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The Combined Use of Transcranial Direct Current Stimulation and Robotic Therapy for the Upper Limb
Published on: September 23, 2018
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Mirror therapy combined with contralaterally controlled functional electrical stimulation for the upper limb motor
Yuqian Zhang1, Xingnan Zhang2, Cancan Cheng2
1Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Disability and Rehabilitation
|June 21, 2023
Summary
Mirror therapy (MT) combined with contralaterally controlled functional electrical stimulation (CCFES) significantly improved paretic wrist motor function in stroke survivors. This combined approach shows potential as an adjuvant therapy for post-stroke recovery.
Area of Science:
- Neurorehabilitation
- Biomedical Engineering
Background:
- Stroke frequently causes upper limb motor deficits.
- Restoring motor function is crucial for post-stroke patient recovery and independence.
Purpose of the Study:
- To investigate the effects of mirror therapy (MT) combined with contralaterally controlled functional electrical stimulation (CCFES) on post-stroke upper limb motor function.
- To assess the impact on activities of daily living and corticospinal excitability.
Main Methods:
- Sixty post-stroke patients were randomized into four groups: CCFES, MT, MT combined with CCFES, and control.
- Interventions lasted 3 weeks, with evaluations before and after.
Main Results:
- The combination of MT and CCFES significantly enhanced paretic wrist motor function compared to individual therapies or routine rehabilitation.
- No significant differences were observed in overall upper limb motor function, daily living activities, or corticospinal excitability across groups.
Conclusions:
- Mirror therapy combined with CCFES shows promise as an adjuvant therapy for improving paretic wrist function after stroke.
- Further research is needed to explore its effects on broader upper limb function and other recovery metrics.

