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A Case of Neuromuscular Electrical Stimulation for Childhood Stroke Hyperkinesis: A Brief Report.

Some conditions within specific populations are so rare rigorous evidence is unavailable. Childhood hyperkinesis is one example, yet presents an opportunity to examine sensation's contribution to motor function. The patient experienced functional difficulty from hyperkinesis as a result of childhood...

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Published in:Developmental Neurorehabilitation Vol. 23; no. 6; pp. 407 - 412
Main Authors: Metzler, Megan J., Cole, Lauran, Kirton, Adam
Format: case study research tables/charts Journal Article
Published: Taylor & Francis Ltd Aug2020
Online Access:View this record in EBSCOhost
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      dt: Aug2020
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17518423.2020.1773956
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        atl: A Case of Neuromuscular Electrical Stimulation for Childhood Stroke Hyperkinesis: A Brief Report.
      aug:
        au:
          Metzler, Megan J.
          Cole, Lauran
          Kirton, Adam
        affil: Alberta Children's Hospital, Calgary, AB, Canada
      sug:
        subj:
          Hyperkinesis Rehabilitation
          Stroke Complications
          Electrical Stimulation, Neuromuscular
          Child
          Home Health Care
          Robotics
          Arm
          Proprioception Physiology
          Human
          Clinical Assessment Tools
          Child: 6-12 years
      ab: Some conditions within specific populations are so rare rigorous evidence is unavailable. Childhood hyperkinesis is one example, yet presents an opportunity to examine sensation's contribution to motor function. The patient experienced functional difficulty from hyperkinesis as a result of childhood stroke. Home-based passive neuromuscular electrical stimulation (NMES) was implemented an hour/day, six days/week, over 6 weeks (36 hours). Clinical and robotic measures (Assisting Hand Assessment, Box and Block Test, Jebsen Taylor Test of Hand Function, Kinarm) were administered before and after the intervention and at 9 months. NMES was feasible and well tolerated. Clinically important gains of arm function were maintained at 9 months. Robotic measures showed improved hyperkinesis, namely reduced movement segmentation and improved target approximation, in addition to improved proprioceptive function after NMES. This case study illustrates the use of NMES within a previously unexplored population and highlights the potential importance of sensory systems to motor gains.
      pubtype: Academic Journal
      doctype:
        case study
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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