Chronic stroke with severe upper limb hemiparesis
Conditions
Interventions
Purposeful activity-based electrical stimulation therapy (PA-EST) PA-EST consists of functional electrical stimulation combined with purposeful upper limb activities tailored to the participants dail
Sponsors
Gunma Paz University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients with chronic stroke, defined as more than 1 year since onset Severe upper limb hemiparesis with a Fugl-Meyer Assessment (FMA) upper extremity score of <33 Minimal voluntary movement of the affected upper limb Living at home Receiving occupational therapy Able to communicate in daily conversation No higher brain dysfunction that interferes with daily life
Exclusion criteria
Exclusion criteria: Presence of a cardiac pacemaker Malignant lesions at the stimulation site Fracture, dislocation, or other local disorders at the stimulation site Severe cognitive impairment that interferes with daily communication Higher brain dysfunction that interferes with daily life Considered unsuitable for participation by the investigator or attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in cerebral hemodynamics (oxygenated hemoglobin concentration) measured by functional near-infrared spectroscopy (fNIRS), assessed before and after each intervention period | — |
Secondary
| Measure | Time frame |
|---|---|
| Upper limb motor function (Fugl-Meyer Assessment), amount and quality of use of the affected upper limb (Motor Activity Log),and goal attainment (Goal Attainment Scaling) will be assessed before and after each intervention period | — |
Countries
Japan
Contacts
Public ContactSeigo Minami
Hyogo Medical University Faculty of Rehabilitation Science
Outcome results
None listed