Optimal multi-field functional electrical stimulation parameters for the "drinking task - reaching phase" and related upper limb kinematics repeatability in post stroke subjects.

• Reliable functional electrical stimulation parameters assisted the drinking task; • Functional electrical stimulation parameters presented high to very high repeatability; • Upper limb kinematics presented moderate to very high repeatability. No specific guidelines for the management of functional...

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Published in:Journal of Hand Therapy Vol. 35; no. 4; pp. 645 - 655
Main Authors: Sousa, Andreia S.P., da Silva, Cláudia Isabel Costa, Mesquita, Inês Albuquerque, Silva, Augusta, Macedo, Rui, Imatz-Ojanguren, Eukene, Hernandez, Erik, Keller, Thierry, Moreira, Juliana, da Fonseca, Pedro Filipe Pereira, Santos, Rubim
Format: research Journal Article
Published: Elsevier B.V. Oct2022
Online Access:View this record in EBSCOhost
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      dt: Oct2022
      vid: 35
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      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        163164569
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        10.1016/j.jht.2021.05.002
        163164569
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        atl: Optimal multi-field functional electrical stimulation parameters for the "drinking task - reaching phase" and related upper limb kinematics repeatability in post stroke subjects.
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        au:
          Sousa, Andreia S.P.
          da Silva, Cláudia Isabel Costa
          Mesquita, Inês Albuquerque
          Silva, Augusta
          Macedo, Rui
          Imatz-Ojanguren, Eukene
          Hernandez, Erik
          Keller, Thierry
          Moreira, Juliana
          da Fonseca, Pedro Filipe Pereira
          Santos, Rubim
        affil: Center for Rehabilitation Research – Human Movement System (Re)habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200 - 072, Porto, Portugal
      sug:
        subj:
          Electrical Stimulation, Functional
          Task Performance and Analysis
          Upper Extremity Pathology
          Kinematics
          Stroke Therapy
          Human
          Stroke Patients
          Nonexperimental Studies
          Patient Attitudes
          Treatment Outcomes
      ab: • Reliable functional electrical stimulation parameters assisted the drinking task; • Functional electrical stimulation parameters presented high to very high repeatability; • Upper limb kinematics presented moderate to very high repeatability. No specific guidelines for the management of functional electrical stimulation (FES) parameters in post stroke patients have been defined yet, despite its frequent use. The purpose of this study is to characterize the optimal FES parameters that assist the reaching phase of drinking task ("drinking task - reaching phase") on post stroke subjects and to analyze the related upper limb (UL) movement quality indicators repeatability. An observational study with a test and re-test design involving ten post stroke subjects with UL dysfunction was performed. End-point and joint kinematics of contralesional UL were assessed during the "drinking task - reaching phase" with FES through a test and retest design. FES parameters were adjusted to improve UL function according to a consensus between physiotherapists and patients' perspective. It was possible to establish reliable FES parameters that assisted the "drinking task - reaching phase". All FES parameters presented high to very high repeatability and led to moderate to very high repeatability in almost UL movement quality indicators during the "drinking task - reaching phase". These findings show that the main characteristics of FES parameters that improves patient perception of change are quite stable, which facilitate its implementation in clinical practice by allowing consistence between intervention sessions.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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