Journal
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT
Volume 42, Issue 6, Pages 723-736Publisher
JOURNAL REHAB RES & DEV
DOI: 10.1682/JRRD.2005.02.0048
Keywords
activities of daily living; coordination; electrical stimulation; functional measure; functional neuromuscular stimulation; motor control; motor learning; rehabilitation; robotics; stroke
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Twelve moderately to severely involved chronic stroke survivors (> 12 mo) were randomized to one of two treatments: robotics and motor learning (ROB-ML) or functional neuromuscular stimulation and motor learning (FNS-ML). Treatment was 5 h/d, 5 d/wk for 12 wk. ROB-ML group had 1.5 h per session devoted to robotics shoulder and elbow (S/E) training. FNS-ML had 1.5 h per session devoted to functional neuromuscular stimulation (Surface electrodes) for wrist and hand (W/H) flexors/extensors. The primary Outcome measure was the functional measure Arm Motor Ability Test (AMAT). Secondary measures were AMAT-S/E and AMAT-W/H, Fugl-Meyer (FM) upper-limb coordination. and the motor control measures of target accuracy (TA) and smoothness of movement (SM). ROB-ML produced significant gains in AMAT, AMAT-S/E, FM upper-limb coordination, TA, and SM. FNS-ML produced significant gains in AMAT-W/H and FM upper-limb coordination.
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