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Integrated volitional control electrical stimulation for the paretic hand: a case report.

Risa Suzuki1,2,3, Yoshihiro Muraoka2,3, Susumu Yamada4

  • 1Department of Physical Therapy, Faculty of Health Science Technology, Bunkyo Gakuin University: 1196 Kamekubo, Fujimino, Saitama 356-8533, Japan.

Journal of Physical Therapy Science
|October 25, 2019
PubMed
Summary

Integrated volitional control electrical stimulation (IVES) improved hand function in a stroke patient with long-term hemiplegia. Short-term IVES therapy led to lasting motor function gains in the paretic hand.

Keywords:
Electrical stimulationHemiplegiaIntegrated volitional control electrical stimulation (IVES)

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Area of Science:

  • Neurorehabilitation
  • Physical Medicine and Rehabilitation

Background:

  • Stroke-induced hemiplegia often results in persistent upper limb motor deficits.
  • Integrated volitional control electrical stimulation (IVES) aims to improve muscle function in paralyzed limbs.

Observation:

  • A 76-year-old male, eight years post-stroke, received one month of IVES therapy targeting extrinsic and intrinsic hand muscles.
  • Stimulation modes were adjusted based on the patient's progress.

Findings:

  • Significant improvement in upper limb function was observed within 28 days.
  • Brunnstrom stages for the right upper limb and hand improved from II-III to II-IV.
  • Motor function gains were maintained after the IVES intervention concluded.

Implications:

  • Short-term, combined-mode IVES can effectively enhance paretic hand motor function in chronic stroke survivors.
  • IVES offers a promising therapeutic approach for long-term hemiplegia recovery.
  • This case highlights the potential for functional recovery even years after stroke onset.