Upper-limb recovery after stroke: A randomized controlled trial comparing EMG-triggered, cyclic, and sensory electrical stimulation

What the fuck is the protocol for this? Don;'t be a fucking lazy asshole and tell me it doesn't work, I can just wait for spontaneous recovery to occur. You don't need therapists at all in this case.
https://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77948&phrase=no&rec=135941&article_source=Rehab&international=0&international_language=&international_location=
Neurorehabilitation and Neural Repair , Volume 30(10) , Pgs. 978-987.

NARIC Accession Number: J77948.  What's this?
ISSN: 1545-9683.
Author(s): Wilson, Richard D.; Page, Stephen J.; Delahanty, Michael; Knutson, Jayme S.; Gunzler, Douglas D.; Sheffler, Lynne R.; Chae, John.
Publication Year: 2016.
Number of Pages: 10.
Abstract: Study compared the effect of cyclic neuromuscular electrical stimulation (NMES), electromyographically (EMG)-triggered NMES, and sensory stimulation on motor impairment and activity limitations in patients with upper-limb hemiplegia. This was a multicenter, balanced randomization, single-blind, multi-arm parallel-group study of non-hospitalized hemiplegic stroke survivors conducted at 3 medical centers. A total of 122 individuals within 6 months of stroke were randomized to receive either cyclic NMES, EMG-triggered NMES, or sensory stimulation twice every weekday in 40-minute sessions, over an 8 week-period. Outcomes assessments were completed at each site by a blinded occupational therapist at baseline, midtreatment, end of treatment, and 1, 3, and 6 months after completion of treatment. The primary outcome measure was the upper-extremity section of the Fugl-Meyer Assessment (FMA). A secondary outcome was the ability of a hemiparetic upper limb to execute specific activities, assessed with the modified Arm Motor Ability Test (mAMAT). There were significant increases in the FMA, FMA Wrist and Hand, and mAMAT for all 3 groups. There was no significant difference in the improvement among the treatment groups in the FMA, FMA Wrist and Hand, or the mAMAT. All groups exhibited significant improvement of impairment and functional limitation with electrical stimulation therapy applied within 6 months of stroke. Improvements were likely a result of spontaneous recovery. There was no difference based on the type of electrical stimulation that was administered.
Descriptor Terms: ELECTRICAL STIMULATION, HEMIPLEGIA, LIMBS, MOTOR SKILLS, OUTCOMES, STROKE.


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Citation: Wilson, Richard D., Page, Stephen J., Delahanty, Michael, Knutson, Jayme S., Gunzler, Douglas D., Sheffler, Lynne R., Chae, John. (2016). Upper-limb recovery after stroke: A randomized controlled trial comparing EMG-triggered, cyclic, and sensory electrical stimulation.  Neurorehabilitation and Neural Repair , 30(10), Pgs. 978-987. Retrieved 3/28/2018, from REHABDATA database.


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More information about this publication:
Neurorehabilitation and Neural Repair.