A feasibility study of the effect of multichannel electrical stimulation and gravity compensation on hand function in...

Many stroke patients have to cope with impaired arm and hand function. As a feasibility study, gravity compensation (GC) and multichannel electrical stimulation (ES) were applied to the forearm of eight stroke patients to study potential effects on dexterity. ES was triggered by positional data of the subject's hand relative to the objects that had to be grasped. Dexterity was evaluated by means of the Box and Blocks Test (BBT). The BBT was performed with four combinations of support; with and without GC and with and without ES. In all patients, it was possible to induce sufficient hand opening for grasping a block of the BBT by means of ES. There was no significant increase in dexterity as measured with the BBT. GC and/or ES did not improve instantaneous dexterity in a small sample of stroke patients although sufficient hand opening was reached in all patients. More research in a larger sample of stroke patients with more specific and more sophisticated control algorithms is needed to explore beneficial effects of GC and ES on hand function in post stroke rehabilitation.