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Related Experiment Video

Updated: Jul 12, 2025

The Combined Use of Transcranial Direct Current Stimulation and Robotic Therapy for the Upper Limb
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Contralaterally controlled functional electrical stimulation immediately improves hand function.

Shohei Murata1,2, Yasuharu Koike3, Yuji Kasukawa2

  • 1Department of Orthopedic Surgery, Kakunodate General Hospital, Akita, Japan.

Japanese Journal of Comprehensive Rehabilitation Science
|October 20, 2023
PubMed
Summary

Contralaterally controlled functional electrical stimulation (CCFES) significantly improved hand function in stroke patients. This innovative rehabilitation technique shows promise for enhancing upper limb recovery and patient motivation.

Keywords:
contralateral controlfunctional electrical stimulationhand functionimmediate effectstroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Stroke often results in impaired upper limb function, significantly impacting daily activities.
  • Traditional rehabilitation methods may not always provide immediate functional gains.
  • Exploring novel therapeutic modalities is crucial for optimizing stroke recovery.

Purpose of the Study:

  • To investigate the immediate effects of contralaterally controlled functional electrical stimulation (CCFES) on upper limb function in stroke patients.
  • To compare the efficacy of CCFES with mirror therapy (MT) in improving hand function post-stroke.

Main Methods:

  • A study involving 13 stroke patients (≥4 weeks post-onset) compared CCFES and MT.
  • Interventions were separated by at least 24 hours.
  • Evaluations included grip strength and Fugl-Meyer Assessment for Upper Extremity (FMA-UE) scores before and after each session.

Main Results:

  • CCFES led to a significant improvement in FMA-UE hand scores (p = 0.013).
  • No significant changes were observed in grip strength, FMA-UE overall, or subscores for shoulder/elbow/forearm, wrist, and coordination after either CCFES or MT.
  • Mirror therapy did not yield significant improvements in hand function.

Conclusions:

  • CCFES demonstrates immediate positive effects on hand function in stroke survivors.
  • This technique may enhance patient motivation during rehabilitation.
  • CCFES represents a promising intervention for upper extremity recovery after stroke.