Functional electrical therapy for facilitation of motor recovery in a patient with subacute stroke
DOI:
https://doi.org/10.11606/issn.2317-0190.v15i2a102924Keywords:
Cerebrovascular Accident, Electrical Stimulation, Therapy, Exercise, RehabilitationAbstract
Objective: To determine the efficacy of a Functional Electrical Therapy (FET) protocol administered to a patient with subacute stroke. Case description: A 67-year-old right handed man who had infarct in left occipital and frontoparietal regions 6 months before study entry and who exhibited high motivation to get full arm power and fine control of fingers of the affected upper limb. Intervention: Thirty minutes of FET 5 times a week for 3 weeks (7 ½ hours in total) in addition to conventional physiotherapy. Main Outcome Measures: The Modified Ashworth Scale (MAS), the Upper Extremity Function Test (UEFT), Motor Activity Log (MAL), The Brunnstrom’s 6 stages, the Functional Independence Measure (FIM). Results: The patient exhibited substantial improvements on the UEFT and MAL amount scores. He specifically improved in the writing task by getting better fingers control and in ability of controlling heavy objects. Also, his active range of motion (ROM) of proximal muscles increased, although electrical stimulation was applied to distal muscles only. Quality of overall arm use improved, as measured by the MAL how well score. Conclusions: FET may be an efficacious method for improving function and use of the affected arms of subacute stroke patients with high motivation for specific tasks.
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