A Randomized Controlled Study: Effectiveness of Functional Electrical Stimulation on Wrist and Finger Flexor Spasticity in Hemiplegia

• Published in: Journal of stroke and cerebrovascular diseases Vol. 26; no. 7; pp. 1467 - 1471
• Main Authors: Nakipoğlu Yuzer, Güldal Funda, MD, Köse Dönmez, Burcu, MD, Özgirgin, Neşe, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2017
• Subjects: Aged; Biomechanical Phenomena; Cardiovascular; Cerebrovascular accident; Disability Evaluation; Electric Stimulation Therapy - methods; Female; Fingers - innervation; functional electrical stimulation; hemiplegia; Hemiplegia - diagnosis; Hemiplegia - physiopathology; Hemiplegia - therapy; Humans; Male; Middle Aged; Motor Activity; Muscle Spasticity - diagnosis; Muscle Spasticity - physiopathology; Muscle Spasticity - therapy; Neurologic Examination; Neurology; Range of Motion, Articular; Recovery of Function; rehabilitation; spasticity; Time Factors; Treatment Outcome; Turkey; Wrist Joint - innervation; Cerebrovascular accident; functional electrical stimulation; rehabilitation; spasticity; hemiplegia
• ISSN: 1052-3057; 1532-8511
• DOI: 10.1016/j.jstrokecerebrovasdis.2017.03.011

Aim The objective of this study was to investigate the effectiveness of functional electrical stimulation (FES) applied to the wrist and finger extensors for wrist flexor spasticity in hemiplegic patients. Methods Thirty stroke patients treated as inpatients were included in the study. Patients were randomly divided into study and control groups. FES was applied to the study group. Wrist range of movement, the Modified Ashworth Scale (MAS), Rivermead Motor Assessment (RMA), Brunnstrom (BS) hand neurophysiological staging, Barthel Index (BI), and Upper Extremity Function Test (UEFT) are outcome measures. Results There was no significant difference regarding range of motion (ROM) and BI values on admission between the groups. A significant difference was found in favor of the study group for these values at discharge. In the assessment within groups, there was no significant difference between admission and discharge RMA, BS hand, and UEFT scores in the control group, but there was a significant difference between the admission and discharge values for these parameters in the study group. Both groups showed improvement in MAS values on internal assessment. Conclusion It was determined that FES application is an effective method to reduce spasticity and to improve ROM, motor, and functional outcomes in hemiplegic wrist flexor spasticity.