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This study investigated whether electrical stimulation (ES) prior to a hand function training session for a total of eight weeks can better improve neuromuscular control and hand function in subacute stroke individuals and change electroencephalography-electromyography (EEG-EMG) coherence, as compared to the control (sham ES).
Subjects were randomly assigned into ES and control groups. Both groups received 20-minute hand function training twice a week, and the ES group received 40-minute ES on the median nerve of the affected side before each training session. The control group received sham ES - electrodes were placed on the same location but no electric current was applied. EEG, EMG and Fugl-Meyer Assessment (FMA) were collected before, at the 4th week, at the end of 8th week, and 4 weeks after the end of intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Electrical stimulation | Experimental |
| |
| Control | Sham Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electrical stimulation | Other | sensory electrical stimulation was applied prior to upper limb functional training |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fugl-Meyer Assessment for Upper Extremity | evaluate changes in upper extremity function of the stroke subjects | before intervention, four weeks after, at the end of the eight-week intervention and four weeks after the intervention period ended |
| EEG-EMG coherence | evaluate changes in functional connectivity between motor cortex and active muscles | before intervention, four weeks after, at the end of the eight-week intervention and four weeks after the intervention period ended |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D004558 | Electric Stimulation |
| ID | Term |
|---|---|
| D010812 | Physical Stimulation |
| D008919 | Investigative Techniques |
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| Sham electrical stimulation | Other | electrodes were placed on the same location as the Electrical stimulation condition, but no electric current was applied |
|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |