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Thefunctionalvalueofelectricalmusclestimulationfortherehabilitationofthehandin...AbstractEuropePMC
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The functional value of electrical muscle stimulation for the rehabilitation of the
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The inuence of suprathreshold electrical stimulation of the extensor and exor carpi radialis muscles on
biomechanical and functional movement parameters is compared with the eect of a standardized active
repetitive training of hand and ngers. Twelve patients suering from ischaemic lesions in the territory of the
middle cerebral artery participated in the study, which was conducted using a multiple baseline design.
Following a baseline phase that lasted between one and three weeks all patients received electrical muscle
stimulation for 20 minutes twice daily. In a third phase the repetitive training of hand and ngers was
conducted for 20 minutes twice daily. Both interventions were applied in addition to conventional
occupational therapy and physiotherapy. With the exception of spasticity in hand and nger exors, repetitive
electrical muscle stimulation does not improve biomechanical or functional motor parameters of the centrally
paretic hand and arm. The repetitive motor training, however, is appropriate to improve biomechanical and
functional movement parameters signicantly. Apart from a possible eect on the muscle cell itself, the
electrical muscle stimulation is thought to represent a mainly sensory, i.e. proprioceptive, and cutaneous
intervention, whereas the active motor training is characterized by a continuous sensorimotor coupling within
motor centres of the brain. The underlying neurophysiological mechanisms as well as basic principles
concerning the role of aerent input for motor learning and recovery are discussed.
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Europe PMC is a service of the Europe PMC Funders' Group, in partnership with the European Bioinformatics Institute, JISC, The
University of Manchester and the British Library; and in cooperation with the National Center for Biotechnology Information at the
U.S. National Library of Medicine (NCBI/NLM). It includes content provided to the PMC International archive by participating
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