Stroke Cerebrovascular disease
Conditions
Interventions
Transcutaneous spinal stimulation + arm orthosis group, ordinal exercise group
Sponsors
Fujiwara Toshiyuki
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Hemiparesis patients based on first onset stroke. 2. Age 20 years and more and <80years. 3. 60 days and more from onset of stroke. 4. SIAS finger function test is 3 or less and knee-mouth test is 2 or more. 5. Surface sense of upper extremity is scored 1 or more with SIAS 6. ROM of wrist is enough to wear the devise (XMM-HR2) 7. Spasticity of paretic finger is 2 or less with modified Ashworth Scale 8. 2 month and more from the last boturinum therapy, if patient received the boturinum therapy. 9. Patients who could come to outpatient clinic following to the study protocol.
Exclusion criteria
Exclusion criteria: 1. Severe cardiac disease 2. Uncontrolled hypertension 3. Acute illness and fever 4. Recent medical history of pulmonary embolism, acute cor pulmonale, and severe pulmonary hypertension 5. Severe liver failure and renal failure 6. Orthopedic complication, preventing exercise 7. Severe cognitive impairment and mental illness 8. Other metabolic disease 9. contraindication of electrical stimulation 10. Pace-maker user
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fugl-Meyer Assessment upper extremity score | — |
Secondary
| Measure | Time frame |
|---|---|
| Box and Block (BBT) Motor activity Log-14 (amount of use)(MAL-14 AOU) Modified Ashworth scale (finger , wrist, elbow) SIAS finger function test Reciprocal Inhibition in paretic upper extremity Motor Evoked Potential (MEP) by transcranial magnetic stimulation | — |
Contacts
Public ContactToshiyuki Fujiwara
Juntendo University Hospital
Outcome results
None listed