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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Article info
Publication history
Published online: May 16, 2021
Accepted:
May 6,
2021
Received in revised form:
March 2,
2021
Received:
July 1,
2020
Publication stage
In Press Corrected ProofFootnotes
Funding:This work was supported by the Fundación General CSIC [0348/CIE/ 6_E].
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
