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Optimal multi-field functional electrical stimulation parameters for the “drinking task - reaching phase” and related upper limb kinematics repeatability in post stroke subjects

  • Andreia S.P. Sousa
    Correspondence
    Corresponding author. Center for Rehabilitation Research-Center of Human Studies and Human Activity, School of Health, Polytechnic Institute of Porto, Rua Dr. António Bernardino de Alm..., 4200 - 072 Porto, Portugal. T.: +393289213515; F.: +351 222 061 001.
    Affiliations
    Center for Rehabilitation Research – Human Movement System (Re)habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200 - 072, Porto, Portugal
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  • Cláudia Isabel Costa da Silva
    Affiliations
    Center for Rehabilitation Research – Human Movement System (Re)habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200 - 072, Porto, Portugal
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  • Inês Albuquerque Mesquita
    Affiliations
    Center for Rehabilitation Research – Human Movement System (Re)habilitation Area, Department of Functional Sciences, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200 - 072, Porto, Portugal
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  • Augusta Silva
    Affiliations
    Center for Rehabilitation Research – Human Movement System (Re)habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200 - 072, Porto, Portugal
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  • Rui Macedo
    Affiliations
    Center for Rehabilitation Research – Human Movement System (Re)habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200 - 072, Porto, Portugal
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  • Eukene Imatz-Ojanguren
    Affiliations
    TECNALIA, Basque Research and Technology Alliance (BRTA), Parque Tecnológico de Bizkaia, Astondo Bidea, Edificio 700, E-48160 Derio (Spain)
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  • Erik Hernandez
    Affiliations
    TECNALIA, Basque Research and Technology Alliance (BRTA), Parque Tecnológico de San Sebastián, Mikeletegi Pasealekua, 1, E-20009 Donostia-San Sebastián (Spain)
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  • Thierry Keller
    Affiliations
    TECNALIA, Basque Research and Technology Alliance (BRTA), Parque Tecnológico de San Sebastián, Mikeletegi Pasealekua, 1, E-20009 Donostia-San Sebastián (Spain)
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  • Juliana Moreira
    Affiliations
    Center for Rehabilitation Research – Human Movement System (Re)habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200 - 072, Porto, Portugal
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  • Pedro Filipe Pereira da Fonseca
    Affiliations
    LABIOMEP: Porto Biomechanics Laboratory, University of Porto. R. Dr. Plácido da Costa, 4200-450, Porto, Portugal.
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  • Rubim Santos
    Affiliations
    Center for Rehabilitation Research – Human Movement System (Re)habilitation Area, Department of Physics, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200 - 072, Porto, Portugal
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      Highlights

      • Reliable functional electrical stimulation parameters assisted the drinking task;
      • Functional electrical stimulation parameters presented high to very high repeatability;
      • Upper limb kinematics presented moderate to very high repeatability.

      Abstract

      Background

      No specific guidelines for the management of functional electrical stimulation (FES) parameters in post stroke patients have been defined yet, despite its frequent use. The purpose of this study is to characterize the optimal FES parameters that assist the reaching phase of drinking task (“drinking task - reaching phase”) on post stroke subjects and to analyze the related upper limb (UL) movement quality indicators repeatability.

      Methods

      An observational study with a test and re-test design involving ten post stroke subjects with UL dysfunction was performed. End-point and joint kinematics of contralesional UL were assessed during the “drinking task - reaching phase” with FES through a test and retest design. FES parameters were adjusted to improve UL function according to a consensus between physiotherapists and patients’ perspective.

      Findings

      It was possible to establish reliable FES parameters that assisted the “drinking task - reaching phase”. All FES parameters presented high to very high repeatability and led to moderate to very high repeatability in almost UL movement quality indicators during the “drinking task - reaching phase”.

      Interpretation

      These findings show that the main characteristics of FES parameters that improves patient perception of change are quite stable, which facilitate its implementation in clinical practice by allowing consistence between intervention sessions.

      Keywords

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