Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 7 , Pages 833-839 , July 2007

Upper-Extremity Functional Electric Stimulation–Assisted Exercises on a Workstation in the Subacute Phase of Stroke Recovery

Presented in part to the Society for Neuroscience, November 2003, New Orleans, LA.

  • Jan Kowalczewski

      Affiliations

    • Centre for Neuroscience, University of Alberta, Edmonton, AB, Canada
    • Corresponding Author InformationReprint requests to Jan Kowalczewski, Centre for Neuroscience, 507 HMRC, University of Alberta, Edmonton, AB, T6G 2S2, Canada
  • ,
  • Valeriya Gritsenko, PhD

      Affiliations

    • Centre for Neuroscience, University of Alberta, Edmonton, AB, Canada
  • ,
  • Nigel Ashworth, MD

      Affiliations

    • Glenrose Rehabilitation Hospital, Edmonton, AB, Canada
  • ,
  • Peter Ellaway, PhD

      Affiliations

    • Imperial College London, London, UK.
  • ,
  • Arthur Prochazka, PhD

      Affiliations

    • Centre for Neuroscience, University of Alberta, Edmonton, AB, Canada

  • Image Result

    The FES exercise therapy workstation. (A) FES electrodes attached to hemiparetic arm. (B) Custom-built workstation with instrumented objects representing tasks of daily life. Objects included a jar wi

    The FES exercise therapy workstation. (A) FES electrodes attached to hemiparetic arm. (B) Custom-built workstation with instrumented objects representing tasks of daily life. Objects included a jar with a screw-top lid, a handle attached via a cord and pulley to an adjustable set of weights, a spring-loaded caliper, a spring-loaded doorknob, and a box and a jar on position-sensing pads at different heights and locations. (C) Rest-position sensing pad and trigger button (on nonparetic side) to control FES. (D) Laboratory interface and computer to collect sensor data. The workstation layout was kept constant throughout the trial, and subjects were positioned in front of it in a standard way.

  • Image Result
    CONSORT flowchart showing details of subject participation.

    CONSORT flowchart showing details of subject participation.

  • Image Result
    Mean CKS ± standard error computed from the workstation data over the 4-week duration of treatment. The pretreatment values are those obtained during a single workstation session during the assessment

    Mean CKS ± standard error computed from the workstation data over the 4-week duration of treatment. The pretreatment values are those obtained during a single workstation session during the assessment stage. Each group was tested at the end of each week. Legend: black symbols, high-intensity FES-ET group; gray symbols, low-intensity FES-ET group. *Significant difference with post hoc Tukey HSD (P<.05).

 Supported by the Canadian Institute of Health Research and Alberta Heritage Foundation for Medical Research.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(07)00264-X

doi: 10.1016/j.apmr.2007.03.036

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 7 , Pages 833-839 , July 2007