Neuromodulation of effects of upper limb motor function and shoulder range of motion by functional electric stimulation (FES).

摘要: Upper extremity motor impairment is a major contributing factor to functional disability of stroke patients. Functional electric stimulation (FES) one the therapeutic regimens for management upper dysfunction after stroke. This review shows that FES intervention on supraspinatus and posterior deltoid muscles 6 weeks effective speed up limb recovery in hemiplegia short-duration or less severely affected symptoms. The positive effect could be attributable neural mechanisms including: an enhanced information flow from joint muscle afferents, better visual perception movement produced, stronger contraction due direct neuron. However, was demonstrated as not being reducing shoulder range motion external rotation patients with either short- long-duration hemiplegia. In order offer maintaining improving limited motion, other types electrical should considered.