Effects of Repetitive Electrical Stimulation to Treat Sensory Loss in Persons Poststroke

• Published in: Archives of physical medicine and rehabilitation Vol. 90; no. 12; pp. 2108 - 2111
• Main Authors: Smith, Patricia S., PhD, Dinse, Hubert R., PhD, Kalisch, Tobias, PhD, Johnson, Mark, MD, Walker-Batson, Delaina, PhD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.12.2009; Elsevier
• Subjects: Aged; Biological and medical sciences; Diseases of the osteoarticular system; Electric Stimulation Therapy; Female; Hand - physiopathology; Humans; Male; Medical sciences; Middle Aged; Miscellaneous; Motor Skills Disorders - physiopathology; Motor Skills Disorders - rehabilitation; Neurology; Neuropsychological Tests; Physical Medicine and Rehabilitation; Pilot Projects; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Rehabilitation; Sensation Disorders - physiopathology; Sensation Disorders - rehabilitation; Sensory Thresholds - physiology; Stroke; Stroke - physiopathology; Stroke Rehabilitation; Touch - physiology; Upper extremity; Vascular diseases and vascular malformations of the nervous system; Stroke; Rehabilitation; National Institutes of Health; Upper extremity; NIH; Nervous system diseases; Cardiovascular disease; Cerebral disorder; Vascular disease; Reeducation; Treatment; Orthopedics; Central nervous system disease; Sensory disorder; Upper limb; Cerebrovascular disease
• ISSN: 0003-9993; 1532-821X
• DOI: 10.1016/j.apmr.2009.07.017

Abstract Smith PS, Dinse HR, Kalisch T, Johnson M, Walker-Batson D. Effects of repetitive electrical stimulation to treat sensory loss in persons poststroke. Objective To explore the effectiveness of repetitive electrical stimulation referred to here as tactile coactivation and to improve sensory discrimination and function in the most involved hand of a person recovering from stroke. Design Pre-experimental 1-group (n=4) design with multiple 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 included 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 explored previously in subjects with sensory loss caused by stroke. The results of this pilot study suggest that coactivation may have the potential to be a useful therapeutic modality for this population.