Affiliations: The Centre for Musculoskeletal Studies, School of Surgery, The University of Western Australia, Perth, WA, Australia | School of Psychology, The University of Western Australia, Perth, WA | Physiotherapy Department, Sir Charles Gardiner Hospital, Perth, WA
Note: [] Corresponding author: Barbara J. Singer, PT PhD, FACP, Centre for Musculoskeletal Studies, School of Surgery, The University of Western Australia, Park Avenue campus M424, WA, Australia. Tel.: +61 8 6488 7079; Fax: +61 86488 7079; E-mail: [email protected]
Note: [] School of Psychology, Curtin University, Perth, WA.
Note: [] Robinson Institute, School of Paediatrics and Reproductive Health, University of Adelaide.
Abstract: Purpose: We examined the feasibility and outcome of electromyographically triggered electrical muscle stimulation (EMG-ES) plus unilateral or bilateral task specific practice on arm function in chronic stroke survivors with moderate-severe hemiplegia. Transcranial magnetic stimulation was used to examine inter-hemispheric inhibition (IHI) acting on the stroke-affected hemisphere in a subset of eight participants. Methods: Twenty-one stroke survivors (14 males; mean time post stroke 57.9 months) participated in this pilot investigation. Participants underwent a six-week program of daily EMG-ES training with random assignment to concurrent task practice using the stroke-affected hand only or both hands. The upper-extremity subscale of the Fugl-Meyer (FMUE) and the Arm Motor Ability Test (AMAT) were completed at baseline, 0-, 1-, and 3-months post-intervention. Results: Following the intervention, FMUE (F(3, 57) = 3.89, p = .01, ηp2 = .17) and AMAT (F(3, 57) = 12.6, p = .01, ηp2 = .39) scores improved, and remained better than baseline at three months re-assessment. The difference between groups was not significant. A non-significant decrease in IHI was observed post-intervention. Conclusions: An intensive program of EMG-ES assisted functional training is feasible, well tolerated, and leads to improvements in moderate-severe deficits of arm function post stroke. Larger placebo controlled studies are needed to explore any advantage of bilateral over unilateral EMG-ES assisted training.
