the upper extremity in the hemiplegic stroke patient. Clin Orthop Rel Res 63: 69–92

    Google Scholar 

  10. Chantraine A, Baribeault A, Uebelhart D, Gremion G (1999) Shoulder pain and dysfunction in hemiplegia: effects of functional electrical stimulation. Arch Phys Med Rehabil 80: 328–331

    Article  PubMed  CAS  Google Scholar 

  11. De Kroon JR, IJzerman MJ, Lankhorst GJ, Zilvold G (2004) Electrical stimulation of the upper limb in stroke: stimulation of the extensors of the hand vs. alternate stimulation of flexors and extensors. Am J Phys Med Rehabil 83: 592–600

    Article  PubMed  Google Scholar 

  12. Dimitriijevic MM, Soroker N (1994) Mesh-glove: 2. Modulation of residual upper limb motor control after stroke with whole-hand electric stimulation. Scand J Rehabil Med 26: 187–190

    Google Scholar 

  13. Faghri PD (1997) The effects of neuromuscular stimulation-induced muscle contraction versus elevation on hand oedema in CVA patients. J Hand Ther 10: 29–34

    PubMed  CAS  Google Scholar 

  14. Faghri PD, Rodgers MM, Glaser RM, Bors JG, Ho C, Akuthota P (1994) The effects of functional electrical stimulation on shoulder subluxation, arm function recovery, and shoulder pain in hemiplegic stroke patients. Arch Phys Med Rehabil 75: 73–79

    PubMed  CAS  Google Scholar 

  15. Francisco G, Chae J, Chawla H, Kirshblum S, Zorowitz R, Lewis G, Pang S (1998) Electromyogram-triggered neuromuscular stimulation for improving the arm function of acute stroke survivors: a randomized pilot study. Arch Phys Med Rehabil 79: 570–575

    Article  PubMed  CAS  Google Scholar 

  16. Glanz M, Klawansky S, Stason W, Berkey C, Chalmers T (1996) Functional electrostimulation in poststroke rehabilitation: a metaanalysis of the randomized controlled trials. Arch Phys Med Rehabil 77: 549–553

    Article  PubMed  CAS  Google Scholar 

  17. Griffin JW (1986) Hemiplegic shoulder pain. Phys Ther 66: 1884–1893

    PubMed  CAS  Google Scholar 

  18. Griffin JW, Reddin G (1981) Shoulder pain in patients with hemiplegia. Phys Ther 61: 1041–1045

    PubMed  CAS  Google Scholar 

  19. Heller A, Wade DT, Wood VA, Sunderland A, Langton-Hewer R, Ward E (1987) Arm function after stroke: measurement and recovery over the first three months. J Neurol Neurosurg Psychiatry 50: 714–719

    PubMed  CAS  Google Scholar 

  20. Hendricks HT, Ijzerman MJ, de Kroon JR, in’ t Groen FA, Zilvold G (2001) Functional electrical stimulation by means of the ‘Ness Handmaster Orthosis’ in chronic stroke patients: an exploratory study. Clin Rehabil 15: 217–220

    Article  PubMed  CAS  Google Scholar 

  21. Hunt S, Pini A, Evan G (1987) Induction of c-fos-like protein in spinal cord neurons following sensory stimulation. Nature 328: 632–634

    Article  PubMed  CAS  Google Scholar 

  22. Kirkham AP, Shah NC, Knight SL, Shah PJ, Craggs MD (2001) The acute effects of continuous and conditional neuromodulation on the bladder in spinal cord injury. Spinal Cord 39: 420–428

    Article  PubMed  CAS  Google Scholar 

  23. Kobayashi H, Onishi H, Ihashi K, Yagi R, Handa Y (1999) Reduction in subluxation and improved muscle function of the hemiplegic shoulder joint after therapeutic electrical stimulation. J Electromyogr Kinesiol 9: 327–336

    Article  PubMed  CAS  Google Scholar 

  24. Kumar VP, Lau HK, Lui J, Pereira BP, Phjo RW (1995) Clinical applications of functional electrical stimulation. Ann Acad Med Singapore 24: 428–435

    PubMed  CAS  Google Scholar 

  25. Leandri M, Parodi CI, Corrieri N, Rigardo S (1990) Comparison of TENS treatments in hemiplegic shoulder pain. Scand J Rehabil Med 22: 69–71

    PubMed  CAS  Google Scholar 

  26. Liberson WT, Holmquest HJ, Scot D, Dow M (1961) Functional electrotherapy: stimulation of the peroneal nerve synchronised with the swing phase of the gait of hemiplegic patients. Arch Phys Med Rehabil 42: 101–105

    PubMed  CAS  Google Scholar 

  27. Linn SL, Granat MH, Lees KR (1999) Prevention of shoulder subluxation after stroke with electrical stimulation. Stroke 30: 963–968

    PubMed  CAS  Google Scholar 

  28. Nakayama H, Jorgensen HS, Raaschou HO, Olsen TS (1994) The recovery of the upper extremity function in stroke patients: the Copenhagen study. Arch Phys Med Rehabil 75: 1–5

    Article  Google Scholar 

  29. Pandyan AD, Granat MH, Stott DJ (1997) Effects of electrical stimulation on flexion contractures in the hemiplegic wrist. Clin Rehabil 11: 123–130

    Article  PubMed  CAS  Google Scholar 

  30. Prada G, Tallis R (1995) Treatment of the neglect syndrome in stroke patients using a contingency electrical stimulator. Clin Rehabil 9: 304–313

    Google Scholar 

  31. Price CI, Pandyan AD (2001) Electrical stimulation for preventing and treating post-stroke shoulder pain: a systematic Cochrane review. Clin Rehabil 15: 5–19 (review)

    Article  PubMed  CAS  Google Scholar 

  32. Sonde L, Gip C, Fernaeus SE, Nilsson CG, Viitanen M (1998) Stimulation with low frequency (1.7 Hz) transcutaneous electric nerve stimulation (low-tens) increases motor function of the poststroke paretic arm. Scand J Rehabil Med 30: 95–99

    Article  PubMed  CAS  Google Scholar 

  33. Thatch T (1993) Neural basis of motor control: an overview. Phys Med Rehabil Clin North Am 4: 615–422

    Google Scholar 

  34. Turner-Stokes L, Jackson D (2002) Shoulder pain after stroke: a review of the evidence base to inform the development of an integrated care pathway. Clin Rehabil 16: 276–298 (review)

    Article  PubMed  Google Scholar 

  35. Wade DT, Langton-Hewer R, Wood VA, Skilbeck CE, Ismail HM (1983) The hemiplegic arm after stroke: measurement and recovery. J Neurol Neurosurg Psychiatry 46: 521–524

    Article  PubMed  CAS  Google Scholar 

  36. Wang R-Y, Yang YR, Tsai MW, Wang TJ, Chan RC (2002) Effects of functional electric stimulation on upper limb motor function and shoulder range of motion in hemiplegia patients. Am J Phys Med Rehabil 81: 283–290

    Article  PubMed  Google Scholar 

  37. Yu DT, Chae J, Walker ME, Kirsteins A, Elovic EP, Flanagan SR, Harvey RL, Zorowitz RD, Frost FS, Gill JH, Feldstein M, Fang ZP (2004) Intramuscular neuromuscular electric stimulation for poststroke shoulder pain: a multicenter randomized clinical trial. Arch Phys Med Rehabil 85: 695–704

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Institute and Faculty of Physical Therapy, National Yang-Ming University, 155, Sec 2, Li-Nong Street, Shih-Pai, Taipei, Republic of China

    Ray-Yau Wang

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  1. Ray-Yau Wang
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Correspondence to Ray-Yau Wang .

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Editors and Affiliations

  1. Department of Neurosurgery, University of Athens, Athens, Greece

    Damianos E. Sakas

  2. University Hospital of Wales, Cardiff, UK

    Brian A. Simpson

  3. Pacific Pain Treatment Centers, San Francisco, USA

    Elliot S. Krames

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© 2007 Springer-Verlag

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Wang, RY. (2007). Neuromodulation of effects of upper limb motor function and shoulder range of motion by functional electric stimulation (FES). In: Sakas, D.E., Simpson, B.A., Krames, E.S. (eds) Operative Neuromodulation. Acta Neurochirurgica Supplements, vol 97/1. Springer, Vienna. https://doi.org/10.1007/978-3-211-33079-1_50

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  • DOI: https://doi.org/10.1007/978-3-211-33079-1_50

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-33078-4

  • Online ISBN: 978-3-211-33079-1

  • eBook Packages: MedicineMedicine (R0)

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